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Educated but on Social Security Disability Insurance: Minorities' Diminished Returns. 受过教育但参加社会保障残疾保险:少数群体的收益减少。
Journal of biomedical and life sciences Pub Date : 2024-01-01 Epub Date: 2024-11-09 DOI: 10.31586/jbls.2024.1108
Shervin Assari, Babak Najand, Hossein Zare, Amanda Sonnega
{"title":"Educated but on Social Security Disability Insurance: Minorities' Diminished Returns.","authors":"Shervin Assari, Babak Najand, Hossein Zare, Amanda Sonnega","doi":"10.31586/jbls.2024.1108","DOIUrl":"10.31586/jbls.2024.1108","url":null,"abstract":"<p><strong>Background: </strong>Educational attainment is widely regarded as a key predictor of economic and social outcomes in later life, including the likelihood of receiving Social Security Disability Insurance (SSDI). According to the Minorities' Diminished Returns (MDRs) theory, however, the benefits of education may be less pronounced for racial and ethnic minorities compared to non-Latino Whites. This study investigates whether the effects of education on the likelihood of receiving SSDI differ by race and ethnicity, focusing on Black and Latino Americans.</p><p><strong>Objective: </strong>The primary aim of this study was to examine the relationship between educational attainment (measured in years of schooling) and the likelihood of receiving SSDI, with a specific focus on exploring how this relationship varies by race and ethnicity, in line with the MDRs framework.</p><p><strong>Methods: </strong>Data were drawn from the Understanding America Study (UAS), a nationally representative, internet-based panel survey. The sample included Black, Latino, and non-Latino White U.S. adults. Our sample size was 12,975 adults over the age of 18. Logistic regression models were used to assess the association between educational attainment and receiving SSDI, adjusting for demographic variables such as age, sex, employment status, and marital status. Interaction terms between race/ethnicity and educational attainment were included to explore whether the returns on education varied across racial and ethnic groups.</p><p><strong>Results: </strong>Higher educational attainment was significantly associated with a lower likelihood of receiving SSDI in the overall sample. However, consistent with the MDRs framework, the protective effect of education was significantly weaker for both Black and Latino individuals compared to non-Latino Whites. Black and Latino participants with similar levels of education as their non-Latino White counterparts were more likely to receive SSDI, reflecting diminished returns on educational attainment for these groups.</p><p><strong>Conclusion: </strong>This study provides strong evidence supporting the MDRs theory, demonstrating that the protective effects of education on the likelihood of receiving SSDI are not equally distributed across racial and ethnic groups. Black and Latino Americans experience weaker returns on their education when it comes to avoiding SSDI, likely due to structural inequalities and systemic barriers. These findings highlight the need for policies that address not only educational disparities but also the broader societal factors that limit the benefits of education for racial and ethnic minorities.</p>","PeriodicalId":520003,"journal":{"name":"Journal of biomedical and life sciences","volume":"4 2","pages":"81-91"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11600428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142742368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Poverty Status at Birth Predicts Epigenetic Changes at Age 15. 出生时的贫困状况可预测 15 岁时的表观遗传变化。
Journal of biomedical and life sciences Pub Date : 2024-01-01 Epub Date: 2024-07-16 DOI: 10.31586/jbls.2024.989
Shervin Assari, Hossein Zare
{"title":"Poverty Status at Birth Predicts Epigenetic Changes at Age 15.","authors":"Shervin Assari, Hossein Zare","doi":"10.31586/jbls.2024.989","DOIUrl":"10.31586/jbls.2024.989","url":null,"abstract":"<p><p>Epigenetic studies have provided new opportunities to better understand the biological effects of poverty and racial/ethnic minority status. However, little is known about sex differences in these processes.</p><p><strong>Methods: </strong>We used 15 years of follow up of 854 racially and ethnically diverse birth cohort who were followed from birth to age 15. Structural equation modeling (SEM) was used to examine the effects of race/ethnicity, maternal education, and family structure on poverty at birth, as well as the effects of poverty at birth on epigenetic changes at age 15. We also explored variations by sex.</p><p><strong>Results: </strong>Our findings indicate that Black and Latino families had lower maternal education and married family structure which in turn predicted poverty at birth. Poverty at birth then was predictive of epigenetic changes 15 years later when the index child was 15. This suggested that poverty at birth partially mediates the effects of race/ethnicity, maternal education, and family structure on epigenetic changes of youth at age 15. There was an effect of poverty status at birth on DNA methylation of male but not female youth at age 15. Thus, poverty at birth may have a more salient effect on long term epigenetic changes of male than female youth.</p><p><strong>Conclusions: </strong>Further studies are needed to understand the mechanisms underlying the observed sex differences in the effects of poverty as a mechanism that connects race/ethnicity, maternal education, and family structure to epigenetic changes later in life.</p>","PeriodicalId":520003,"journal":{"name":"Journal of biomedical and life sciences","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141862053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Cost of Opportunity: Anti-Black Discrimination in High Resource Settings.
Journal of biomedical and life sciences Pub Date : 2024-01-01 Epub Date: 2024-11-19 DOI: 10.31586/jbls.2024.1128
Shervin Assari, Hossein Zare
{"title":"The Cost of Opportunity: Anti-Black Discrimination in High Resource Settings.","authors":"Shervin Assari, Hossein Zare","doi":"10.31586/jbls.2024.1128","DOIUrl":"https://doi.org/10.31586/jbls.2024.1128","url":null,"abstract":"<p><strong>Objective: </strong>Inequalities exist in children's educational outcomes-including reading proficiency, school discrimination, and school disciplinary actions-across zip codes with different levels of educational childhood opportunity index (COI). This study examines the interaction between race and educational environment on children's educational outcomes. We hypothesize that race, parental education, and their interaction are associated with perceived school discrimination, which in turn reduces their cognitive, academic, and emotional wellbeing. We also hypothesize that Black children with high socioeconomic status (SES) report high perceived school discrimination in high-COI settings.</p><p><strong>Methods: </strong>Data were drawn from the Adolescent Brain Cognitive Development (ABCD) study, which measures a wide range of educational, cognitive, and emotional outcomes. At the same time, the ABCD children are sampled across areas with vast differences in COI rankings, that can be classified into these five categories: very high, high, average, low, and very low educational COIs. Our structural equation models (SEM) tested the additive and interactive effects of race and educational attainment on perceived school discrimination, and the effects of school discrimination on various cognitive abilities (reading proficiency, picture vocabulary, and list sorting working memory), school suspension, as well as depressed mood. Our multi-group SEM assessed how these relationships vary across educational COI levels.</p><p><strong>Results: </strong>Our findings showed that high SES Black children report highest school discrimination in residential areas with highest COIs. This is based on the observation that the interaction between race and parental education on experiences of school discrimination were only significant in areas with highest COI. Across residential areas with different COI levels, students who experienced higher school discrimination had higher suspension, worse depression, and worse cognitive performance.</p><p><strong>Conclusion: </strong>While higher COIs are associated with better academic outcomes, Black-White gaps exist in the role of increased COI through increased racial bias that children perceive. These findings underscore the complexity of educational equity, suggesting that improving COI alone is insufficient for eliminating racial disparities in school experiences. Policies should be in place to reduce school-based discrimination against Black students in high COI settings.</p>","PeriodicalId":520003,"journal":{"name":"Journal of biomedical and life sciences","volume":"4 2","pages":"92-110"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cognitive and Psychological Mediators of the Social Gradient in Tobacco Use Initiation Among Adolescents: Evidence from the ABCD Study. 青少年开始吸烟的社会梯度的认知和心理调节因素:来自 ABCD 研究的证据。
Journal of biomedical and life sciences Pub Date : 2024-01-01 Epub Date: 2024-09-04 DOI: 10.31586/jbls.2024.1035
Shervin Assari, Hossein Zare
{"title":"Cognitive and Psychological Mediators of the Social Gradient in Tobacco Use Initiation Among Adolescents: Evidence from the ABCD Study.","authors":"Shervin Assari, Hossein Zare","doi":"10.31586/jbls.2024.1035","DOIUrl":"10.31586/jbls.2024.1035","url":null,"abstract":"<p><strong>Background: </strong>Tobacco use among adolescents is a significant public health concern, with early initiation leading to long-term health risks. Understanding the factors that contribute to the initiation of tobacco use is crucial for developing effective prevention strategies. This study investigates the roles of substance use harm knowledge and tobacco susceptibility in mediating the relationship between social gradients (race, ethnicity, and socioeconomic status) and tobacco use initiation among adolescents.</p><p><strong>Methods: </strong>Data from the Adolescent Brain Cognitive Development (ABCD) study, comprising a racially, ethnically, and economically diverse sample of tobacco-naive adolescents aged 9 to 16, were analyzed. Structural equation modeling (SEM) was used to test whether substance use harm knowledge and tobacco susceptibility mediate the effects of socioeconomic status (SES) on the initiation of tobacco use.</p><p><strong>Results: </strong>Findings indicated that both substance use harm knowledge and tobacco susceptibility partially mediate the relationship between SES and tobacco use initiation. Adolescents from lower SES backgrounds exhibited lower levels of harm knowledge and higher levels of tobacco susceptibility, which increased their likelihood of initiating tobacco use.</p><p><strong>Conclusion: </strong>This study highlights the complex interplay between social determinants and individual cognitive and psychological factors in influencing tobacco use initiation among adolescents. Public health interventions that enhance harm knowledge and reduce susceptibility to tobacco use are crucial for preventing initiation, particularly among racially, ethnically, and economically diverse adolescents. These efforts can help reduce health disparities and promote health equity.</p>","PeriodicalId":520003,"journal":{"name":"Journal of biomedical and life sciences","volume":"4 1","pages":"36-46"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11449119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adversities Mediate Social Determinants of Youth Tobacco Use Initiation. 逆境是青少年开始吸烟的社会决定因素。
Journal of biomedical and life sciences Pub Date : 2024-01-01 Epub Date: 2024-08-29 DOI: 10.31586/jbls.2024.1039
Shervin Assari, Payam Sheikhattari, Hossein Zare
{"title":"Adversities Mediate Social Determinants of Youth Tobacco Use Initiation.","authors":"Shervin Assari, Payam Sheikhattari, Hossein Zare","doi":"10.31586/jbls.2024.1039","DOIUrl":"https://doi.org/10.31586/jbls.2024.1039","url":null,"abstract":"<p><strong>Background: </strong>Social determinants of health (SDOH) significantly influence health behaviors, including tobacco use among youth. Adversities such as perceived discrimination, perceived neighborhood stress, life trauma, and financial strain are stressors that may mediate the relationship between various SDOH and youth tobacco use. This study aims to investigate whether multidimensional adversities mediate the effects of SDOH on tobacco use among youth.</p><p><strong>Methods: </strong>Data from the Adolescent Brain Cognitive Development (ABCD) study were used to test our hypotheses. The sample included a diverse cohort of youth aged 9-10 years old followed until they were 15-16 years old. We examined the effects of baseline parental education, household income, neighborhood income, and family structure on subsequent youth tobacco use. Structural equation models were used to test if adversities (perceived discrimination, life trauma, financial strain) operate as potential mediators.</p><p><strong>Results: </strong>All ABCD participants were eligible for our analysis, regardless of race, ethnicity, or SDOHs (n = 11,878). The findings indicated that the effects of parental education, household income, neighborhood income, and family structure on youth tobacco use were partially mediated by adversities. Higher levels of parental education and household income were associated with lower tobacco use, and this relationship was weakened when accounting for adversities. Similarly, stable family structures and higher neighborhood income were linked to reduced tobacco use, with adversities playing a mediating role.</p><p><strong>Conclusions: </strong>Multidimensional adversities partially mediate the relationship between SDOH at baseline and subsequent youth tobacco use. Interventions aimed at reducing youth tobacco use should address both the social determinants and multiple adversities experienced by adolescents. Policies to improve the educational and economic situations of families, enhance neighborhood environments, and support stable family structures all reduce youth tobacco use, with lower exposure to adversities explaining this effect.</p>","PeriodicalId":520003,"journal":{"name":"Journal of biomedical and life sciences","volume":"4 1","pages":"15-26"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11411912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142306132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does Adulthood Socioeconomic Status Predict Subsequent Telomere Length in Racially and Ethnically Diverse Women? 成年后的社会经济地位能否预测不同种族和族裔妇女的后续端粒长度?
Journal of biomedical and life sciences Pub Date : 2024-01-01 Epub Date: 2024-09-10 DOI: 10.31586/jbls.2024.1023
Shervin Assari, Mohammad Dezfuli, Amirreza Peyrovinasab, Hossein Zare
{"title":"Does Adulthood Socioeconomic Status Predict Subsequent Telomere Length in Racially and Ethnically Diverse Women?","authors":"Shervin Assari, Mohammad Dezfuli, Amirreza Peyrovinasab, Hossein Zare","doi":"10.31586/jbls.2024.1023","DOIUrl":"https://doi.org/10.31586/jbls.2024.1023","url":null,"abstract":"<p><strong>Background: </strong>Telomere length is a critical biomarker of cellular aging and overall health. While childhood socioeconomic status (SES) indicators such as education and poverty can have long-lasting effects on biological aging, research has shown contradictory results regarding the impact of adulthood SES on future telomere length, particularly in racially and ethnically diverse individuals. This study investigates the effects of baseline adulthood SES indicators such as education and poverty on telomere length nine years later in women, using data from the Future of Families and Child Wellbeing Study (FFCWS).</p><p><strong>Methods: </strong>We analyzed data from the FFCWS, a longitudinal cohort study. The sample included baseline adulthood SES and follow-up telomere length measure of women (n = 2,421) with varying socioeconomic conditions. Telomere length was measured from saliva samples nine years after the baseline measure of adulthood SES. Education, poverty, and marital status at baseline were assessed. Multivariate linear regression models were used to examine the association between adulthood SES indicators at baseline and future telomere length, controlling for potential confounders.</p><p><strong>Results: </strong>From the total 2,421 women, 675 were Latino White, 1,158 were non-Latino Black, and 588 were non-Latino White. Our findings indicate that for non-Latino White women poverty at certain level, and childbirth weight, and for non-Latino Black maternal age were predictors of telomere lengths nine years later.</p><p><strong>Conclusion: </strong>Poverty at a specific level, maternal age and childbirth weight serve as predictors of telomere lengths nine years later in some women. These findings underscore the importance of socioeconomic factors and early-life influences in understanding telomere dynamics and aging processes among women from varied racial and ethnic backgrounds.</p>","PeriodicalId":520003,"journal":{"name":"Journal of biomedical and life sciences","volume":"4 1","pages":"47-59"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11457278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142396905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social Epidemiology of Early Initiation of Electronic and Conventional Cigarette Use in Early to Middle Adolescents. 早中期青少年早期开始使用电子烟和传统香烟的社会流行病学。
Journal of biomedical and life sciences Pub Date : 2024-01-01 Epub Date: 2024-09-04 DOI: 10.31586/jbls.2024.1038
Shervin Assari, Hossein Zare, Payam Sheikhattari
{"title":"Social Epidemiology of Early Initiation of Electronic and Conventional Cigarette Use in Early to Middle Adolescents.","authors":"Shervin Assari, Hossein Zare, Payam Sheikhattari","doi":"10.31586/jbls.2024.1038","DOIUrl":"10.31586/jbls.2024.1038","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Early initiation of tobacco use among adolescents is a significant public health concern. While there is extensive research on overall tobacco use, much of it focuses on initiation in late adolescence, uses cross-sectional designs, and lacks specific exploration of electronic versus conventional cigarette use. This study aims to investigate social determinants influencing the early initiation of electronic and conventional cigarette use among U.S. adolescents.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We utilized data from the Adolescent Brain Cognitive Development (ABCD) study, which follows a cohort of tobacco-naïve children from age nine through age 16. The social determinants examined included household income, parental education, financial difficulties, racial/ethnic minority status, family structure, neighborhood income, and gender minority status. Structural equation models were employed to assess associations between these determinants and early initiation of electronic and conventional cigarette use.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Male gender was associated with a higher likelihood of conventional cigarette use, while the risk of early initiation of electronic cigarette use was similar across genders. White adolescents were at a higher risk of conventional cigarette use; however, the risk for electronic cigarette use was comparable across White and non-White groups. Financial difficulties were linked to an increased likelihood of early initiation of conventional cigarette use but not electronic cigarette use. Higher household income was associated with a reduced risk of initiating conventional cigarettes but did not significantly impact electronic cigarette use. Adolescents from married families were less likely to initiate electronic cigarette use. No significant effects were found for parental education or neighborhood income on the initiation of either type of cigarette use. Age did not significantly affect the initiation of either cigarette type, and gender minority status was marginally associated with early initiation of conventional cigarette use.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The social patterning of electronic cigarette use differs from that of conventional cigarette use, suggesting that distinct tobacco products do not pose a uniform risk across all adolescents. This study underscores the importance of tailored prevention efforts that address the unique challenges associated with early initiation of electronic and conventional cigarette use among adolescents. The differential risk factors identified suggest targeted prevention strategies for conventional cigarette use, focusing on financial difficulties, household income, and gender-specific interventions. In contrast, prevention efforts for electronic cigarette use may require broader, more inclusive approaches that address all adolescents, regardless of their background. Comprehensive universal screening for electronic cigarette use and targeted s","PeriodicalId":520003,"journal":{"name":"Journal of biomedical and life sciences","volume":"4 1","pages":"27-35"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11449149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social Determinants of Successful Smoking Cessation: An Eight-Year Analysis of Population Assessment of Tobacco and Health (PATH) Data. 成功戒烟的社会决定因素:烟草与健康人口评估(PATH)数据八年分析》。
Journal of biomedical and life sciences Pub Date : 2024-01-01 Epub Date: 2024-10-30 DOI: 10.31586/jbls.2024.1070
Shervin Assari, Payam Sheikhattari
{"title":"Social Determinants of Successful Smoking Cessation: An Eight-Year Analysis of Population Assessment of Tobacco and Health (PATH) Data.","authors":"Shervin Assari, Payam Sheikhattari","doi":"10.31586/jbls.2024.1070","DOIUrl":"10.31586/jbls.2024.1070","url":null,"abstract":"<p><strong>Background: </strong>Smoking cessation is a crucial public health goal due to its substantial impact on reducing the morbidity and mortality associated with tobacco use. However, significant disparities in smoking cessation success persist across socioeconomic groups in the United States.</p><p><strong>Objectives: </strong>This study aimed to examine differences in smoking cessation rates among daily smokers based on race, ethnicity, and socioeconomic status (SES) using data from the Population Assessment of Tobacco and Health (PATH) study, spanning waves 1 to 6 (eight years).</p><p><strong>Methods: </strong>Longitudinal data from PATH were analyzed, focusing on baseline daily cigarette smokers followed over an eight-year period to assess cessation outcomes. SES was measured by education and poverty status. Successful smoking cessation was defined as sustained abstinence from cigarettes for 12 months or more at the final wave. Logistic regression models identified predictors of successful cessation, adjusting for potential confounders, including age, nicotine dependence, and access to cessation resources.</p><p><strong>Results: </strong>The analysis revealed significant disparities in cessation success across racial, ethnic, and SES groups. Smokers living in poverty and those with lower educational attainment were less likely to achieve cessation success than their counterparts. Race (Black) and ethnicity (Latino) were also significantly associated with lower cessation success.</p><p><strong>Conclusions: </strong>This study highlights the social determinants of smoking cessation success among U.S. adult smokers, with lower success rates observed among those in poverty and with less educational attainment. These findings emphasize the need for targeted interventions that address the unique barriers to cessation faced by low-SES groups. Public health strategies should prioritize equitable access to cessation resources and culturally tailored interventions to reduce these disparities and improve cessation outcomes among all smokers.</p>","PeriodicalId":520003,"journal":{"name":"Journal of biomedical and life sciences","volume":"4 2","pages":"60-70"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11563164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In-Person versus Virtual CEASE Smoking Cessation Interventions. 面对面与虚拟 CEASE 戒烟干预。
Journal of biomedical and life sciences Pub Date : 2024-01-01 Epub Date: 2024-11-04 DOI: 10.31586/jbls.2024.1107
Payam Sheikhattari, Rifath Ara Alam Barsha, Chidubem Egboluche, Adriana Foster, Shervin Assari
{"title":"In-Person versus Virtual CEASE Smoking Cessation Interventions.","authors":"Payam Sheikhattari, Rifath Ara Alam Barsha, Chidubem Egboluche, Adriana Foster, Shervin Assari","doi":"10.31586/jbls.2024.1107","DOIUrl":"10.31586/jbls.2024.1107","url":null,"abstract":"<p><strong>Background: </strong>Smoking cessation interventions are critical for underserved populations, particularly among low-income individuals who may benefit from tailored support. However, the effectiveness of different intervention formats remains unclear, particularly as virtual and hybrid models gain popularity.</p><p><strong>Aims: </strong>This study compares the effectiveness of three smoking cessation intervention arms in a quasi-experimental design: Self-help group (Arm 1), In-person group (Arm 2), and Virtual/hybrid group (Arm 3). The primary outcome was the rate of successful quit across these different intervention modalities.</p><p><strong>Methods: </strong>The study utilized a community-based intervention approach, controlling for potential confounders. The communities were randomized, and this process was blinded. The effectiveness of the In-person group and the Virtual/hybrid group was compared to the Self-help group. The odds ratio (OR) for successful quit rates was calculated for each group, with corresponding 95% confidence intervals (CIs).</p><p><strong>Results: </strong>Participants included 50.4% of women, 82.8% were Black Americans, 11.6% Whites, and 3.4% other races. In-person group (Arm 2) showed a higher rate of successful quit compared to the Self-help group (OR = 2.67, 95% CI = 1.05, 6.79). Virtual/hybrid group (Arm 3) was not associated with a significantly higher quit rate compared to the Self-help group (OR = 1.48, 95% CI = 0.57, 3.83).</p><p><strong>Conclusion: </strong>The In-person group, which utilizes the CEASE curriculum and incorporates peer motivation, proved to be significantly more effective than both the Self-help and Virtual/hybrid groups. The findings suggest that low-income, underserved smokers may not be fully prepared to benefit from virtual interventions, or the current curriculum may need adaptation to better serve their needs in a virtual format.</p>","PeriodicalId":520003,"journal":{"name":"Journal of biomedical and life sciences","volume":"4 2","pages":"71-80"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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