title: Subjective social status predicts quit-day abstinence among homeless smokers.
abstract: OBJECTIVE
  Smoking prevalence is alarmingly high among the homeless. Few studies have focused on predictors of smoking abstinence in this population. Subjective social status, a person's ranking of their own social standing relative to others in the United States or in their own self-defined communities, has predicted smoking cessation among domiciled smokers in analyses adjusted for objective socioeconomic status and other demographic variables. This study examined if subjective social status predicted quit-day abstinence among homeless smokers making a quit attempt.
  
  
  METHODS
  Longitudinal study using self-reported survey data.
  
  
  METHODS
  Transitional homeless shelter in Dallas, Texas.
  
  
  METHODS
  A total of 57 homeless smokers enrolled in a cessation program.
  
  
  METHODS
  Predictors were the Subjective Social Status-U.S (SSS-U.S.) and the Subjective Social Status-Community (SSS-Community) ladders measured 1 week pre quit. Covariates were sociodemographics and tobacco dependence measured 1 week pre quit. The outcome was self-reported and biochemically verified smoking abstinence on the quit day. Analysis . Covariate-adjusted logistic regression models.
  
  
  RESULTS
  Higher rankings on the SSS-U.S. ladder, but not the SSS-Community ladder, predicted abstinence on the quit day (p = .005).
  
  
  CONCLUSIONS
  Lower rankings on the SSS-U.S. ladder predicted increased risk of relapse on the quit day or the inability to quit at all. The SSS-U.S. ladder might be useful in identifying homeless smokers needing additional preparation and intervention before initiating a quit attempt.
authors.forename: Lorraine R
authors.initials: LR
authors.lastname: Reitzel
authors.forename: Darla E
authors.initials: DE
authors.lastname: Kendzor
authors.forename: Yumei
authors.initials: Y
authors.lastname: Cao
authors.forename: Michael S
authors.initials: MS
authors.lastname: Businelle
mesh_terms: D005260:Female; D006703:Ill-Housed Persons / Q000523:psychology*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D012907:Smoking / Q000453:epidemiology / Q000523:psychology; D016540:Smoking Cessation / Q000523:psychology* / Q000706:statistics & numerical data; D012923:Social Class
keywords: Health focus: smoking control; Homeless; Manuscript format: research; Outcome measure: behavioral; Prevention Research; Research purpose: modeling/relationship testing; Setting: local community; Smoking Abstinence; Strategy: skill building/behavior change; Study design: nonexperimental; Subjective Social Status; Target population circumstances: education/income level, race/ethnicity; Target population: adults