The Use of Smoking Cessation and Quit Support Services by Socioeconomic Status Over 10 Years of the National Drug Strategy Household Survey
Menée en Australie à partir des données de quatre vagues d'enquêtes réalisées sur la période 2001-2010, cette étude analyse, en fonction du statut économique des participants, l'utilisation de traitements ou de services d'aide pour arrêter le tabagisme
Objectives : The aim of this research was to examine the use of quit smoking services and support options in Australia using national survey data, to determine whether use of quit smoking services and pharmacotherapy contributes to socioeconomic status (SES) differences in smoking.
Methods : Analyses were performed using data from 4 waves of the Australian National Drug Strategy Household Survey between 2001 and 2010. The primary outcomes were the use of quit smoking services or pharmacotherapy. The main predictor variables used were measures of SES including Socio-Economic Indexes for Areas, income, and education. Other sociodemographic variables were also examined.
Results : There was no systematic SES difference in the use of services or support options, with some used more by high SES, and some used more by low SES. Those with university education (odds ratio [OR] = 0.72; 95% CI = 0.56–0.93) were less likely to use prescription medication. Conversely, those with higher incomes were more likely to use patches, gum, or an inhaler (OR = 1.13; 95% CI = 1.01–1.27). Prescription medication was significantly associated with increased odds of recent cessation, although only among those with lower levels of education (OR = 2.50; 95% CI = 1.94–3.23). Those with higher SES had the greatest odds of recent cessation.
Conclusions : The evidence suggests that low-SES smokers use quit services and support options equally to high-SES smokers, and thus access does not drive the SES differential in smoking. However, the findings are positive, suggesting that increasing the uptake of prescription medication may help increase cessation rates among low-SES smokers.
Nicotine & Tobacco Research , résumé, 2014