Learning Objectives: Contrast smoking behaviors and attitudes of 25-34 year-old adults from several low SES subpopulations, and possible channels for smoking cessation.
Abstract: Problem/Objective Cigarette smoking remains high among low income adults. Many Low SES adults are transients, lack telephones, or are homeless. Hence they are not necessarily well-represented in telephone surveys such as CDC’s Behavioral Risk Factor Surveillance System. This study was designed to explore smoking issues with Low SES adults in some depth. Specifically, we sought to find out: (1) the “benefits” of smoking; (2) the social and cultural nuances that support/encourage smoking in this population; (3) experiences these adults had with cessation; (4) which channels of communication would be most effective. These findings will be of interest to organizations that are trying to bring cessation messages and support to Low SES adults.
Methods Fourteen focus groups were held in 7 locations throughout the USA, among subpopulations including: rural Caucasians, native Alaskans, migrant farm workers, and immigrants. All sessions were audiotaped, transcribed, and analyzed using QSR N5 software. Participants also completed a questionnaire that covered demographics and a brief smoking history.
Results Although the populations were disparate some common themes emerged from these focus groups. Smoking meets a “need” among this population that goes beyond addiction. However, the perceived benefits of smoking differ somewhat by subpopulation.
Discussion Cessation messages and cessation support for Low SES people should be tailored to the specific needs and culture of subpopulations. We will substantiate that with examples.
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