Subjective social status is indirectly associated with short-term smoking cessation through nicotine withdrawal symptoms

Alexander, Adam C.; Olurotimi, Oluwakemi; Hébert, Emily T.; Karen, Chaelin; Businelle, Michael S.; Kendzor, Darla E.

doi:10.1177/1359105320911432

Cited by 3 publications

(4 citation statements)

References 47 publications

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“…A study found that people with lower subjective social status had more withdrawal symptoms, especially symptoms related to negative affect (anger, anxiety). 91 There are 2 potential explanations for the high degree of clustering of people who use tobacco products. The first explanation provides a hypothesis for the social reinforcement of smoking behavior, as people with similar personalities and behaviors tend to cluster together.…”

Section: Social Factorsmentioning

confidence: 99%

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A 5-Factor Framework for Assessing Tobacco Use Disorder

Bucklin

2021

Tob Use Insights

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Cigarette use is the leading cause of preventable death in the United States. Despite the well documented dangers of smoking, nearly 20% of adults report regular use of tobacco. A majority desire to discontinue but the long-term cessation success rate remains near 4%. One challenge to reducing the prevalence of tobacco use is an incomplete understanding of the individual correlates that reinforce continued use. Evidence from research on nicotine and tobacco suggests that Tobacco Use Disorder is a complex, and multifactorial condition. Personality traits, comorbidities, habits and lifestyle, genetics, socioeconomic status, and mental and physical health all contribute to the risk for dependence and to the likelihood of quitting. This perspective review provides an overview of some common factors that contribute to liability risk for Tobacco Use Disorder and a framework for assessing individual tobacco users. The framework includes 5 areas that research suggests contribute to continued tobacco use: nicotine addiction, psychological influences, behavioral dependencies, neurobiological factors, and social reinforcement. Nicotine addiction includes drug-seeking behavior and the role of withdrawal avoidance. Psychological and emotional states contribute to a perceived reliance on tobacco. Behavioral dependence is reinforced by associative and non-associative learning mechanisms. Neurobiological factors include genetic variables, variations in neurotransmitters and receptors, pharmacogenetics, and interaction between psychiatric illnesses and nicotine use and dependence. Finally, social reinforcement of smoking behavior is explained by a network phenomenon and consistent visual cues to smoke. A comprehensive assessment of individual tobacco users will help better determine appropriate treatment options to achieve improved efficacy and outcomes.

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Section: Social Factorsmentioning

confidence: 99%

“…A study found that people with lower subjective social status had more withdrawal symptoms, especially symptoms related to negative affect (anger, anxiety). 91 …”

Section: Social Factorsmentioning

confidence: 99%

A 5-Factor Framework for Assessing Tobacco Use Disorder

Bucklin

2021

Tob Use Insights

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“…Many of these studies find that, even after objective aspects of SEP such as education, occupation, and income are accounted for, individuals’ perceived position in the social hierarchy is associated with their well-being outcomes. Scholars usually assume that perceived SEP involves some form of social comparison because individuals have to size themselves up against others to learn about their place in the socioeconomic structure (Alexander et al, 2021; Hoebel and Lampert, 2020).…”

Section: Introductionmentioning

confidence: 99%

The heterogeneous well-being effects of intergenerational mobility perceptions

Gugushvili

2023

J Health Psychol

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Individuals make comparisons with their parents which determine their intergenerational mobility perceptions, yet very little is known about the areas used for intergenerational comparison and whether these matter for individuals’ well-being. In 2021 we commissioned a nationally representative survey in Georgia in which we explicitly asked 1159 individuals an open-ended question on the most important areas in their intergenerational comparisons. More than 170 types of answers were provided by respondents and many of these responses went beyond the standard indicators of intergenerational mobility. We show that the areas of intergenerational comparison significantly differ between those who perceive themselves as being downwardly and upwardly mobile or immobile using the measure of mobility previously validated in cross-national research. Using, among other statistical approaches, treatment effects estimators, we demonstrate that some areas of intergenerational comparison, particularly in terms of income attainment, are significantly and consistently associated with internationally validated measures of well-being.

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“…Yet, the prevalence of tobacco addiction and tobacco-related morbidity and mortality remains disproportionately higher among populations facing significant socioeconomic disadvantage (Cornelius et al, 2022). Socioeconomic-related health disparities in tobacco addiction have consistently linked objective indicators of socioeconomic status (SES; e.g., low educational attainment, low income, unemployment, and poverty level) with increased risk of tobacco use initiation, progression to regular smoking, as well as reduced likelihood of smoking cessation (Alexander et al, 2021;Businelle et al, 2010;CDC, 2009;Hiscock et al, 2012;Kendzor et al, 2012;CDC, 2011). However, an emerging line of research suggests that subjective perceptions of financial strain and/or stress and worries related to one's ability to afford basic necessities may have a more substantial influence on health and smoking behaviors than actual SES (Demakakos et al, 2008;Nobles et al, 2013;Reitzel et al, 2014Reitzel et al, , 2013Ryu & Fan, 2022;Wilkinson et al, 2009).…”

mentioning

confidence: 99%

Interactive effects of financial strain and distress tolerance on prequit tobacco withdrawal symptoms in smokers preparing to initiate a quit attempt.

Bello¹,

Pang²,

Colby³

et al. 2023

Experimental and Clinical Psychopharmacology

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Smokers experiencing greater financial strain are less likely to successfully quit smoking, possibly due to greater severity of tobacco withdrawal. However, limited research has explored whether individual-level psychological factors (i.e., distress tolerance) may buffer the deleterious effects of financial strain on withdrawal. This study examined the main and interactive effects of financial strain and distress tolerance on tobacco withdrawal experienced prior to quitting smoking among smokers preparing to initiate a quit attempt. Fifty-nine adult smokers completed a baseline session including a financial strain measure and subjective and behavioral assessments of distress tolerance. Participants were then instructed to initiate a quit attempt, without any behavioral or pharmacological assistance, 14 days following baseline. Prequit tobacco withdrawal symptoms were assessed once per day for 3 days prior to quit date. Linear regression models tested main and interactive effects between financial strain and distress tolerance on experiences and perceptions of prequit withdrawal. Findings demonstrated significant interactions between financial strain, distress tolerance, and perceptions of tolerating withdrawal. Negative associations found between higher distress tolerance and lower perceptions of tobacco withdrawal and negative mood as being "intolerable" prior to quitting were stronger for those experiencing greater levels of financial strain. Financial strain may negatively impact one's perceived ability to tolerate mood-and tobacco-related withdrawal prior to quitting. Yet, higher distress tolerance may buffer the effects of financial strain on smoking cessation processes. Psychosocial interventions designed to promote tolerance of distress from both internal and external stressors may benefit cessation efforts among smokers experiencing high financial strain. Public Health SignificanceThis study investigated intersections of financial strain, distress tolerance, and tobacco withdrawal experienced prior to quitting in smokers preparing to initiate a quit attempt without any assistance. Findings demonstrated that associations of higher distress tolerance with lower perceptions of prequit tobacco withdrawal as being "intolerable" were stronger for those experiencing higher financial strain. Behavioral interventions bolstering tolerance of distress among smokers with high financial strain may foster successful smoking cessation.

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Subjective social status is indirectly associated with short-term smoking cessation through nicotine withdrawal symptoms

Cited by 3 publications

References 47 publications

A 5-Factor Framework for Assessing Tobacco Use Disorder

A 5-Factor Framework for Assessing Tobacco Use Disorder

The heterogeneous well-being effects of intergenerational mobility perceptions

Interactive effects of financial strain and distress tolerance on prequit tobacco withdrawal symptoms in smokers preparing to initiate a quit attempt.

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