Correlates of nicotine patch adherence in daily life

IF 3.9 2区 医学 Q1 PSYCHIATRY
Lindsey N. Potter , Dusti R. Jones , David B. Braudt , Inbal Nahum-Shani , Cho Y. Lam , Christopher Fagundes , David W. Wetter
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引用次数: 0

Abstract

Background

African Americans who smoke are disproportionately affected by the health consequences of smoking. Nicotine replacement therapy (NRT) is effective for helping people successfully quit, yet there are well-documented issues with nicotine patch adherence. This study aimed to examine the real-time associations of risk factors for patch non-adherence [lapse, motivation, self-efficacy, urge, cigarette availability] with patch adherence in a sample of African Americans who smoke and are attempting to quit.

Methods

Participants were 239 African American adults, 50 % female, and ages 18–74. Ecological momentary assessment was used to assess patch use and risk factors. Multilevel modeling for binary outcomes was used to test concurrent and lagged associations between risk factors and patch use.

Results

Lapse at a previous assessment (OR=0.61, 95 % CI: 0.42, 0.88), and urge (OR=0.77, 95 % CI: 0.66, 0.89) and cigarette availability (OR=0.84, 95 % CI: 0.71, 0.99) at concurrent assessments were associated with lower likelihood of patch use. Concurrent motivation (OR=1.28, 95 % CI: 1.05, 1.55) and self-efficacy (OR=1.31, 95 % CI: 1.06, 1.62) were associated with greater likelihood of patch use. There were no significant lagged associations between motivation, self-efficacy, urge, or cigarette availability with patch use.

Discussion

It is critical to examine correlates of non-adherence among African Americans who smoke because they are less likely to quit and are disproportionately impacted by the health consequences of tobacco use. The results suggest that interventions might focus on promoting patch adherence at certain times (e.g., when cigarettes are available) and/or leveraging the benefits of protective factors (e.g., motivation and self-efficacy).
日常生活中坚持使用尼古丁贴片的相关因素。
背景:吸烟的非裔美国人受到吸烟对健康造成的影响尤为严重。尼古丁替代疗法(NRT)能有效帮助人们成功戒烟,但尼古丁贴片的依从性问题却有据可查。本研究的目的是以正在尝试戒烟的非裔美国人为样本,研究戒烟贴片不依从的风险因素(失效、动机、自我效能、冲动、香烟供应)与戒烟贴片依从性的实时关联:参与者为 239 名非洲裔美国成年人,50% 为女性,年龄在 18-74 岁之间。生态瞬间评估用于评估贴片的使用和风险因素。采用二元结果的多层次模型来检验风险因素与贴片使用之间的并发和滞后关联:上一次评估中的失效(OR=0.61,95 % CI:0.42, 0.88)、同时评估中的冲动(OR=0.77,95 % CI:0.66, 0.89)和香烟供应(OR=0.84,95 % CI:0.71, 0.99)与使用贴片的可能性较低有关。同时进行的动机(OR=1.28,95 % CI:1.05, 1.55)和自我效能(OR=1.31,95 % CI:1.06, 1.62)与使用贴片的可能性增加有关。使用贴片的动机、自我效能、冲动或香烟供应之间没有明显的滞后关系:研究吸烟的非裔美国人不坚持戒烟的相关因素至关重要,因为他们戒烟的可能性较低,而且烟草使用对他们的健康造成的影响尤为严重。研究结果表明,干预措施可侧重于在特定时间(如有香烟时)促进贴片的依从性和/或利用保护因素(如动机和自我效能)的益处。
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来源期刊
Drug and alcohol dependence
Drug and alcohol dependence 医学-精神病学
CiteScore
7.40
自引率
7.10%
发文量
409
审稿时长
41 days
期刊介绍: Drug and Alcohol Dependence is an international journal devoted to publishing original research, scholarly reviews, commentaries, and policy analyses in the area of drug, alcohol and tobacco use and dependence. Articles range from studies of the chemistry of substances of abuse, their actions at molecular and cellular sites, in vitro and in vivo investigations of their biochemical, pharmacological and behavioural actions, laboratory-based and clinical research in humans, substance abuse treatment and prevention research, and studies employing methods from epidemiology, sociology, and economics.
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