Michael S. Businelle|Darla E. Kendzor|Lorraine R. Reitzel|Tracy J. Costello|Ludmila Cofta?Woerpel|Yisheng Li|Carlos A. Mazas|Jennifer Irvin Vidrine|Paul M. Cinciripini|Anthony J. Greisinger|David W. Wetter
Mechanisms linking socioeconomic status to smoking cessation: A structural equation modeling approach.
although socioeconomic gradient smoking prevalence cessation disease burden decades disparities become even pronounced time aim current study develop test conceptual model mechanisms linking socioeconomic status ses smoking cessationthe conceptual model evaluated using latent variable modeling approach sample 424 smokers seeking treatment 34 african american 33 latino 33 white hypothesized mechanisms included social support neighborhood disadvantage negative affectstress agency cravingthe primary outcome week 4 smoking statusas hypothesized ses significant direct indirect effects cessation specifically neighborhood disadvantage social support negative affectstress agency mediated relation ses smoking cessation multiple group analysis indicated model good fit across racialethnic groupsthe present study yielded one comprehensive models illuminating specific mechanisms link ses smoking cessation policy community individuallevel interventions target low ses smokers address specific pathways identified current model could potentially attenuate impact ses cessation