Tobacco-control policy support among people from low socioeconomic positions in Massachusetts

People from low socioeconomic positions (SEP) are at a higher risk of smoking, face greater barriers to smoking cessation, and have lower access to health information. To improve tobacco-related health outcomes, policies requiring altering labeling on cigarette packs could be implemented. However, p...

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Main Authors: Coralia Vázquez-Otero, Mesfin A. Bekalu, Dhriti Dhawan, Kasisomayajula Viswanath
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335523002279
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author Coralia Vázquez-Otero
Mesfin A. Bekalu
Dhriti Dhawan
Kasisomayajula Viswanath
author_facet Coralia Vázquez-Otero
Mesfin A. Bekalu
Dhriti Dhawan
Kasisomayajula Viswanath
author_sort Coralia Vázquez-Otero
collection DOAJ
description People from low socioeconomic positions (SEP) are at a higher risk of smoking, face greater barriers to smoking cessation, and have lower access to health information. To improve tobacco-related health outcomes, policies requiring altering labeling on cigarette packs could be implemented. However, public support is needed to influence the policymaking process. We assessed factors associated with supporting tobacco-control communication policies. We analyzed data from Project CLEAR, a study conducted in Massachusetts. The analytic sample included participants who answered questions on their support for three policies: 1) graphic health warnings (GHWs), 2) Quitline number, and 3) smoking cessation information on cigarette packs (n = 357). Binomial logistic regression modeling was conducted by policy. Independent variables included demographic characteristics and smoking status. We found that younger vs. older individuals (aOR = 0.41, 95 %CI:0.23–0.72), males vs. females (aOR = 0.58, 95 %CI:0.35–0.96), and people who smoke vs. those who don’t smoke (aOR = 0.41, 95 %CI:0.24–0.70) were less likely to support a law requiring GHWs. Participants with a low vs. higher level of education (aOR = 0.55, 95 %CI:0.32–0.95) were less likely to support a law requiring a Quitline number. Younger (18–39) vs. older individuals (aOR = 0.53, 95 %CI:0.29–0.94), males vs. females (aOR = 0.57, 95 %CI:0.34–0.96), and participants with a low vs. higher level of education (aOR = 0.56, 95 %CI:0.32–0.98) were less likely to support a law requiring cessation information on cigarette packs. Findings suggest that targeted theory-based public health and communication strategies should be developed to increase awareness and support towards policies that would help reduce cigarette smoking among people from low SEP to eliminate tobacco-related health inequities in the US.
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spelling doaj.art-c07f8c0386ac4608a0a8f269ba1cdfa72023-09-20T04:21:05ZengElsevierPreventive Medicine Reports2211-33552023-10-0135102336Tobacco-control policy support among people from low socioeconomic positions in MassachusettsCoralia Vázquez-Otero0Mesfin A. Bekalu1Dhriti Dhawan2Kasisomayajula Viswanath3Department of Public Health, College for Health, Community and Policy, University of Texas at San Antonio, TX, USA; Corresponding author.Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA; Dana-Farber Cancer Institute, Boston, MA, USADepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA; Dana-Farber Cancer Institute, Boston, MA, USADepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA; Dana-Farber Cancer Institute, Boston, MA, USAPeople from low socioeconomic positions (SEP) are at a higher risk of smoking, face greater barriers to smoking cessation, and have lower access to health information. To improve tobacco-related health outcomes, policies requiring altering labeling on cigarette packs could be implemented. However, public support is needed to influence the policymaking process. We assessed factors associated with supporting tobacco-control communication policies. We analyzed data from Project CLEAR, a study conducted in Massachusetts. The analytic sample included participants who answered questions on their support for three policies: 1) graphic health warnings (GHWs), 2) Quitline number, and 3) smoking cessation information on cigarette packs (n = 357). Binomial logistic regression modeling was conducted by policy. Independent variables included demographic characteristics and smoking status. We found that younger vs. older individuals (aOR = 0.41, 95 %CI:0.23–0.72), males vs. females (aOR = 0.58, 95 %CI:0.35–0.96), and people who smoke vs. those who don’t smoke (aOR = 0.41, 95 %CI:0.24–0.70) were less likely to support a law requiring GHWs. Participants with a low vs. higher level of education (aOR = 0.55, 95 %CI:0.32–0.95) were less likely to support a law requiring a Quitline number. Younger (18–39) vs. older individuals (aOR = 0.53, 95 %CI:0.29–0.94), males vs. females (aOR = 0.57, 95 %CI:0.34–0.96), and participants with a low vs. higher level of education (aOR = 0.56, 95 %CI:0.32–0.98) were less likely to support a law requiring cessation information on cigarette packs. Findings suggest that targeted theory-based public health and communication strategies should be developed to increase awareness and support towards policies that would help reduce cigarette smoking among people from low SEP to eliminate tobacco-related health inequities in the US.http://www.sciencedirect.com/science/article/pii/S2211335523002279Low socioeconomic groupsCigarette useSmokingPolicy supportHealth communication
spellingShingle Coralia Vázquez-Otero
Mesfin A. Bekalu
Dhriti Dhawan
Kasisomayajula Viswanath
Tobacco-control policy support among people from low socioeconomic positions in Massachusetts
Preventive Medicine Reports
Low socioeconomic groups
Cigarette use
Smoking
Policy support
Health communication
title Tobacco-control policy support among people from low socioeconomic positions in Massachusetts
title_full Tobacco-control policy support among people from low socioeconomic positions in Massachusetts
title_fullStr Tobacco-control policy support among people from low socioeconomic positions in Massachusetts
title_full_unstemmed Tobacco-control policy support among people from low socioeconomic positions in Massachusetts
title_short Tobacco-control policy support among people from low socioeconomic positions in Massachusetts
title_sort tobacco control policy support among people from low socioeconomic positions in massachusetts
topic Low socioeconomic groups
Cigarette use
Smoking
Policy support
Health communication
url http://www.sciencedirect.com/science/article/pii/S2211335523002279
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