Low Socioeconomic

Low Socioeconomic

Socioeconomic status (SES) is used to refer to social, economic, and work status of individuals (e.g., education, income, employment). Low SES usually refers to individuals with low educational achievement and/or low household income. These factors can form into additional everyday stresses for individuals, ultimately leading to risk behaviors, such as tobacco use. Since many individuals are without health insurance or means to pay for cessations resources, they are less likely to have the support needed to quit.1 In Wisconsin, low SES populations smoke at rates higher than the overall population.2

Low SES populations are often uninsured or underinsured, making them less likely to seek regular health care. This results in later diagnosis and fewer chances to prevent risk factors such as tobacco use or secondhand smoke exposure. Secondhand smoke exposure is a daily reality for occupations that low SES populations often work within.1


While both urban and rural Wisconsin communities face varying degrees of financial and educational hardships, rural Wisconsin has higher rates of poverty.4 Rural communities are also more likely to engage in tobacco use than their urban counterparts, especially at a younger age, as it's seen as more socially acceptable to use tobacco.5 However, both urban and rural low SES communities experience barriers such as long commutes to existing programs due to geographical distance or public transportation.5

These various challenges in urban and rural low SES communities likely contribute to the differences in smoking rates between urban and rural populations.


The CDC shares a key strategy, steep discounts, that has been used to appeal to low income women, both at point-of-sale and through direct mail. Historically successful tactics like coupons and reflecting the audience in branding have been used to make tobacco products more appealing.1


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