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Homelessness, cigarette smoking and desire to quit: results from a US national study.
Addiction. 2013 Nov; 108(11):2009-18.A

Abstract

AIMS

We determined whether or not homelessness is associated with cigarette smoking independent of other socio-economic measures and behavioral health factors, and whether homeless smokers differ from non-homeless smokers in their desire to quit.

DESIGN, SETTING AND PARTICIPANTS

We analyzed data from 2678 adult respondents to the 2009 Health Center Patient Survey, a nationally representative cross-sectional survey of homeless and non-homeless individuals using US federally funded community health centers.

MEASUREMENTS

We used multivariable logistic regression to examine the association between homelessness and (i) current cigarette smoking among all adults, and (ii) past-year desire to quit among current smokers, adjusting for demographic, socio-economic and behavioral health characteristics.

FINDINGS

Adults with any history of homelessness were more likely than never homeless respondents to be current smokers (57 versus 27%, P < 0.001). In multivariable models, a history of homelessness was associated independently with current smoking [adjusted odds ratio (AOR) 2.09; 95% confidence interval (CI) = 1.49-2.93], even after adjusting for age, sex, race, veteran status, insurance, education, employment, income, mental illness and alcohol and drug abuse. Housing status was not associated significantly with past-year desire to stop smoking in unadjusted (P = 0.26) or adjusted (P = 0.60) analyses; 84% of currently homeless, 89% of formerly homeless and 82% of never homeless smokers reported wanting to quit.

CONCLUSIONS

Among patients of US health centers, a history of homelessness doubles the odds of being a current smoker independent of other socio-economic factors and behavioral health conditions. However, homeless smokers do not differ from non-homeless smokers in their desire to quit and should be offered effective interventions.

Authors+Show Affiliations

Tobacco Research and Treatment Center, General Medicine Division, Massachusetts General Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA; Boston Health Care for the Homeless Program, Boston, MA, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

23834157

Citation

Baggett, Travis P., et al. "Homelessness, Cigarette Smoking and Desire to Quit: Results From a US National Study." Addiction (Abingdon, England), vol. 108, no. 11, 2013, pp. 2009-18.
Baggett TP, Lebrun-Harris LA, Rigotti NA. Homelessness, cigarette smoking and desire to quit: results from a US national study. Addiction. 2013;108(11):2009-18.
Baggett, T. P., Lebrun-Harris, L. A., & Rigotti, N. A. (2013). Homelessness, cigarette smoking and desire to quit: results from a US national study. Addiction (Abingdon, England), 108(11), 2009-18. https://doi.org/10.1111/add.12292
Baggett TP, Lebrun-Harris LA, Rigotti NA. Homelessness, Cigarette Smoking and Desire to Quit: Results From a US National Study. Addiction. 2013;108(11):2009-18. PubMed PMID: 23834157.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Homelessness, cigarette smoking and desire to quit: results from a US national study. AU - Baggett,Travis P, AU - Lebrun-Harris,Lydie A, AU - Rigotti,Nancy A, Y1 - 2013/08/14/ PY - 2013/02/15/received PY - 2013/04/09/revised PY - 2013/06/28/accepted PY - 2013/7/10/entrez PY - 2013/7/10/pubmed PY - 2014/5/6/medline KW - Homeless persons KW - smoking cessation KW - tobacco use SP - 2009 EP - 18 JF - Addiction (Abingdon, England) JO - Addiction VL - 108 IS - 11 N2 - AIMS: We determined whether or not homelessness is associated with cigarette smoking independent of other socio-economic measures and behavioral health factors, and whether homeless smokers differ from non-homeless smokers in their desire to quit. DESIGN, SETTING AND PARTICIPANTS: We analyzed data from 2678 adult respondents to the 2009 Health Center Patient Survey, a nationally representative cross-sectional survey of homeless and non-homeless individuals using US federally funded community health centers. MEASUREMENTS: We used multivariable logistic regression to examine the association between homelessness and (i) current cigarette smoking among all adults, and (ii) past-year desire to quit among current smokers, adjusting for demographic, socio-economic and behavioral health characteristics. FINDINGS: Adults with any history of homelessness were more likely than never homeless respondents to be current smokers (57 versus 27%, P < 0.001). In multivariable models, a history of homelessness was associated independently with current smoking [adjusted odds ratio (AOR) 2.09; 95% confidence interval (CI) = 1.49-2.93], even after adjusting for age, sex, race, veteran status, insurance, education, employment, income, mental illness and alcohol and drug abuse. Housing status was not associated significantly with past-year desire to stop smoking in unadjusted (P = 0.26) or adjusted (P = 0.60) analyses; 84% of currently homeless, 89% of formerly homeless and 82% of never homeless smokers reported wanting to quit. CONCLUSIONS: Among patients of US health centers, a history of homelessness doubles the odds of being a current smoker independent of other socio-economic factors and behavioral health conditions. However, homeless smokers do not differ from non-homeless smokers in their desire to quit and should be offered effective interventions. SN - 1360-0443 UR - https://www.unboundmedicine.com/medline/citation/23834157/Homelessness_cigarette_smoking_and_desire_to_quit:_results_from_a_US_national_study_ L2 - https://doi.org/10.1111/add.12292 DB - PRIME DP - Unbound Medicine ER -