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Scandinavian Journal of Public Health, Vol. 28, No. 3, 200-208 (2000)
DOI: 10.1177/14034948000280030901

Socioeconomic differences in smoking cessation: the role of social participation

Martin Lindström

Department of Community Medicine, Malmö University Hospital, Lund University, Malmö, Sweden, martin.lindstrom{at}smi.mas.lu.se

Bertil S. Hanson

Department of Community Medicine, Malmö University Hospital, Lund University, Malmö, Sweden

Per-Olof Östergren

Department of Community Medicine, Malmö University Hospital, Lund University, Malmö, Sweden

Göran Berglund

Department of Medicine, Surgery and Orthopedics, Malmö University Hospital, Lund University, Malmö, Sweden

Objectives: The aim of this study was to investigate whether psychosocial resources explain socioeconomic differences in smoking cessation and its maintenance. Methods: A subpopulation of 11,837 individuals from the Malmö Diet and Cancer Study interviewed in 1992-94, age range 45-64 years, was investigated in this cross-sectional study. A multivariate logistic regression model was used to assess relative risks of having stopped smoking, adjusting for age, country of origin, previous/ current diseases, and marital status. Results: An odds ratio of 1.9 (1.4-2.5; 95% CI) for men and 2.0 (1.4-2.7; 95% CI) for women of having stopped smoking was found for higher non-manual employees when compared with unskilled manual workers. A decrease in these odds ratios was found when social participation was introduced into the model. The other three social network and social support variables were non-significant. Conclusion: High social participation is a predictor of maintenance of smoking cessation. It seems possible to interpret parts of the socioeconomic differences in smoking cessation and its maintenance as a consequence of differing social network resources and social capital between socioeconomic groups.

Key Words: smoking cessation • social capital • social participation • socioeconomic status.


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M. Lindstrom, M. Moghaddassi, K. Bolin, B. Lindgren, and J. Merlo
Social participation, social capital and daily tobacco smoking: a population-based multilevel analysis in Malmo, Sweden
Scand J Public Health, December 1, 2003; 31(6): 444 - 450.
[Abstract] [PDF]