Smoking |
Correlates of stages of change of smoking among inhabitants of deprived neighbourhoods
Aafje Dotinga1, Carola T.M. Schrijvers1, Anthonius J.J. Voorham2 and Johan P. Mackenbach1
3000 Department of Public Health, Erasmus University Rotterdam, P.O. Box, DR Rotterdam, The Netherlands
2 Department of Health Promotion, Municipal Health Authority Rotterdam,
Correspondence: Aafje Dotinga M.A., Addiction Research Institute Rotterdam, Heemraadssingel 194, 3021 DM Rotterdam, The Netherlands, tel. +31 10 425 33 66, fax +31 10 276 39 88, Email: dotinga{at}ivo.nl
Background: This study examines the prevalence and correlates of stages of change of smoking, in terms of psychosocial, structural and sociodemographic factors, among inhabitants of deprived neighbourhoods. Methods: Cross-sectional data were obtained from a survey on health related behaviour. Subjects were 2009 current and former smokers, aged 20–46, living in deprived neighbourhoods in Rotterdam, the second largest city in the Netherlands. Three groups of smokers were formed according to the stages of change-definitions of the Transtheoretical Model: smokers not planning to quit (precontemplators), smokers planning to quit (contemplators/preparators) and former smokers (actors/maintainers). Smokers planning to quit and smokers not planning to quit were compared regarding psychosocial factors (attitude, social norm, self-efficacy), structural factors (neighbourhood problems, material deprivation, financial problems, employment status) and sociodemographic factors (age, gender, marital status, cultural background, educational level). Former smokers were compared with smokers planning to quit regarding structural and sociodemographic factors. Logistic regression was used to assess correlates of stages of change. Results: Smokers planning to quit (prevalence = 19%) reported a more positive attitude, stronger social norms and higher self-efficacy expectations in quitting smoking than smokers not planning to quit (prevalence = 57%). Smokers planning to quit less often were Dutch-born, more often had attended higher vocational schooling or university and more often reported experiencing two or more neighbourhood problems compared to smokers not planning to quit. Former smokers (prevalence = 24%) were older, more often Dutch-born, married, employed and higher educated, compared to smokers planning to quit. Furthermore, former smokers less often reported material deprivation and financial problems than smokers planning to quit. Conclusion: Among people living in deprived neighbourhoods, different factors correlate with different stages of change of smoking. Implications for health promotion are discussed.
Keywords: deprived neighbourhoods, psychosocial factors, smoking, sociodemographic factors, stages of change, structural factors
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