title: Tobacco use among low-income housing residents: does hardship motivate quit attempts?
abstract: OBJECTIVE
  The purpose of this study was to examine material hardship among smokers to determine whether such hardship was positively associated with current attempts to quit tobacco use.
  
  
  METHODS
  We analyzed cross-sectional data from the Health in Common (HIC) study, an observational study to investigate social and physical determinants of cancer risk-related behaviors among residents of low-income housing in three cities in the Boston metropolitan area. In this study, three indicators of hardship were used: food hardship, financial hardship, and material hardship (food and financial hardship combined). Logistic regression models were used to obtain the odds of currently trying to quit among current smokers in the HIC (n = 170) across hardship types experienced, adjusting for sociodemographic and psychosocial factors.
  
  
  RESULTS
  Fully adjusted models revealed no statistically significant association between trying to quit tobacco use and indicators of material hardship: food hardship and financial hardship present (OR 1.33 (0.42-4.2); food hardship and no financial hardship OR 3.83 (0.97-15.13); and financial hardship but no food hardship OR 0.5 (0.1-2.39).
  
  
  CONCLUSIONS
  These findings suggest that even in the presence of material hardship, low-income housing resident tobacco users are not more likely to quit tobacco use; therefore, cessation efforts focused on the financial benefits of quitting may be insufficient to motivate quit attempts among low-income smokers.
authors.affiliation: Center for Community-Based Research, Dana Farber Cancer Institute, 450 Brookline Ave, LW 747, Boston, MA, 02215, USA. retucker@hsph.harvard.edu.|Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA. retucker@hsph.harvard.edu.
authors.forename: R D
authors.initials: RD
authors.lastname: Tucker-Seeley
authors.affiliation: Center for Community-Based Research, Dana Farber Cancer Institute, 450 Brookline Ave, LW 747, Boston, MA, 02215, USA.
authors.forename: S
authors.initials: S
authors.lastname: Selk
authors.affiliation: Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
authors.forename: I
authors.initials: I
authors.lastname: Adams
authors.affiliation: Department of Public Health and Community Medicine, Tufts University, Boston, MA, USA.
authors.forename: J D
authors.initials: JD
authors.lastname: Allen
authors.affiliation: Center for Community-Based Research, Dana Farber Cancer Institute, 450 Brookline Ave, LW 747, Boston, MA, 02215, USA.|Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
authors.forename: G
authors.initials: G
authors.lastname: Sorensen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001900:Boston; D003430:Cross-Sectional Studies; D005260:Female; D006798:Housing; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D011203:Poverty / Q000523:psychology*; D012309:Risk-Taking; D016540:Smoking Cessation / Q000191:economics* / Q000523:psychology; D014029:Tobacco Use Disorder / Q000191:economics* / Q000523:psychology; D055815:Young Adult
keywords: Hardship; Low income; Public housing; Tobacco use