Evidence map›Paper›PMID 39293702›Full record

ArticleAmerican journal of preventive medicine2025

Financial Strain and Smoking Cessation and Relapse Among U.S. Adults Who Smoke: A Longitudinal Cohort Study.

Steven Cook, Josh Curtis, James H Buszkiewicz, Andrew F Brouwer, Nancy L Fleischer

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Steven CookDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan. Electronic address: cookstev@umich.edu.
Josh CurtisDepartment of Sociology, University of Calgary, Calgary, Alberta, Canada.
James H BuszkiewiczDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan.
Andrew F BrouwerDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan.
Nancy L FleischerDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan.

Funding

Research Project 3: Modeling the Impact of Tobacco Control Policies on Polytobacco Use and Associated Health DisparitiesU54CA229974 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David Mendez Emilien · 2018 to 2026
$39.2M
NCI NIH HHS U54 CA229974
6 · The paper itself

Abstract

introductionThis study examines the prospective association between financial strain and smoking cessation and smoking relapse among U.S. adults with established smoking.

methodsDiscrete-time survival models were fit to nationally representative data in Waves 1-5 (2013-2019) of the U.S. Population Assessment of Tobacco and Health Study for smoking cessation (n=6,972) and smoking relapse (n=1,195). Models were adjusted for demographics (age, sex, race, and ethnicity), socioeconomic positioning (education, income, health insurance status), and tobacco-related confounders (quit attempts, coupon receipt, and nicotine dependence). Data were collected between 2013 and 2019, and the analysis was conducted in 2023-2024.

resultsAmong adults with established cigarette smoking, financial strain was associated with a reduced likelihood of cigarette smoking cessation (HR: 0.81, 95% CI: 0.72, 0.92) and an increased likelihood of cigarette smoking relapse (HR: 1.56, 95% CI: 1.24, 1.96) in multivariable models. Results were robust to sensitivity analyses varying confounder control, sample restrictions, and survey weights used.

conclusionsThe results from this study suggest that financial strain is a barrier to cigarette smoking without relapse, which may be due to stress and coping processes. Smoking cessation interventions would benefit from considering the role that financial strain plays in inhibiting smoking cessation without relapse.

Indexed as

Financial StressRecurrenceSmoking CessationAdultAgedCigarette SmokingFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesUnited StatesYoung Adult

Identifiers

PMID39293702
PMCPMC12450412

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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.