女退伍军人的道德伤害与香烟需求：使用假设购买任务的行为经济学调查。

IF 4.3 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine Pub Date : 2024-11-01 DOI:10.1016/j.ypmed.2024.108036

Justin T. McDaniel , Ryan Redner , Jolie N. Haun , Patrick McCowen , Stephen T. Higgins

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引用次数: 0

摘要

目的：与美国普通人群不同，退伍女性（相对于退伍男性）的吸烟率更高；然而，人们对影响退伍女性吸烟的因素知之甚少。本研究的目的是开始研究一种被称为道德伤害的心理概念与退伍妇女对香烟需求之间的关系：这项横断面研究于 2023 年 6 月至 7 月间从亚马逊 MTurk、Reddit 和一家为退伍军人服务的非营利组织招募了吸烟的退伍女性（n = 44）。获得同意的参与者在完成香烟购买任务（CPT）、法格斯托姆尼古丁依赖测试（FTND）和军事版道德伤害症状量表（MISS-M-SF）后可获得 2 美元。我们研究了五项 CPT 需求指数，并计算了按精神伤害严重程度分层（即可能与不可能）的修正指数需求模型：结果：可能受到精神伤害的女性对吸烟的相对强化价值（RRV）明显高于不可能受到精神伤害的女性（F1，920 = 9.16，P = 0.003）。与不可能受到精神伤害的女性相比，可能受到精神伤害的女性在 0 元（即 Q0）时的平均吸烟量高出 48.56%（M = 22.24 vs. M = 13.55）（p = 0.04，Hedge's g = 0.74）。在这两个人群中，FTND 分数与 Pmax（即需求弹性点）和 Omax（即最大支出）值有明显相关性（rs = 0.42-0.68, ps 结论：我们提供的初步证据表明，在精神受伤的退伍女性中，吸烟的 RRV 相对较高。需要继续研究以完善这种关系的特征。

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Moral injury among women military veterans and demand for cigarettes: A behavioral economic investigation using a hypothetical purchase task

Objectives

Unlike the United States general population, veteran women – as opposed to veteran men – have greater smoking prevalence; yet, little is known regarding factors that influence smoking in veteran women. The purpose of this study was to begin examining the relationship between a psychological concept known as moral injury and demand for cigarettes among veteran women.

Methods

Veteran women who smoke (n = 44) were recruited for this cross-sectional study from Amazon MTurk, Reddit, and a veteran-serving non-profit organization in June–July 2023. Consenting participants received $2 for completing the cigarette purchase task (CPT), Fagerstrom Test for Nicotine Dependence (FTND), and the military version of the Moral Injury Symptom Scale (MISS-M-SF). We examined five CPT demand indices and calculated a modified exponential demand model stratified by moral injury severity status (i.e., probable vs. unlikely).

Results

Probable morally injured women exhibited significantly higher relative reinforcing value (RRV) for smoking than unlikely morally injured women (F_{1, 920} = 9.16, p = 0.003). Average cigarette consumption at $0 (i.e., Q₀) was 48.56% higher (M = 22.24 vs. M = 13.55) in probable compared to unlikely morally injured women (p = 0.04, Hedge's g = 0.74). FTND scores were significantly correlated with P_max (i.e., demand elasticity point) and O_max (i.e., maximum expenditure) values in both populations (rs = 0.42–0.68, ps < 0.05).

Conclusions

We provide preliminary evidence of the relatively high RRV of smoking in morally injured veteran women. Continued research is needed to refine the characterization of this relationship.

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来源期刊

Preventive medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.70

自引率

3.90%

发文量

审稿时长

42 days

期刊介绍： Founded in 1972 by Ernst Wynder, Preventive Medicine is an international scholarly journal that provides prompt publication of original articles on the science and practice of disease prevention, health promotion, and public health policymaking. Preventive Medicine aims to reward innovation. It will favor insightful observational studies, thoughtful explorations of health data, unsuspected new angles for existing hypotheses, robust randomized controlled trials, and impartial systematic reviews. Preventive Medicine''s ultimate goal is to publish research that will have an impact on the work of practitioners of disease prevention and health promotion, as well as of related disciplines.