Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, 77230, USA.
Am J Prev Med. 2011 Jul;41(1):84-7. doi: 10.1016/j.amepre.2011.03.003.
Recent cross-sectional evidence suggests that the effect of depression on smoking prevalence and quit ratios differs by race/ethnicity.
This study prospectively examined the main and interactive effects of race/ethnicity and depressive symptoms on smoking cessation during a specific quit attempt among smokers receiving cessation treatment.
Data from a longitudinal study of smokers in treatment were examined using continuation ratio logit modeling. Continuous abstinence across Weeks 1, 2, and 4 post-quit was the outcome variable. Data were collected between March 2005 and November 2007, and the current study analyses were conducted in April 2010.
Depressive symptoms predicted significantly lower cessation rates for whites and African Americans. In contrast, among Latinos there was no relationship between depression and cessation.
This research is the first to prospectively demonstrate a racially/ethnically differentiated effect of depressive symptoms on smoking cessation, and it has implications for targeted smoking-cessation treatments as it indicates that depression may not be a key treatment target for Latinos.
最近的横断面研究结果表明，抑郁对吸烟率和戒烟率的影响因种族/民族而异。
本研究前瞻性地检验了种族/民族和抑郁症状对接受戒烟治疗的吸烟者在特定戒烟尝试期间戒烟的主要和交互作用。
使用连续比例对数模型对接受治疗的吸烟者的纵向研究数据进行了分析。连续 abstinence 是指在戒烟后的第 1、2 和 4 周内的结果变量。数据收集于 2005 年 3 月至 2007 年 11 月，本研究的分析于 2010 年 4 月进行。
抑郁症状显著预测白人吸烟者和非裔美国吸烟者的戒烟率降低。相比之下，在拉丁裔中，抑郁与戒烟之间没有关系。
这项研究首次前瞻性地证明了抑郁症状对戒烟的种族/民族差异影响，这对有针对性的戒烟治疗具有重要意义，因为它表明抑郁可能不是拉丁裔的关键治疗目标。
