ArticleInternational journal of environmental research and public health2022
A Qualitative Investigation of the Experiences of Tobacco Use among U.S. Adults with Food Insecurity.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 19 citations in OpenAlex.
- A Randomized Trial to Address Food Insecurity and Promote Smoking Cessation Among Low-Income Adults.Journal of primary care & community healthTrial
- The relationship between food insecurity and tobacco or alcohol use in Great Britain: A representative population-based survey.Addictive behaviors reports · 2026Article
- Food insecurity and elevated nicotine exposure among U.S. tobacco users: Evidence from NHANES.Addictive behaviors reports · 2026Article
- Food insecurity and disordered eating: Associations among adults with and without children.Appetite · 2025Article
- Rethinking Smoking and Quitting in Low-Income Contexts: A Qualitative Analysis with Implications for Practice and Policy.International journal of environmental research and public health · 2025Article
- Lived Experiences of Food Insecurity among Adults Who Have Ever Smoked Tobacco.Journal of hunger & environmental nutrition · 2025Article
- Exploring the perspectives and experiences of food-insecure adults who are also tobacco dependent: a qualitative study in North East England.BMJ public health · 2025Article
- Longitudinal experience of food insecurity & cigarette use in the early COVID-19 Pandemic, United States.Preventive medicine reports · 2024Article
- Assessing the Feasibility of Conducting Smoking Cessation Outreach in Food Pantries: A Pilot Intervention Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- Social Risk and Smoking Among Women Smokers Early in the COVID-19 Pandemic: The Role of Mental Health.Journal of women's health (2002) · 2023Article
- Clarifying the Systems Perspective in Intervention Research on Food Insecurity and Smoking.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundLow-income U.S. adults experiencing food insecurity have a disproportionately high prevalence of cigarette smoking, and quantitative studies suggest that food insecurity is a barrier to quitting. To guide effective tobacco control strategies, this study aimed to understand the experiences, perceptions, and context of tobacco use and cessation among low-income populations experiencing food insecurity.
methodsWe conducted in-depth, semi-structured interviews with 23 adults who were currently smoking cigarettes and were experiencing food insecurity, mostly living in rural settings. Participants were recruited through food-pantry-based needs assessment surveys and study flyers in community-based organizations. The interview guide explored participants' histories of smoking, the role and function of tobacco in their lives, their interest in and barriers to quitting, as well as lived experiences of food insecurity. We used reflexive thematic analysis to analyze transcribed interviews.
resultsWithin a broader context of structural challenges related to poverty and financial strain that shaped current smoking behavior and experiences with food insecurity, we identified the following five themes: smoking to ignore hunger or eat less; staying addicted to smoking in the midst of instability; smoking being prioritized in the midst of financial strain; life stressors and the difficulty of quitting smoking and staying quit; and childhood adversity at the intersection of food insecurity and tobacco use.
conclusionThe context of tobacco use among adults with food insecurity was highly complex. To effectively address tobacco-related disparities among those who are socially and economically disadvantaged, tobacco control efforts should consider relevant lived experiences and structural constraints intersecting smoking and food insecurity. Findings are applied to a conceptualization of clustering of conditions contributing to nicotine dependence, food insecurity, and stress.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.