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Int. J. Environ. Res. Public Health 2017, 14(3), 231;

Financial Stress and Smoking within a Large Sample of Socially Disadvantaged Australians

School of Medicine & Public Health, University of Newcastle and Hunter Medical Research Institute, CBMHR, P.O. Box 833, Newcastle, NSW 2300, Australia
Department of Health Promotion, Social and Behavioral Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE 68198, USA
Clinical Research Design IT and Statistical Support Unit, University of Newcastle & Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
Author to whom correspondence should be addressed.
Academic Editors: Linda Bauld and Rosemary Hiscock
Received: 7 October 2016 / Revised: 5 February 2017 / Accepted: 17 February 2017 / Published: 25 February 2017
(This article belongs to the Special Issue Tobacco Control and Priority Groups)
Full-Text   |   PDF [267 KB, uploaded 25 February 2017]


Financial stress is associated with fewer quit attempts and higher relapse rates. This study aimed to compare financial stress among smokers, ex-smokers and never smokers in a highly socioeconomically disadvantaged sample. The study also aimed to determine whether specific indicators of financial stress differ according to smoking status. Adult clients seeking welfare assistance from two Social and Community Service Organisation sites in New South Wales, Australia, were invited to complete a cross-sectional survey between March 2012 and December 2013. Responses to a financial stress scale, smoking status and demographics were collected. Linear and logistic regression modelling was used to examine associations between smoking status and financial stress. A total of 1463 participants completed the survey. Current smokers had significantly higher total financial stress scores than ex-smokers and non-smokers respectively. Current smokers also had higher odds of severe financial stress indicators, such as going without meals (Odds Ratio = 2.2 and 2.0), than both non-smokers and ex-smokers. Even among a highly socioeconomically disadvantaged sample with high levels of financial stress, smoking status further exacerbates experiences of deprivation. Given the relationship between financial stress, socioeconomic disadvantage and difficulty quitting, it is important to provide enhanced cessation support to smokers experiencing financial stress. View Full-Text
Keywords: smoking; disadvantage; financial stress smoking; disadvantage; financial stress
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Guillaumier, A.; Twyman, L.; Paul, C.; Siahpush, M.; Palazzi, K.; Bonevski, B. Financial Stress and Smoking within a Large Sample of Socially Disadvantaged Australians. Int. J. Environ. Res. Public Health 2017, 14, 231.

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