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Socio-economic status moderates within-person associations of risk factors and smoking lapse in daily life
dc.contributor.authorPotter, Lindsey N.
dc.contributor.authorSchlechter, Chelsey R.
dc.contributor.authorNahum-Shani, Inbal
dc.contributor.authorLam, Cho Y.
dc.contributor.authorCinciripini, Paul M.
dc.contributor.authorWetter, David W.
dc.date.accessioned2023-04-04T17:40:51Z
dc.date.available2024-06-04 13:40:50en
dc.date.available2023-04-04T17:40:51Z
dc.date.issued2023-05
dc.identifier.citationPotter, Lindsey N.; Schlechter, Chelsey R.; Nahum-Shani, Inbal ; Lam, Cho Y.; Cinciripini, Paul M.; Wetter, David W. (2023). "Socio- economic status moderates within- person associations of risk factors and smoking lapse in daily life." Addiction 118(5): 925-934.
dc.identifier.issn0965-2140
dc.identifier.issn1360-0443
dc.identifier.urihttps://hdl.handle.net/2027.42/176052
dc.description.abstractBackground and AimsIndividuals of lower socio-economic status (SES) display a higher prevalence of smoking and have more diffxiculty quitting than higher SES groups. The current study investigates whether the within-person associations of key risk (e.g. stress) and protective (self-efficacy) factors with smoking lapse varies by facets of SES.Design and settingObservational study using ecological momentary assessment to collect data for a 28-day period following a smoking quit attempt. Multi-level mixed models (i.e. generalized linear mixed models) examined cross-level interactions between lapse risk and protective factors and indicators of SES on smoking lapse.ParticipantsA diverse sample of 330 adult US smokers who completed a larger study examining the effects of race/ethnicity and social/environmental influences on smoking cessation.MeasurementsRisk factors included momentary urge, negative affect, stress; protective factors included positive affect, motivation, abstinence self-efficacy; SES measures: baseline measures of income and financial strain; the primary outcome was self-reported lapse.FindingsParticipants provided 43 297 post-quit observations. Mixed models suggested that income and financial strain moderated the effect of some risk factors on smoking lapse. The within-person association of negative [odds ratio (OR) = 0.967, 95% CI= 0.945, 0.990, P < 0.01] and positive affect (OR = 1.023, 95% CI = 1.003, 1.044, P < 0.05) and abstinence self-efficacy (OR = 1.020, 95% CI = 1.003, 1.038, P < 0.05) on lapse varied with financial strain. The within-person association of negative affect (OR = 1.005, 95% CI = 1.002, 1.008, P < 0.01), motivation (OR = 0.995, 95% CI = 0.991, 0.999, P < 0.05) and abstinence self-efficacy (OR = 0.996, 95% CI = 0.993, 0.999, P < 0.01) on lapse varied by income. The positive association of negative affect with lapse was stronger among individuals with higher income and lower financial strain. The negative association between positive affect and abstinence self-efficacy with lapse was stronger among individuals with lower financial strain, and the negative association between motivation and abstinence self-efficacy with lapse was stronger among those with higher income. The data were insensitive to detect statistically significant moderating effects of income and financial strain on the association of urge or stress with lapse.ConclusionSome risk factors (e.g. momentary negative affect) exert a weaker influence on smoking lapse among lower compared to higher socio-economic status groups.
dc.publisherWiley Periodicals, Inc.
dc.publisherGuilford Press
dc.subject.otherEcological momentary assessment
dc.subject.otherfinancial strain
dc.subject.otherincome
dc.subject.othermHealth
dc.subject.othersocio-economic status
dc.subject.othertobacco cessation
dc.titleSocio-economic status moderates within-person associations of risk factors and smoking lapse in daily life
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPsychiatry
dc.subject.hlbsecondlevelPublic Health
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/176052/1/add16116.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/176052/2/add16116_am.pdf
dc.identifier.doi10.1111/add.16116
dc.identifier.sourceAddiction
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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