摘要：We compared characteristics of homeless smokers and economically disadvantaged domiciled smokers (Dallas, TX; August 2011–November 2012). Although findings indicated similar smoking characteristics across samples, homeless smokers (n = 57) were exposed to more smokers and reported lower motivation to quit, lower self-efficacy for quitting, more days with mental health problems, and greater exposure to numerous stressors than domiciled smokers (n = 110). The sample groups reported similar scores on measures of affect, perceived stress, and interpersonal resources. Results may inform novel cessation interventions for homeless smokers. Homeless individuals in the United States 1 have higher rates of disease, shorter life expectancy, and disproportionately higher health care costs than domiciled, socioeconomically disadvantaged individuals. 2–5 A primary cause of these disparities is that smoking prevalence among homeless individuals (70% of whom smoke) 6–8 is twice as high as that among those living in poverty (34.7% of whom smoke 9 ). Numerous studies have indicated that many variables typical of low socioeconomic status (SES) and homelessness (e.g., low education, low income, high financial strain, unemployment) are associated with a reduced likelihood of smoking cessation. 10–13 However, few studies have specifically examined psychosocial and smoking characteristics of homeless smokers. The purpose of the current study was to compare homeless smokers with domiciled, socioeconomically disadvantaged smokers to highlight additional obstacles specific to homeless smokers that may need to be addressed during smoking cessation interventions.
