Smoking and stress
Abstract
Primary care-based smoking cessation interventions are often less effective among
low-SES groups. Higher stress levels may explain the lower quit rate and higher prevalence of
smoking in low-SES groups, and why the relative smoking prevalence rate is not declining at an
equitable rate (same prevalence rate as higher SES groups). To understand these issues, this
paper sought answers to two questions: is stress perceived by ex-smokers and current smokers as
a barrier to quitting; and does stress act as a barrier to quitting in relation to other barriers in
disadvantaged areas?