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To inform tailored approaches and responsive public health policies, the aim of this study was to qualitatively explore the sociocultural contexts, attitudes, and behaviors regarding smoking and quitting in a sample of low-income adults who smoke. In-depth, semi-structured qualitative interviews were conducted with 20 adults. Participants were recruited through local safety-net primary care clinics and community sites. A thematic analytic approach was utilized to analyze transcribed interviews. In exploring smoking and quitting within the context of low-income individuals, the following six themes were identified: caught between health and tobacco use; the nuances of context; roadblocks to quitting; motivation without movement; a temporary escape; and one size does not fit all. Insights into sociocultural and environmental contexts that shape smoking and quitting among low-income individuals revealed a complex interplay of factors that perpetuate smoking behavior and make it difficult to achieve sustained cessation. The study findings point to the importance of patient-centered and collaborative approaches that tailor smoking cessation efforts to the unique needs and lived experiences of low-income people who smoke.<\/jats:p>","DOI":"10.3390\/ijerph22071122","type":"journal-article","created":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T12:55:00Z","timestamp":1752670500000},"page":"1122","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Rethinking Smoking and Quitting in Low-Income Contexts: A Qualitative Analysis with Implications for Practice and Policy"],"prefix":"10.3390","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5485-2757","authenticated-orcid":false,"given":"Monique T.","family":"Cano","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA"},{"name":"Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA 94143, USA"},{"name":"Institute for International Internet Interventions for Health, Palo Alto University, Palo Alto, CA 94304, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5754-5250","authenticated-orcid":false,"given":"Oscar F. 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Control"},{"key":"ref_2","unstructured":"Lushniak, B.D., Samet, J.M., Pechacek, T.F., Norman, L.A., and Taylor, P.A. (2014). The Health Consequences of Smoking\u201450 Years of Progress: A Report of the Surgeon General."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e628","DOI":"10.1016\/S2468-2667(19)30220-8","article-title":"Individual-Level Behavioural Smoking Cessation Interventions Tailored for Disadvantaged Socioeconomic Position: A Systematic Review and Meta-Regression","volume":"4","author":"Kock","year":"2019","journal-title":"Lancet Public Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"106","DOI":"10.3322\/caac.21444","article-title":"Who\u2019s Still Smoking? Disparities in Adult Cigarette Smoking Prevalence in the United States: Disparities in Adult Smoking Prevalence in the US","volume":"68","author":"Drope","year":"2018","journal-title":"CA Cancer J. Clin."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1001\/jamainternmed.2019.0192","article-title":"Association of Cumulative Socioeconomic and Health-Related Disadvantage With Disparities in Smoking Prevalence in the United States, 2008 to 2017","volume":"179","author":"Leventhal","year":"2019","journal-title":"JAMA Intern. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"E74","DOI":"10.5888\/pcd16.180553","article-title":"Socioeconomic Differences in Cigarette Smoking Among Sociodemographic Groups","volume":"16","author":"Garrett","year":"2019","journal-title":"Prev. Chronic. Dis."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"iii71","DOI":"10.1136\/tc.2004.008763","article-title":"Socioeconomic Variations in Nicotine Dependence, Self-Efficacy, and Intention to Quit across Four Countries: Findings from the International Tobacco Control (ITC) Four Country Survey","volume":"15","author":"Siahpush","year":"2006","journal-title":"Tob. Control"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1037\/0022-006X.61.5.761","article-title":"Nicotine, Negative Affect, and Depression","volume":"61","author":"Hall","year":"1993","journal-title":"J. Consult Clin. Psychol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1080\/07370016.2018.1404832","article-title":"Barriers to Health Care Access for Low Income Families: A Review of Literature","volume":"35","author":"Lazar","year":"2018","journal-title":"J. Community Health Nurs."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.socscimed.2015.11.027","article-title":"A Discrete-Time Analysis of the Effects of More Prolonged Exposure to Neighborhood Poverty on the Risk of Smoking Initiation by Age 25","volume":"148","year":"2016","journal-title":"Soc. Sci. Med."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Assari, S., and Mistry, R. (2018). Educational Attainment and Smoking Status in a National Sample of American Adults; Evidence for the Blacks\u2019 Diminished Return. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15040763"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/j.addbeh.2017.12.014","article-title":"Momentary Smoking Context as a Mediator of the Relationship between SES and Smoking","volume":"83","author":"Jahnel","year":"2018","journal-title":"Addict. Behav."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/j.drugalcdep.2014.07.019","article-title":"Socioeconomic Status and Smokers\u2019 Number of Smoking Friends: Findings from the International Tobacco Control (ITC) Four Country Survey","volume":"143","author":"Hitchman","year":"2014","journal-title":"Drug Alcohol Depend."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1111\/add.12718","article-title":"The Impact of the Tobacco Retail Outlet Environment on Adult Cessation and Differences by Neighborhood Poverty","volume":"110","author":"Cantrell","year":"2015","journal-title":"Addiction"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.ypmed.2017.02.012","article-title":"The Role of Smoking in Social Networks on Smoking Cessation and Relapse among Adults: A Longitudinal Study","volume":"99","author":"Blok","year":"2017","journal-title":"Prev. Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"343","DOI":"10.2105\/AJPH.2011.300364","article-title":"Social Norms, Collective Efficacy, and Smoking Cessation in Urban Neighborhoods","volume":"102","author":"Karasek","year":"2012","journal-title":"Am. J. Public Health"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1093\/abm\/kay089","article-title":"Neighborhood Poverty Increases Risk for Cigarette Smoking From Age 30 to 39","volume":"53","author":"Cambron","year":"2018","journal-title":"Ann. Behav. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e8","DOI":"10.2105\/AJPH.2015.302777","article-title":"A Systematic Review of Neighborhood Disparities in Point-of-Sale Tobacco Marketing","volume":"105","author":"Lee","year":"2015","journal-title":"Am. J. Public Health"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1291","DOI":"10.1093\/ntr\/ntac020","article-title":"Sociodemographic Disparities in Tobacco Retailer Density in the United States, 2000\u20132017","volume":"24","author":"Mills","year":"2022","journal-title":"Nicotine Tob. Res."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1080\/08870449808407422","article-title":"Health Promotion from the Perspective of Social Cognitive Theory","volume":"13","author":"Bandura","year":"1998","journal-title":"Psychol. Health"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1037\/0003-066X.33.4.344","article-title":"The Self System in Reciprocal Determinism","volume":"33","author":"Bandura","year":"1978","journal-title":"Am. Psychol."},{"key":"ref_22","unstructured":"Bandura, A. (1997). Self-Efficacy: The Exercise of Control, W H Freeman\/Times Books\/Henry Holt & Co."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"107496","DOI":"10.1016\/j.drugalcdep.2019.05.027","article-title":"Self-Efficacy as a Pathway to Long-Term Smoking Cessation among Low-Income Parents in the Multilevel Kids Safe and Smokefree Intervention","volume":"204","author":"Lepore","year":"2019","journal-title":"Drug Alcohol Depend."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Kim-Mozeleski, J.E., Shaw, S.J., Yen, I.H., and Tsoh, J.Y. (2022). A Qualitative Investigation of the Experiences of Tobacco Use among U.S. Adults with Food Insecurity. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19127424"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1177\/1473325002001003636","article-title":"Two Decades of Developments in Qualitative Inquiry: A Personal, Experiential Perspective","volume":"1","author":"Patton","year":"2002","journal-title":"Qual. Soc. Work"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"59","DOI":"10.18332\/tid\/138241","article-title":"Factors Associated with Smoking in Low-Income Persons with and without Chronic Illness","volume":"19","author":"Cano","year":"2021","journal-title":"Tob. Induc. Dis."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1007\/s10488-013-0528-y","article-title":"Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation Research","volume":"42","author":"Palinkas","year":"2015","journal-title":"Adm. Policy. Ment. Health"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1177\/08445621211060935","article-title":"Recruitment of Community-Based Samples: Experiences and Recommendations for Optimizing Success","volume":"54","author":"Garnett","year":"2022","journal-title":"Can. J. Nurs. Res."},{"key":"ref_29","unstructured":"Fukumori, R., and Robbennolt, S. (2023). Who Is Low Income and Very Low Income in the Bay Area? (An Updated Look), Bay Area Equity Atlas. Available online: https:\/\/bayareaequityatlas.org\/distribution-of-incomes."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"892","DOI":"10.1093\/ntr\/ntu266","article-title":"Addressing the Social Determinants of Health to Reduce Tobacco-Related Disparities","volume":"17","author":"Garrett","year":"2015","journal-title":"NICTOB"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1080\/13814788.2017.1375091","article-title":"Series: Practical Guidance to Qualitative Research. Part 3: Sampling, Data Collection and Analysis","volume":"24","author":"Moser","year":"2017","journal-title":"Eur. J. Gen. Pract."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"16094069231183620","DOI":"10.1177\/16094069231183620","article-title":"From Data Management to Actionable Findings: A Five-Phase Process of Qualitative Data Analysis","volume":"22","author":"Bingham","year":"2023","journal-title":"Int. J. Qual. Methods"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1177\/160940690600500107","article-title":"Demonstrating Rigor Using Thematic Analysis: A Hybrid Approach of Inductive and Deductive Coding and Theme Development","volume":"5","author":"Fereday","year":"2006","journal-title":"Int. J. Qual. Methods"},{"key":"ref_34","unstructured":"Vanover, C., Mihas, P., and Saldana, J. (2021). Analyzing and Interpreting Qualitative Research: After the Interview, SAGE Publications."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using Thematic Analysis in Psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual. Res. Psychol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1037\/lat0000175","article-title":"Tu Bienestar Es Mi Bienestar: A Psychosociocultural Understanding of Latinx Immigrant Well-Being through a Qualitative Lens","volume":"10","author":"Heppner","year":"2022","journal-title":"J. Latinx Psychol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"e274","DOI":"10.1542\/peds.2008-2251","article-title":"Parental Smoking and Adolescent Smoking Initiation: An Intergenerational Perspective on Tobacco Control","volume":"123","author":"Gilman","year":"2009","journal-title":"Pediatrics"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"e003218","DOI":"10.1136\/bmjopen-2013-003218","article-title":"The Smoking Habit of a Close Friend or Family Member\u2014How Deep Is the Impact? A Cross-Sectional Study","volume":"4","author":"Saari","year":"2014","journal-title":"BMJ Open"},{"key":"ref_39","unstructured":"Bandura, A., and Walters, R.H. (1977). Social Learning Theory, Prentice-Hall."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"100302","DOI":"10.1016\/j.lanepe.2021.100302","article-title":"Relationship of Smoking with Current and Future Social Isolation and Loneliness: 12-Year Follow-up of Older Adults in England","volume":"14","author":"Philip","year":"2022","journal-title":"Lancet Reg. Health Eur."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Paul, C.L., Ross, S., Bryant, J., Hill, W., Bonevski, B., and Keevy, N. (2010). The Social Context of Smoking: A Qualitative Study Comparing Smokers of High versus Low Socioeconomic Position. BMC Public Health, 10.","DOI":"10.1186\/1471-2458-10-211"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1037\/cdp0000593","article-title":"What Predicts Interdependence with Family? The Relative Contributions of Ethnicity\/Race and Social Class","volume":"31","author":"Hooker","year":"2025","journal-title":"Cult. Divers. Ethn. Minor. Psychol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1178","DOI":"10.1037\/a0027143","article-title":"Unseen Disadvantage: How American Universities\u2019 Focus on Independence Undermines the Academic Performance of First-Generation College Students","volume":"102","author":"Stephens","year":"2012","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.1093\/ntr\/ntx089","article-title":"Neighborhood Variation in the Price of Cheap Tobacco Products in California: Results From Healthy Stores for a Healthy Community","volume":"19","author":"Henriksen","year":"2017","journal-title":"Nicotine Tob. Res."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1136\/jech-2018-210998","article-title":"Neighborhood Disparities in the Price of the Cheapest Cigarettes in the United States","volume":"73","author":"Mills","year":"2019","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1136\/tobaccocontrol-2011-050139","article-title":"Patterns of Cognitive Dissonance-Reducing Beliefs among Smokers: A Longitudinal Analysis from the International Tobacco Control (ITC) Four Country Survey","volume":"22","author":"Fotuhi","year":"2013","journal-title":"Tob. Control"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"3","DOI":"10.29245\/2578-2959\/2021\/3.1233","article-title":"Diminished Effect of Smoking Intensity on African American and Latino Smokers\u2019 Tobacco Risk Perception","volume":"5","author":"Assari","year":"2021","journal-title":"J. Ment. Health Clin. Psychol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"481","DOI":"10.7763\/IJSSH.2016.V6.695","article-title":"Understanding Cognitive Dissonance in Smoking Behaviour: A Qualitative Study","volume":"6","author":"Orcullo","year":"2016","journal-title":"Int. J. Soc. Sci. Humanit."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.addbeh.2018.04.021","article-title":"Income as a Moderator of Psychological Stress and Nicotine Dependence among Adult Smokers","volume":"84","author":"Hobkirk","year":"2018","journal-title":"Addict. Behav."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.addbeh.2016.02.022","article-title":"Examining an Underlying Mechanism between Perceived Stress and Smoking Cessation-Related Outcomes","volume":"58","author":"Robles","year":"2016","journal-title":"Addict. Behav."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"e20151175","DOI":"10.1542\/peds.2015-1175","article-title":"Improving Mental Health Access for Low-Income Children and Families in the Primary Care Setting","volume":"139","author":"Hodgkinson","year":"2017","journal-title":"Pediatrics"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1002\/jclp.21951","article-title":"Poverty and Mental Health: How Do Low-Income Adults and Children Fare in Psychotherapy?","volume":"69","author":"Santiago","year":"2013","journal-title":"J. Clin. Psychol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"101767","DOI":"10.1016\/j.pmedr.2022.101767","article-title":"Low Housing Quality, Unmet Social Needs, Stress and Depression among Low-Income Smokers","volume":"27","author":"Garg","year":"2022","journal-title":"Prev. Med. Rep."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1016\/j.mcna.2016.03.011","article-title":"Pharmacotherapy for Substance Use Disorders","volume":"100","author":"Klein","year":"2016","journal-title":"Med. Clin. N. Am."},{"key":"ref_55","first-page":"e52102","article-title":"A Review of Smoking Cessation Interventions: Efficacy, Strategies for Implementation, and Future Directions","volume":"16","author":"Onwuzo","year":"2024","journal-title":"Cureus"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"100857","DOI":"10.1016\/j.conctc.2021.100857","article-title":"Stress, Depression, Sleep Problems and Unmet Social Needs: Baseline Characteristics of Low-Income Smokers in a Randomized Cessation Trial","volume":"24","author":"Garg","year":"2021","journal-title":"Contemp. Clin. Trials Commun."},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"Cano, M.T., Lindstrom, M.R., and Mu\u00f1oz, R.F. (2025). The Dialogue Dilemma: The Role of Patient-Clinician Communication for Low-Income People Who Smoke and Manage Multiple Conditions. Front. Med., 12.","DOI":"10.3389\/fmed.2025.1567725"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1111\/hex.12640","article-title":"How to Practice Person-Centred Care: A Conceptual Framework","volume":"21","author":"Santana","year":"2018","journal-title":"Health Expect."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"84","DOI":"10.3122\/jabfm.2023.230239R1","article-title":"Smoking Cessation Support in the Context of Other Social and Behavioral Needs in Community Health Centers","volume":"37","author":"Potter","year":"2024","journal-title":"J. Am. Board Fam. Med."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"100011","DOI":"10.1016\/j.pecinn.2021.100011","article-title":"Addressing Tobacco Use in the Context of Complex Social Needs: A New Conceptual Framework and Approach to Address Smoking Cessation in Community Health Centers","volume":"1","author":"Tsoh","year":"2021","journal-title":"PEC Innov."},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Iarussi, M.M. (2019). Integrating Motivational Interviewing and Cognitive Behavior Therapy in Clinical Practice, Routledge.","DOI":"10.4324\/9781351203234"},{"key":"ref_62","unstructured":"Miller, W.R., and Rollnick, S. (2023). Motivational Interviewing: Helping People Change and Grow, Guilford Publications."},{"key":"ref_63","unstructured":"Rollnick, S., Miller, W.R., and Butler, C.C. (2007). Motivational Interviewing in Health Care: Helping Patients Change Behavior, Guilford Press."},{"key":"ref_64","unstructured":"Perkins, K.A., Conklin, C.A., and Levine, M.D. (2008). Cognitive-Behavioral Therapy for Smoking Cessation: A Practical Guidebook to the Most Effective Treatments, Taylor & Francis."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1016\/j.cbpra.2012.06.002","article-title":"Using Self-Monitoring: Implementation of Collaborative Empiricism in Cognitive-Behavioral Therapy","volume":"20","author":"Cohen","year":"2013","journal-title":"Cogn. Behav. Pract."},{"key":"ref_66","unstructured":"Bornstein, P.H., Hamilton, S.B., and Bornstein, M.T. Self-Monitoring Procedures. Handbook of Behavioral Assessment, Wiley."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1097\/JAN.0000000000000367","article-title":"The Effect of Breathing Exercise on Nicotine Withdrawal Symptoms, Cigarette Cravings, and Affect","volume":"31","author":"Klinsophon","year":"2020","journal-title":"J. Addict. Nurs."},{"key":"ref_68","first-page":"CD008286","article-title":"Combined Pharmacotherapy and Behavioural Interventions for Smoking Cessation","volume":"3","author":"Stead","year":"2016","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_69","doi-asserted-by":"crossref","unstructured":"Shin, H.Y., Kim, K.Y., and Kang, P. (2020). Concept Analysis of Community Health Outreach. BMC Health Serv. Res., 20.","DOI":"10.1186\/s12913-020-05266-7"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1037\/amp0000167","article-title":"Community-Based Participatory Research (CBPR): Towards Equitable Involvement of Community in Psychology Research","volume":"73","author":"Collins","year":"2018","journal-title":"Am. Psychol."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1037\/prj0000568","article-title":"The Power of Community-Based Participatory Research (CBPR)","volume":"47","author":"Corrigan","year":"2024","journal-title":"Psychiatr. Rehabil. J."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"S102","DOI":"10.1097\/FCH.0b013e318202ee72","article-title":"Using Community-Based Participatory Approaches to Mobilize Communities for Policy Change","volume":"34","author":"Wynn","year":"2011","journal-title":"Fam. 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