Smoking, nicotine dependence and nicotine intake by socio-economic status and marital status. 2014

Marjaana Pennanen, and Ulla Broms, and Tellervo Korhonen, and Ari Haukkala, and Timo Partonen, and Annamari Tuulio-Henriksson, and Tiina Laatikainen, and Kristiina Patja, and Jaakko Kaprio
Hjelt Institute, Department of Public Health, University of Helsinki, P.O. Box 41, Mannerheimintie 172, 00014 Helsinki, Finland; National Institute for Health and Welfare, P.O. Box 30, Mannerheimintie 166, FI-00271 Helsinki, Finland; Health and Social Services Department, Municipality of Askola, Askolantie 30, FI-07500 Askola, Finland.

BACKGROUND Low socio-economic status (SES) is strongly related to smoking, but studies examining the association of SES with nicotine dependence (ND) are scarce. The aim of this study was to examine the associations of SES and marital status with smoking, multiple measures of ND, and cotinine as a nicotine intake biomarker. METHODS The sample comprised 1746 ever smokers, sampled from the National FINRISK 2007 Study, who had completed a tobacco specific questionnaire in addition to the standard clinical examination. The Fagerström Test for Nicotine Dependence (FTND), the Heaviness of Smoking Index (HSI), the Nicotine Dependence Syndrome Scale (NDSS), and the Hooked On Nicotine Checklist (HONC) were assessed, while plasma cotinine was measured as a biomarker of nicotine exposure in daily smokers. Univariate and multivariate associations were assessed by linear regression and multinomial logistic regression. RESULTS In multivariate models, lower education was associated with higher FTND and HSI, income with HSI, and occupation with HSI (men only), FTND, HONC and NDSS scores. Lower education was related to higher cotinine levels among daily smokers, although the association diminished slightly after adjusting for daily smoking amount. Living without a spouse was associated with daily smoking and higher ND. CONCLUSIONS In this cross-sectional study low SES was linked with higher ND among current smokers, while low SES was associated with higher cotinine levels among daily smokers. Living alone was linked with higher ND. Longitudinal studies are warranted to further explore these associations. As lower SES smokers are more addicted they may need more targeted cessation services to succeed in quitting smoking.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009538 Nicotine Nicotine is highly toxic alkaloid. It is the prototypical agonist at nicotinic cholinergic receptors where it dramatically stimulates neurons and ultimately blocks synaptic transmission. Nicotine is also important medically because of its presence in tobacco smoke. Nicotine Bitartrate,Nicotine Tartrate
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D003367 Cotinine The N-glucuronide conjugate of cotinine is a major urinary metabolite of NICOTINE. It thus serves as a biomarker of exposure to tobacco SMOKING. It has CNS stimulating properties. Scotine
D003430 Cross-Sectional Studies Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time. Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
D005260 Female Females
D005387 Finland A country in northern Europe, bordering the Baltic Sea, Gulf of Bothnia, and Gulf of Finland, between Sweden and Russia. The capital is Helsinki. Aland Islands,Åland Islands
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

Marjaana Pennanen, and Ulla Broms, and Tellervo Korhonen, and Ari Haukkala, and Timo Partonen, and Annamari Tuulio-Henriksson, and Tiina Laatikainen, and Kristiina Patja, and Jaakko Kaprio
January 2005, Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)),
Marjaana Pennanen, and Ulla Broms, and Tellervo Korhonen, and Ari Haukkala, and Timo Partonen, and Annamari Tuulio-Henriksson, and Tiina Laatikainen, and Kristiina Patja, and Jaakko Kaprio
May 2007, Public health,
Marjaana Pennanen, and Ulla Broms, and Tellervo Korhonen, and Ari Haukkala, and Timo Partonen, and Annamari Tuulio-Henriksson, and Tiina Laatikainen, and Kristiina Patja, and Jaakko Kaprio
March 2013, European journal of neurology,
Marjaana Pennanen, and Ulla Broms, and Tellervo Korhonen, and Ari Haukkala, and Timo Partonen, and Annamari Tuulio-Henriksson, and Tiina Laatikainen, and Kristiina Patja, and Jaakko Kaprio
August 2014, European journal of public health,
Marjaana Pennanen, and Ulla Broms, and Tellervo Korhonen, and Ari Haukkala, and Timo Partonen, and Annamari Tuulio-Henriksson, and Tiina Laatikainen, and Kristiina Patja, and Jaakko Kaprio
January 1999, Duodecim; laaketieteellinen aikakauskirja,
Marjaana Pennanen, and Ulla Broms, and Tellervo Korhonen, and Ari Haukkala, and Timo Partonen, and Annamari Tuulio-Henriksson, and Tiina Laatikainen, and Kristiina Patja, and Jaakko Kaprio
August 2009, Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke,
Marjaana Pennanen, and Ulla Broms, and Tellervo Korhonen, and Ari Haukkala, and Timo Partonen, and Annamari Tuulio-Henriksson, and Tiina Laatikainen, and Kristiina Patja, and Jaakko Kaprio
January 1995, Alimentary pharmacology & therapeutics,
Marjaana Pennanen, and Ulla Broms, and Tellervo Korhonen, and Ari Haukkala, and Timo Partonen, and Annamari Tuulio-Henriksson, and Tiina Laatikainen, and Kristiina Patja, and Jaakko Kaprio
June 2005, Social science & medicine (1982),
Marjaana Pennanen, and Ulla Broms, and Tellervo Korhonen, and Ari Haukkala, and Timo Partonen, and Annamari Tuulio-Henriksson, and Tiina Laatikainen, and Kristiina Patja, and Jaakko Kaprio
June 2013, Sheng li xue bao : [Acta physiologica Sinica],
Marjaana Pennanen, and Ulla Broms, and Tellervo Korhonen, and Ari Haukkala, and Timo Partonen, and Annamari Tuulio-Henriksson, and Tiina Laatikainen, and Kristiina Patja, and Jaakko Kaprio
January 1991, Social science & medicine (1982),
Copied contents to your clipboard!