期刊论文详细信息
Substance Abuse Treatment, Prevention, and Policy
Factors associated with self-assessed increase in tobacco consumption among over-indebted individuals in Germany: a cross-sectional study
Eva Muenster2  Stephan Letzel2  Elke B Ochsmann1  Heide Weishaar3  Heiko Rueger2 
[1] Institute for Occupational and Social Medicine; Medical Faculty, RWTH Aachen University, Pauwelstrasse 30, Aachen D-52074, Germany;Institute for Occupational, Social, and Environmental Medicine, University Medical Center of the University of Mainz, Obere Zahlbacher Strasse 67, Mainz D-55131, Germany;Centre for Population Health Sciences, University of Edinburgh, Teviot Place, Edinburgh EH8 9AG, UK
关键词: Social support;    Financial stress;    Smoking;    Bankruptcy;    Over-indebtedness;   
Others  :  834148
DOI  :  10.1186/1747-597X-8-12
 received in 2012-07-09, accepted in 2012-12-26,  发布年份 2013
PDF
【 摘 要 】

Background

Over-indebtedness is an increasing phenomenon in industrialised nations causing individual hardship and societal problems. Nonetheless, few studies have explored smoking among over-indebted individuals.

Methods

A cross-sectional survey (n=949) on retrospectively assessed changes in tobacco consumption was carried out in 2006 and 2007 among clients of 84 officially approved debt and insolvency counselling centres in Germany (response rate 39.7%). Logistic regressions were performed to explore factors associated with reports of increased smoking after onset of over-indebtedness.

Results

63% of all respondents stated daily or occasional tobacco consumption. Almost one fifth reported an increase in smoking after becoming over-indebted. Females were less likely to report increased smoking than men (aOR 0.66, 95% CI 0.44-0.99) whereas respondents who had been over-indebted for more than 10 years were more likely to report increased smoking than those who had been over-indebted for less than five years (aOR 1.66; 95%-CI 1.00-2.76). The odds of increased smoking were also elevated among those who reported that their families and friends had withdrawn from them as a consequence of their over-indebtedness (aOR 1.82; 95%-CI 1.06-3.14).

Conclusions

The study identifies over-indebted individuals and particularly over-indebted men as a high-risk group of smokers. Low levels of social embeddedness/support were associated with a further increase in smoking after becoming over-indebted. Given recent increases of over-indebtedness, the findings highlight the need to develop appropriate public health policies.

【 授权许可】

   
2013 Rueger et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20140715045210433.pdf 200KB PDF download
【 参考文献 】
  • [1]Uutela A: Economic crisis and mental health. Curr Opin Psychiatry 2010, 23:127-30.
  • [2]Stuckler D, Basu S, Suhrcke M, Coutts A, McKee M: Effects of the 2008 recession on health: a first look at European data. Lancet 2011, 378:124-5.
  • [3]Shaw BA, Agahi N, Krause N: Are changes in financial strain associated with changes in alcohol use and smoking among older adults? J Stud Alcohol Drugs 2011, 72:917-925.
  • [4]Kempson E: Over-indebtedness in Britain. London: Department of Trade and Industry; 2002.
  • [5]European Commission: Towards a common operational European definition of over-indebtedness. Brussels: European Communities; 2008.
  • [6]Angele J: Überschuldung – letzter ausweg privatinsolvenz. https://www.destatis.de/DE/Publikationen/STATmagazin/WirtschaftsrechnungenZeitbudget/2008_1/Wirtschaftsrechnungen2008_1.html webcite
  • [7]Reifner U, Springeneer H: Die private Überschuldung im internationalen Vergleich – Trends, Probleme, Lösungsansätze. In Schulden-kompass. Edited by Schufa Holding AG. Wiesbaden: Index Electronic Prepress; 2004:160-211.
  • [8]Drentea P, Lavrakas P: Over the limit: the association among health, race and debt. Soc Sci Med 2000, 50:517-529.
  • [9]Grafova I: Your money or your life: managing money, managing health. J Fam Econ Issues 2007, 28:285-303.
  • [10]Jacoby MB: Does indebtedness influence health? A preliminary inquiry. J Law Med Ethics 2002, 30:560-571.
  • [11]Rueger H, Schneider NF, Zier U, Letzel S, Muenster E: Health risks of separated or divorced over-indebted fathers: separation from children and financial distress. Soc Work Health Care 2011, 50:242-256.
  • [12]Butterworth P, Rodgers B, Windsor TD: Financial hardship, socio-economic position and depression: results from the PATH through life survey. Soc Sci Med 2009, 69:229-237.
  • [13]Meltzer H, Bebbington P, Brugha T, Jenkins R, McManus S: Personal debt and suicidal ideation. Psych Med 2011, 41:771-778.
  • [14]Muenster E, Rueger H, Ochsmann E, Letzel S, Toschke AM: Over-indebtedness as a marker of socioeconomic status and its association with obesity: a cross-sectional study. BMC Publ Health 2009, 9:286. BioMed Central Full Text
  • [15]Ochsmann E, Rueger H, Letzel S, Drexler H, Muenster E: Over-indebtedness and its association with the prevalence of back pain. BMC Publ Health 2009, 9:451. BioMed Central Full Text
  • [16]Rueger H, Löffler I, Ochsmann E, Alsmann C, Letzel S: Mental illness and over-indebtedness. Mental illness, social networks and financial strain in over-indebted persons. Psychother Psychosom Med Psychol 2010, 60:250-254.
  • [17]Siahpush M, Carlin JB: Financial stress, smoking cessation and relapse: results from a prospective study of an Australian national sample. Addiction 2006, 101:121-127.
  • [18]Siahpush M, Yong HH, Borland R, Reid JD, Hammond D: Smokers with financial stress are more likely to want to quit but less likely to try or succeed: findings from the international tobacco control (ITC) four country survey. Addiction 2009, 104:1382-1390.
  • [19]Kendzor DE, Businelle MS, Costello TJ, Castro Y, Reitzel LR, Cofta-Woerpel LM: Financial strain and smoking cessation among racially/ethnically diverse smokers. Am J Public Health 2010, 100:702-706.
  • [20]Caleyachetty A, Lewis S, McNeill A, Leonardi-Bee J: Struggling to make ends meet: exploring pathways to understand why smokers in financial difficulties are less likely to quit successfully. Eur J Public Health 2012, 22(Suppl 1):41-48.
  • [21]Fydrich T, Sommer G, Tydecks S, Brähler E: Fragebogen zur sozialen unterstützung (F-SozU): Normierung der Kurzform (K-14). Z Med Psychol 2009, 18:43-48.
  • [22]Lampert T: Smoking, physical inactivity, and obesity: associations with social status. Deutsches Ärzteblatt Int 2010, 107:1-7.
  • [23]Kenkel D, Lillard D, Mathios A: Smoke or Fog? The usefulness ofretrospectively reported information about smoking. Addiction 2003, 98:1307-1313.
  • [24]Vartiainen E, Seppala T, Lillsunde P, Puska P: Validation of self reported smoking by serum cotinine measurement in a community-based study. J Epidemiol Community Health 2002, 56:167-170.
  • [25]Lorant V, Demarest S, Miermans P-J, Van Oyen H: Survey error in measuring socio-economic risk factors of health status: a comparison of a survey and a census. Int J Epidemiol 2007, 36:1292-1299.
  • [26]Wiltshire S, Bancroft A, Parry O, Amos A: ‘I came back here and started smoking again’: perceptions and experiences of quitting among disadvantaged smokers. Health Educ Res 2003, 18:292-303.
  • [27]Kotz D, West R: Explaining the social gradient in smokingcessation: it's not in the trying, but in the succeeding. Tob Control 2009, 18:43-6.
  • [28]Peretti-Watel P, Constance J: “It’s all we got left”. Why poor smokers are less sensitive to cigarette price increases. Int J Environ Res 2009, 6:608-21.
  • [29]Grafova I: Financial strain and smoking. J Fam Econ Issues 2011, 32:327-340.
  • [30]Pyle SA, Haddock CK, Poston WS, Bray RM, Williams J: Tobacco use and perceived financial strain among junior enlisted in the U.S. Military in 2002. Prev Med 2007, 45:460-463.
  • [31]Thoits PA: Mechanisms linking social ties and support to physical and mental health. J Health Soc Behav 2011, 52:145-161.
  • [32]Marmot M: Fair society. London: Healthy Lives. The Marmot Review; 2010.
  • [33]Jenkins R, Fitch C, Hurlston M, Walker F: Recession, debt and mental health: challenges and solutions. Ment Health Fam Med 2009, 6:85-90.
  文献评价指标  
  下载次数:12次 浏览次数:33次