Intersectional discrimination acutely and vicariously affects cessation outcomes and psychological processes between same-sex couples during a tobacco quit attempt

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-07-03 DOI:10.1016/j.addbeh.2025.108425

Jimi Huh, Lucy Schuler, Ryan Lee, Raina D. Pang, Matthew Kirkpatrick

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引用次数: 0

Abstract

Introduction

Smoking-concordant, same-sex couples face multilevel contextual challenges in their cessation attempts. Cross-sectional studies have documented positive association between perceived discrimination (PD) and smoking to explain the differences between heterosexual/cisgender and LGBTQ + groups. However, acute effects of PD or intersectional PD on cessation outcomes are rarely studied, especially in the context of romantic couples who share concordant smoking status. In this study, we focused on cessation-related outcomes among same-sex/same-gender, smoking concordant couples during an unaided quit attempt and examined the acute and vicarious effects of PD and intersectional PD captured via 4-week daily assessments.

Methods

In 2021–2023, same-sex/same-gender couples (N = 103 dyads, aged 21–68, 48.5 % female couples) responded to daily assessments on smartphone at the end of the day during a 4-week smoking quit attempt. Participants reported the occurrence of PD and intersectional PD, cigarettes and other substances used that day, perceived quit stress, and quit support. Multilevel dyadic analyses were conducted to examine four cessation-related outcomes: (1) likelihood of cigarette smoking; (2) likelihood of co-using multiple substances; (3) quit stress; and (4) quit support.

Results

Participants’ own PD was associated with greater likelihood of smoking (p = 0.04), greater quit stress (p < 0.001) and lower quit support (p = 0.007), but not with co-using. PD experienced by one’s partner was acutely associated with increased smoking (p = 0.01) and lower quit support (p < 0.05). Intersectional PD acutely and vicariously was associated with quit stress and quit support (p’s < 0.01), but not with likelihood of cigarette smoking or co-using.

Discussion

We found that experiencing discrimination acutely leads to increased likelihood of smoking during a quit attempt among same-sex/same-gender smoking status concordant couples. We also documented adverse, vicarious effects of discrimination on quit-related process variables. Our findings suggest that coping strategies upon experiencing a discriminatory event may include smoking cigarettes, in part via the depletion of support received from one’s romantic partner.

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交叉歧视严重和间接地影响戒烟结果和同性伴侣在戒烟过程中的心理过程

吸烟和谐的同性伴侣在戒烟尝试中面临多层次的环境挑战。横断面研究证明了感知歧视（PD）与吸烟之间的正相关，以解释异性恋/顺性恋和LGBTQ +群体之间的差异。然而，PD或交叉性PD对戒烟结果的急性影响很少被研究，特别是在共同吸烟的浪漫伴侣的背景下。在这项研究中，我们关注了同性/同性、吸烟一致的夫妇在独立戒烟过程中的戒烟相关结果，并通过为期4周的每日评估，检查了PD和交叉PD的急性和替代影响。方法2021-2023年，在为期4周的戒烟尝试中，同性/同性伴侣（N = 103对，年龄21-68岁，48.5%为女性）每天结束时通过智能手机进行评估。参与者报告了PD和交叉PD的发生，当天使用的香烟和其他物质，感知到的戒烟压力和戒烟支持。采用多水平二元分析来检验四种与戒烟相关的结果：(1)吸烟的可能性；(2)多种物质共同使用的可能性；(3)戒除压力；(4)退出支持。结果参与者自身的PD与吸烟的可能性较大（p = 0.04）、戒烟压力较大(p <；0.001)和较低的戒烟支持（p = 0.007），但与共同使用无关。伴侣所经历的PD与吸烟增加（p = 0.01）和戒烟支持降低(p <；0.05)。交叉性PD急性和间接地与戒烟压力和戒烟支持相关(p 's <；0.01)，但与吸烟或共同使用的可能性无关。讨论我们发现，在同性/同性吸烟状况一致的夫妇中，经历歧视严重导致戒烟期间吸烟的可能性增加。我们还记录了歧视对辞职相关过程变量的不利、间接影响。我们的研究结果表明，在经历歧视事件后，应对策略可能包括吸烟，部分原因是失去了恋人的支持。

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 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, 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. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest 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.