Abstract
Purpose: Smokers can spend a substantial amount on cigarettes, potentially constraining their ability to purchase food. We tested the association of smoking cessation and household food security. Methods: Using the Current Population Survey (2001–2019), we longitudinally linked the Tobacco Use Supplement and the Food Security Supplement (n = 71,278). Among adult smokers (n = 13,144), we used modified Poisson regression to model household food insecurity as a function of quit status (continuing smokers vs. recent quitters), adjusting for sex, age, household size, children in the household, and other household smokers. We also used multinomial logistic regression to examine more detailed food security status (high, marginal, low, very low). Results: The adjusted probability of household food insecurity at follow-up was 11% (95% CI: 8.7%–13%) for recent quitters and 20% (95% CI: 19%–21%) for continuing smokers. Continuing smokers had a lower adjusted probability of high food security (69% vs. 80%) and a higher adjusted probability of marginal (11% vs. 9.8%), low (12% vs. 7%), and very low food security (7.8% vs. 3.6%) compared to recent quitters. Conclusions: Cigarette cessation is associated with a lower risk of household food insecurity. Therefore, promoting tobacco cessation alongside food assistance and poverty reduction policies may help alleviate food insecurity.
Original language | English (US) |
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Pages (from-to) | 49-55.e3 |
Journal | Annals of epidemiology |
Volume | 79 |
DOIs | |
State | Published - Mar 2023 |
Bibliographical note
Funding Information:The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Kaitlyn Berry reports financial support was provided by National Institute of Child Health and Human Development. Patrick J Brady reports financial support was provided by National Institute of Diabetes and Digestive and Kidney Diseases.
Funding Information:
We thank the entire IPUMS CPS team for their work integrating, harmonizing, and facilitating the linkage of data from the Current Population Survey (CPS) and for organizing the 2021 IPUMS CPS Linking Workshop. We also thank Sarah Flood for providing helpful feedback on our study design. Additionally, we gratefully acknowledge support from the Minnesota Population Center (MPC). This work was supported by the National Institutes of Health [ P2CHD041023 , T32HD095134 , F31HD107980 , T32DK083250 , R01HD067258 ].
Publisher Copyright:
© 2023 Elsevier Inc.
Keywords
- Food insecurity
- Food security
- Smoking cessation
- Tobacco
PubMed: MeSH publication types
- Journal Article
- Research Support, N.I.H., Extramural