Abstract
This study characterized longitudinal changes in cigarette smoking and purchase and cessation patterns among low-income smokers in New York State. Longitudinal tobacco use surveys were conducted in 2002 and 2005. Responses from the 2002 and 2005 surveys were compared among participants who completed both surveys. New York State. Adult low-income smokers (n = 274) were recruited from the Department of Social Services office in Erie County, New York, in 2002 and recontacted in 2005. These included cigarette smoking, cessation and purchase behaviors, awareness and use of the Quitline, and participation in tobacco industry promotions during the 3-year follow-up period. During the 3-year follow-up period, 37 participants (13.5%) stopped smoking. Among smokers, the average number of daily cigarettes smoked decreased from 16.1 to 13.7 cigarettes (P < .01). There were significant increases in the proportion of smokers who reported that they had ever used a stop smoking medication (26.6% to 51.9%), had ever heard of the Quitline (32.5% to 73.0%), or had ever called the Quitline (4.2% to 11.0%). There was an increase in the use of tobacco industry coupons (41.1% to 59.3%). Findings suggest that state and local tobacco control policies and programs are being increasingly utilized by this population; however, tobacco company price promotions are also being increasingly used, offsetting the public health benefit of the tobacco control policies and programs in this low-income population.
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