Lower health literacy predicts smoking relapse among racially/ethnically diverse smokers with low socioeconomic status

Simple item page
dc.citation.journalTitleBMC Public Healthen_US
dc.citation.volumeNumber14en_US
dc.contributor.authorStewart, Diana W.en_US
dc.contributor.authorCano, Miguel Ángelen_US
dc.contributor.authorCorrea-Fernández, Virmarieen_US
dc.contributor.authorSpears, Claire Adamsen_US
dc.contributor.authorLi, Yishengen_US
dc.contributor.authorWaters, Andrew J.en_US
dc.contributor.authorWetter, David W.en_US
dc.contributor.authorVidrine, Jennifer Irvinen_US
dc.date.accessioned2016-01-29T18:44:40Zen_US
dc.date.available2016-01-29T18:44:40Zen_US
dc.date.issued2014en_US
dc.description.abstractBackground: Nearly half of U.S. adults have difficulties with health literacy (HL), which is defined as the ability to adequately obtain, process, and understand basic health information. Lower HL is associated with negative health behaviors and poor health outcomes. Racial/ethnic minorities and those with low socioeconomic status (SES) are disproportionately affected by poor HL. They also have higher smoking prevalence and more difficulty quitting smoking. Thus, lower HL may be uniquely associated with poorer cessation outcomes in this population. Methods: This study investigated the association between HL and smoking cessation outcomes among 200, low-SES, racially/ethnically diverse smokers enrolled in smoking cessation treatment. Logistic regression analyses adjusted for demographics (i.e., age, gender, race/ethnicity, relationship status), SES-related characteristics (i.e., education, income), and nicotine dependence were conducted to investigate associations between HL and smoking relapse at the end of treatment (3 weeks post quit day). Results: Results indicated that smokers with lower HL (score of <?64.5 on the Rapid Estimate of Adult Literacy in Medicine [REALM]) were significantly more likely than those with higher HL (score of ??64.5 on the REALM) to relapse by the end of treatment, even after controlling for established predictors of cessation including demographics, SES, and nicotine dependence (OR?=?3.26; 95% CI?=?1.14, 9.26). Conclusions: Findings suggest that lower HL may serve as an independent risk factor for smoking relapse among low-SES, racially/ethnically diverse smokers enrolled in treatment. Future research is needed to investigate longitudinal relations between HL and cessation outcomes and potential mechanisms of this relationship.en_US
dc.identifier.citationStewart, Diana W., Cano, Miguel Ángel, Correa-Fernández, Virmarie, et al.. "Lower health literacy predicts smoking relapse among racially/ethnically diverse smokers with low socioeconomic status." <i>BMC Public Health,</i> 14, (2014) BioMed Central: http://dx.doi.org/10.1186/1471-2458-14-716.en_US
dc.identifier.doihttp://dx.doi.org/10.1186/1471-2458-14-716en_US
dc.identifier.urihttps://hdl.handle.net/1911/88263en_US
dc.language.isoengen_US
dc.publisherBioMed Centralen_US
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.en_US
dc.rights.urihttps://creativecommons.org/licenses/by/2.0/en_US
dc.subject.keywordhealth literacyen_US
dc.subject.keywordsmoking cessationen_US
dc.subject.keywordhealth disparitiesen_US
dc.titleLower health literacy predicts smoking relapse among racially/ethnically diverse smokers with low socioeconomic statusen_US
dc.typeJournal articleen_US
dc.type.dcmiTexten_US
dc.type.publicationpublisher versionen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
HealthLiteracy.pdf
Size:
539.9 KB
Format:
Adobe Portable Document Format
Description:
Download
Collections
Faculty Publications
Department of Psychological Sciences Papers and Publications