Discrimination, Mental Health, and Readiness to Quit Smoking

Overview

Journal Clin Nurs Res

Specialty Nursing

Date 2023 Jun 27

PMID 37365813

Authors

Alexandria Jones-Patten

Sanghyuk S Shin

Dawn T Bounds

Adeline Nyamathi

Affiliations

Soon will be listed here.

Abstract

We conducted a cross-sectional study, examining the mediation effects of depression and anxiety on the association between discrimination and readiness to quit cigarette smoking among African American adult cigarette smokers experiencing homelessness. Using a convenience sample, participants were recruited from a homeless shelter in Southern California. Scores of discrimination, depressive, and anxiety symptoms, and readiness to quit smoking were analyzed using linear regression modeling. We enrolled 100 participants; 58 participants were male. In the final model, discrimination had no association with readiness to quit ( = 0.02; 95% CI [-0.04, 0.08]; = 0.47). The indirect effects of depression ( = 0.04, [0.01, 0.07]; = 0.02) and anxiety ( = 0.03; [0.01, 0.05]; = 0.04) reached statistical significance; the direct effects of depression ( = -0.01; [-0.09, 0.04]; = 0.70) and anxiety ( = -0.00; [-0.09, 0.06]; = 0.86) did not. Future studies should explore these associations to enhance smoking cessation programs for this population.

References

Wong Y . Measurement properties of the Center for Epidemiologic Studies-Depression Scale in a homeless population. Psychol Assess. 2001; 12(1):69-76. DOI: 10.1037//1040-3590.12.1.69. View

Stewart H, Stevenson T, Bruce J, Greenberg B, Chamberlain L . Attitudes Toward Smoking Cessation Among Sheltered Homeless Parents. J Community Health. 2015; 40(6):1140-8. DOI: 10.1007/s10900-015-0040-2. View

Forde A, Sims M, Wang X, Barber S, Diez Roux A . The role of perceived discrimination in predicting changes in health behaviours among African Americans in the Jackson Heart Study. J Epidemiol Community Health. 2021; 75(12):1222-1231. PMC: 8588298. DOI: 10.1136/jech-2020-215998. View

Catley D, Harris K, Okuyemi K, Mayo M, Pankey E, Ahluwalia J . The influence of depressive symptoms on smoking cessation among African Americans in a randomized trial of bupropion. Nicotine Tob Res. 2005; 7(6):859-70. DOI: 10.1080/14622200500330118. View

Borland R, Yong H, OConnor R, Hyland A, Thompson M . The reliability and predictive validity of the Heaviness of Smoking Index and its two components: findings from the International Tobacco Control Four Country study. Nicotine Tob Res. 2010; 12 Suppl:S45-50. PMC: 3307335. DOI: 10.1093/ntr/ntq038. View

Mouzon D, Taylor R, Keith V, Nicklett E, Chatters L . Discrimination and psychiatric disorders among older African Americans. Int J Geriatr Psychiatry. 2016; 32(2):175-182. PMC: 5002385. DOI: 10.1002/gps.4454. View

Nguyen-Grozavu F, Pierce J, Sakuma K, Leas E, McMenamin S, Kealey S . Widening disparities in cigarette smoking by race/ethnicity across education level in the United States. Prev Med. 2020; 139:106220. PMC: 7494609. DOI: 10.1016/j.ypmed.2020.106220. View

Neisler J, Reitzel L, Garey L, Kenzdor D, Hebert E, Vijayaraghavan M . Concurrent nicotine and tobacco product use among homeless smokers and associations with cigarette dependence and other factors related to quitting. Drug Alcohol Depend. 2018; 185:133-140. PMC: 10032424. DOI: 10.1016/j.drugalcdep.2017.12.012. View

Baggett T, Rigotti N . Cigarette smoking and advice to quit in a national sample of homeless adults. Am J Prev Med. 2010; 39(2):164-72. DOI: 10.1016/j.amepre.2010.03.024. View

10.

Spitzer R, Kroenke K, Williams J, Lowe B . A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166(10):1092-7. DOI: 10.1001/archinte.166.10.1092. View

11.

Vijayaraghavan M, Olsen P, Weeks J, McKelvey K, Ponath C, Kushel M . Older African American Homeless-Experienced Smokers' Attitudes Toward Tobacco Control Policies-Results from the HOPE HOME Study. Am J Health Promot. 2017; 32(2):381-391. PMC: 5858921. DOI: 10.1177/0890117117729928. View

12.

Pratt R, Pernat C, Kerandi L, Kmiecik A, Strobel-Ayres C, Joseph A . "It's a hard thing to manage when you're homeless": the impact of the social environment on smoking cessation for smokers experiencing homelessness. BMC Public Health. 2019; 19(1):635. PMC: 6534899. DOI: 10.1186/s12889-019-6987-7. View

13.

Fitzpatrick K, Myrstol B, Miller E . Does context matter? Examining the mental health among homeless people. Community Ment Health J. 2014; 51(2):215-21. DOI: 10.1007/s10597-014-9747-2. View

14.

ORourke H, MacKinnon D . Reasons for Testing Mediation in the Absence of an Intervention Effect: A Research Imperative in Prevention and Intervention Research. J Stud Alcohol Drugs. 2018; 79(2):171-181. PMC: 6019768. DOI: 10.15288/jsad.2018.79.171. View

15.

Velasquez M, Crouch C, von Sternberg K, Grosdanis I . Motivation for change and psychological distress in homeless substance abusers. J Subst Abuse Treat. 2001; 19(4):395-401. DOI: 10.1016/s0740-5472(00)00133-1. View

16.

Purnell J, Peppone L, Alcaraz K, McQueen A, Guido J, Carroll J . Perceived discrimination, psychological distress, and current smoking status: results from the Behavioral Risk Factor Surveillance System Reactions to Race module, 2004-2008. Am J Public Health. 2012; 102(5):844-51. PMC: 3483933. DOI: 10.2105/AJPH.2012.300694. View

17.

Caceres B, Hughes T, Veldhuis C, Matthews A . Past-year discrimination and cigarette smoking among sexual minority women: investigating racial/ethnic and sexual identity differences. J Behav Med. 2021; 44(5):726-739. PMC: 8486884. DOI: 10.1007/s10865-021-00217-x. View

18.

Okuyemi K, Caldwell A, Thomas J, Born W, Richter K, Nollen N . Homelessness and smoking cessation: insights from focus groups. Nicotine Tob Res. 2006; 8(2):287-96. DOI: 10.1080/14622200500494971. View

19.

Parker L, Hunte H, Ohmit A, Furr-Holden D, Thorpe Jr R . The Effects of Discrimination Are Associated With Cigarette Smoking Among Black Males. Subst Use Misuse. 2016; 52(3):383-391. PMC: 6331212. DOI: 10.1080/10826084.2016.1228678. View

20.

Stevens V, Solberg L, Bailey S, Kurtz S, McBurnie M, Priest E . Assessing Trends in Tobacco Cessation in Diverse Patient Populations. Nicotine Tob Res. 2015; 18(3):275-80. PMC: 5013819. DOI: 10.1093/ntr/ntv092. View