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What Accounts for the Relationship Between Social Class and Smoking Cessation ? Results of a Path Analysis
Oleh:
Honjo, Kaori
;
Tsutsumi, Akizumi
;
Kawachi, Ichiro
;
Kawakami, Norito
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 2 (Jan. 2006)
,
page 317-328.
Topik:
social class
;
USA
;
social class
;
smoking cessation
;
path analysis
Ketersediaan
Perpustakaan Pusat (Semanggi)
Nomor Panggil:
SS53.1
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
Despite the overall decline in cigarette smoking prevalence in the US, social class inequalities in smoking are likely to persist or even to widen. One possible reason for the increasing gap in smoking prevalence across social class could be our lack of understanding of causal mechanisms, in other words what accounts for the social gradient in smoking behavior ? In this paper, we examine the mechanisms behind spcoa; gradients related to smoking cessation by use of path analysis techniques. The data come from a 3 year follow up telephone survey of a cohort of US adults. The sample for the present analysis was drawn from the 481 respondents who reported being smokers and employed at baseline and how completed the follow up interview. We examined two social class indicators, educational attainment and household income, in relation to smoking cessation. We tested the potential mediating effects of the following variables, differential use of resources for smoking cessation (e.g. boklet, pamphlet, quit line, nicotine replacement therapy and smoking cessation program), differential environments in terms of smoking at worksite and home, and differences in peer smoking. Out path analyses suggest that smokers from high social class are likely to use effective resources for smoking cessation and have restrictive home environment in terms of smoking, which lead sto a relatively higher smoking cessation rate compared to those from low social class. The results of this study suggest that interventions should target resource for smoking cessation and home environments in terms of smoking to reduce socio economic disparities in smoking cessation.
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