Perceived cessation treatment effectiveness, medication preferences, and barriers to quitting among light and moderate/heavy homeless smokers

被引:15
作者
Nguyen, Minh-Anh H. [1 ]
Reitzel, Lorraine R. [2 ]
Kendzor, Darla E. [3 ,4 ]
Businelle, Michael S. [3 ,4 ]
机构
[1] Univ Houston, Dept Biol & Biochem, Coll Nat Sci & Math, Houston, TX 77204 USA
[2] Univ Houston, Coll Educ, Dept Psychol Hlth & Learning Sci, Houston, TX 77204 USA
[3] Univ Texas Hlth Sci Ctr, Sch Publ Hlth, Dallas, TX 75390 USA
[4] UT Southwestern Harold C Simmons Comprehens Canc, Populat Sci & Canc Control Program, Dallas, TX 75390 USA
关键词
Homeless smokers; Smoking level; Treatment effectiveness; Quitting barriers; Light daily smoking; Medication preferences; SMOKING-CESSATION; CIGARETTE-SMOKING; CLINICAL-TRIAL; UNITED-STATES; PILOT; SAMPLE; ADULTS; INTERMITTENT; POPULATION; DEPENDENCE;
D O I
10.1016/j.drugalcdep.2015.05.039
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Introduction: Homeless individuals smoke at disproportionately high rates and quit at disproportionately low rates relative to domiciled smokers. Targeted research is needed to inform future interventions. Socio-demographic characteristics of homeless adults suggest that light smoking may be prevalent, and the relation between smoking level and treatment-related preferences/needs is unknown. The current study addressed these gaps in a sample of homeless smokers. Methods: Participants (N= 237) were homeless adult daily light (1-10 cigarettes per day) and moderate/heavy (>10 cigarettes per day) smokers recruited from a single shelter that offered cessation treatment. Survey items assessed perceived treatment effectiveness, pharmacological intervention preferences, and barriers to quitting smoking. Logistic regressions were used to assess differences in treatment-related factors by smoking level. Results: The prevalence of light smoking (44.7%) was higher than in previously studied samples of domiciled smokers. Relative to moderate/heavy smokers, light smokers smoked for fewer years, had more quit attempts in the last year, and were more likely to smoke menthol cigarettes. They were less likely to believe that medications would give them the greatest chance of quitting and more likely to believe that group counseling would be helpful. Light smokers did not differ from moderate/heavy smokers on specific pharmacological intervention preferences or on perceived barriers to quitting smoking, including craving. Conclusions: The promotion of pharmacotherapy to address cravings may be necessary for light smokers, who represent a sizeable proportion of homeless smokers and who may make apt intervention targets given their higher rates of purposeful quit attempts relative to heavier smoking counterparts. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:341 / 345
页数:5
相关论文
共 39 条
[1]   Smoking behavior and interest in quitting among homeless smokers [J].
Arnsten, JH ;
Reid, K ;
Bierer, M ;
Rigotti, N .
ADDICTIVE BEHAVIORS, 2004, 29 (06) :1155-1161
[2]   Homelessness, cigarette smoking and desire to quit: results from a US national study [J].
Baggett, Travis P. ;
Lebrun-Harris, Lydie A. ;
Rigotti, Nancy A. .
ADDICTION, 2013, 108 (11) :2009-2018
[3]   Tobacco Use among Homeless People - Addressing the Neglected Addiction [J].
Baggett, Travis P. ;
Tobey, Matthew L. ;
Rigotti, Nancy A. .
NEW ENGLAND JOURNAL OF MEDICINE, 2013, 369 (03) :201-204
[4]   Cigarette Smoking and Advice to Quit in a National Sample of Homeless Adults [J].
Baggett, Travis P. ;
Rigotti, Nancy A. .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2010, 39 (02) :164-172
[5]   Smoking policy change at a homeless shelter: Attitudes and effects [J].
Businelle, Michael S. ;
Poonawalla, Insiya B. ;
Kendzor, Darla E. ;
Rios, Debra M. ;
Cuate, Erica L. ;
Savoy, Elaine J. ;
Ma, Ping ;
Baggett, Travis P. ;
Reingle, Jennifer ;
Reitzel, Lorraine R. .
ADDICTIVE BEHAVIORS, 2015, 40 :51-56
[6]   Predicting Quit Attempts Among Homeless Smokers Seeking Cessation Treatment: An Ecological Momentary Assessment Study [J].
Businelle, Michael S. ;
Ma, Ping ;
Kendzor, Darla E. ;
Reitzel, Lorraine R. ;
Chen, Minxing ;
Lam, Cho Y. ;
Bernstein, Ira ;
Wetter, David W. .
NICOTINE & TOBACCO RESEARCH, 2014, 16 (10) :1371-1378
[7]   Small financial incentives increase smoking cessation in homeless smokers: A pilot study [J].
Businelle, Michael S. ;
Kendzor, Darla E. ;
Kesh, Anshula ;
Cuate, Erica L. ;
Poonawalla, Insiya B. ;
Reitzel, Lorraine R. ;
Okuyemi, Kolawole S. ;
Wetter, David W. .
ADDICTIVE BEHAVIORS, 2014, 39 (03) :717-720
[8]   Comparing Homeless Smokers to Economically Disadvantaged Domiciled Smokers [J].
Businelle, Michael S. ;
Cuate, Erica L. ;
Kesh, Anshula ;
Poonawalla, Insiya B. ;
Kendzor, Darla E. .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2013, 103 :S218-S221
[9]   Light versus heavy smoking among African American men and women [J].
Businelle, Michael S. ;
Kendzor, Darla E. ;
Costello, Tracy J. ;
Cofta-Woerpel, Ludmila ;
Li, Yisheng ;
Mazas, Carlos A. ;
Vidrine, Jennifer Irvin ;
Reitzel, Lorraine R. ;
Cinciripini, Paul M. ;
Ahluwalia, Jasjit S. ;
Wetter, David W. .
ADDICTIVE BEHAVIORS, 2009, 34 (02) :197-203
[10]  
C enters for Disease Control and Prevention, 2013, BEH RISK FACT SURV S