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Living in an economically deprived area can increase the difficulty of quitting smoking.

A longitudinal study in the Netherlands found that the odds ratios for cessation decreased with greater area-level economic deprivation, but differences only reached significance between areas in the most and least deprived quartiles. 

Smokers from more deprived socioeconomic groups living in England were just as likely as those from higher groups to try to stop and use cessation aids, but there was a strong gradient across socioeconomic groups in success: those in the lowest group were half as likely to succeed compared with the highest socioeconomic group. Similarly, US poor smokers are just as likely to make quit attempts compared to non-poor smokers, but are less likely to quit. US adults who live below the poverty level have less success in quitting (34.5%) than those who live at or above the poverty level (57.5%). Smokers living in an economically depressed area of Milwaukee, Wisconsin, had very low levels of confidence that willpower, medication, or counseling could help them quit. Enabling persons of lesser economic means to believe that they have control over their smoking habit could increase successful quit attempts in the future.

Giskes K, ven Lenthe FJ, TurrellG, Brug J, Mackenbach JP. Smokers living in deprived areas are less likely to quit: a longitudinal follow-up. Tob Control. 2006; 15: 485-488.

Kotz D, West R. Explaining the social gradient in smoking cessation: it's not in the trying, but in the succeeding. Tob Control. 2009; 18(1): 43-46.

Christiansen B, Reeder K, Hill M, Baker TB, Fiore MC. Barriers to effective tobacco-dependence treatment for the very poor. J Stud Alcohol Drugs. 2012; 73(6): 874-84.

U.S. Department of Health and Human Services. The Health Consequences of Smoking - 50 Years of Progress: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014. logo
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