Discrimination, Mental Health, and Readiness to Quit Smoking.

IF 1.7 4区 医学 Q2 NURSING
Clinical Nursing Research Pub Date : 2023-11-01 Epub Date: 2023-06-26 DOI:10.1177/10547738231183210
Alexandria Jones-Patten, Sanghyuk S Shin, Dawn T Bounds, Adeline Nyamathi
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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 (b = 0.02; 95% CI [-0.04, 0.08]; p = 0.47). The indirect effects of depression (b = 0.04, [0.01, 0.07]; p = 0.02) and anxiety (b = 0.03; [0.01, 0.05]; p = 0.04) reached statistical significance; the direct effects of depression (b = -0.01; [-0.09, 0.04]; p = 0.70) and anxiety (b = -0.00; [-0.09, 0.06]; p = 0.86) did not. Future studies should explore these associations to enhance smoking cessation programs for this population.

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歧视、心理健康和戒烟准备。
我们进行了一项横断面研究,考察了在无家可归的非裔美国成年吸烟者中,抑郁和焦虑对歧视和戒烟意愿之间关系的中介作用。使用方便样本,参与者是从南加州的一个无家可归者收容所招募的。使用线性回归模型分析了歧视、抑郁和焦虑症状以及戒烟意愿的得分。我们招募了100名参与者;58名参与者为男性。在最后的模型中,歧视与准备辞职无关(b = 0.02;95%CI[0.0040.08];p = 0.47).抑郁症的间接影响(b = 0.04,[0.01.07];p = 0.02)和焦虑(b = 0.03;[0.01,0.05];p = 0.04)达到统计学显著性;抑郁症的直接影响 = -0.01;[0.09,0.04];p = 0.70)和焦虑(b = -0.00;[0.090.06];p = 0.86)没有。未来的研究应该探索这些关联,以加强这一人群的戒烟计划。
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来源期刊
CiteScore
3.40
自引率
5.90%
发文量
107
审稿时长
>12 weeks
期刊介绍: Clinical Nursing Research (CNR) is a peer-reviewed quarterly journal that addresses issues of clinical research that are meaningful to practicing nurses, providing an international forum to encourage discussion among clinical practitioners, enhance clinical practice by pinpointing potential clinical applications of the latest scholarly research, and disseminate research findings of particular interest to practicing nurses. This journal is a member of the Committee on Publication Ethics (COPE).
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