The influence of sociodemographic, tobacco use, and mental health characteristics on treatment adherence among adults enrolled in a community-based tobacco cessation program

Q1 Psychology

Addictive Behaviors Reports Pub Date : 2024-10-19 DOI:10.1016/j.abrep.2024.100568

Motolani E. Ogunsanya , Summer G. Frank-Pearce , Sixia Chen , Munjireen Sifat , Amy M. Cohn , Michael S. Businelle , Darla E. Kendzor

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引用次数: 0

Abstract

Background

While counseling and pharmacological interventions are known to facilitate smoking cessation, poor adherence can impact their effectiveness. Therefore, this study aimed to identify personal and clinical factors that influenced adherence to smoking cessation treatment among socioeconomically disadvantaged adult Oklahomans enrolled in a publicly available tobacco treatment program and observational research study.

Methods

Adult participants (N = 442) were enrolled in a community-based tobacco treatment program. Logistic regression models identified sociodemographic, mental health, and substance use characteristics associated with treatment adherence. Adherence was measured by counseling session attendance and weeks of moderate/high medication adherence assessed via the Medication Adherence Questionnaire. Analyses were conducted using SAS 9.4 with p < 0.05.

Results

Participants (mean age of 53, 55 % female, and 42.3 % racially minoritized), smoked 16 (SD = 10) cigarettes/day for 30 years on average (SD = 15), and 44.8 % reported depression (Center for Epidemiological Studies Depression Scale [CESD] score ≥ 10). Self-efficacy, White race, increasing age, and years of smoking were positively associated with counseling adherence, while menthol use, being uninsured, and depression predicted lower counseling adherence. Medication adherence was lower among individuals who used menthol cigarettes, lived with someone who smoked, and had higher levels of expired carbon monoxide.

Conclusions

This study highlights key factors that influenced adherence to smoking cessation treatment in a socioeconomically disadvantaged population. Tailored interventions are needed to address social, behavioral, and environmental factors, such as living situations and mental health, in smoking cessation interventions to enhance treatment outcomes for underserved populations. Future tobacco cessation programs should consider these factors to improve adherence and, ultimately, success rates.

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社会人口、烟草使用和心理健康特征对参加社区戒烟计划的成年人坚持治疗的影响

背景众所周知，咨询和药物干预有助于戒烟，但戒烟依从性差会影响其效果。因此，本研究旨在确定影响参加公共烟草治疗项目和观察性研究的俄克拉荷马州社会经济条件较差的成人戒烟治疗依从性的个人和临床因素。逻辑回归模型确定了与坚持治疗相关的社会人口、心理健康和药物使用特征。治疗依从性通过咨询课程出席率和药物依从性调查问卷评估的中度/高度药物依从性周数来衡量。结果参与者（平均年龄 53 岁，55% 为女性，42.3% 为少数民族）平均每天吸烟 16 支（SD = 10），持续 30 年（SD = 15），44.8% 报告患有抑郁症（流行病学研究中心抑郁量表 [CESD] 评分≥10）。自我效能感、白种人、年龄增长和吸烟年数与咨询依从性呈正相关，而使用薄荷醇、无保险和抑郁则预示着咨询依从性较低。在使用薄荷烟、与吸烟者同住以及呼出一氧化碳水平较高的人群中，药物治疗依从性较低。在戒烟干预中，需要针对社会、行为和环境因素（如生活状况和心理健康）采取有针对性的干预措施，以提高服务不足人群的治疗效果。未来的戒烟计划应考虑这些因素，以提高戒烟依从性，最终提高戒烟成功率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addictive Behaviors Reports Medicine-Psychiatry and Mental Health

CiteScore

6.80

自引率

0.00%

发文量

审稿时长

71 days

期刊介绍： Addictive Behaviors Reports is an open-access and peer reviewed online-only journal offering an interdisciplinary forum for the publication of research in addictive behaviors. The journal accepts submissions that are scientifically sound on all forms of addictive behavior (alcohol, drugs, gambling, Internet, nicotine and technology) with a primary focus on behavioral and psychosocial research. The emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. We are particularly interested in ''non-traditional'', innovative and empirically oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research. Studies that might encourage new lines of inquiry as well as scholarly commentaries on topical issues, systematic reviews, and mini reviews are also very much encouraged. We also welcome multimedia submissions that incorporate video or audio components to better display methodology or findings.