Garey Lorra, Reitzel Lorraine R, Kendzor Darla E, Businelle Michael S
University of Houston, TX, USA.
University of Houston, TX, USA
Behav Modif. 2016 Jan;40(1-2):303-24. doi: 10.1177/0145445515612396. Epub 2015 Nov 2.
Homeless individuals smoke at high rates relative to the general population and are at heightened risk of tobacco-related illnesses and poor health-related quality of life (HRQoL). Homeless smokers also report low subjective social status (SSS) or perceived social standing relative to others. SSS may contribute to poor HRQoL, potentially through perceived stress. The current study examined the role of perceived stress in the association of SSS and HRQoL among 227 (70.9% male, Mage = 43.2) homeless smokers. Participants completed self-report measures of SSS, perceived stress, and HRQoL. Perceived stress partially explained the relation between SSS (United States and Community) and HRQoL in covariate-adjusted analyses. Results suggested that perceived stress is a pathway through which SSS contributes to HRQoL among homeless smokers. Findings broaden current understanding of the impact of social disadvantage and perceived stress on HRQoL among homeless smokers.
与普通人群相比，无家可归者的吸烟率很高，并且患烟草相关疾病以及健康相关生活质量（HRQoL）较差的风险更高。无家可归的吸烟者还报告称，相对于其他人，他们的主观社会地位（SSS）或感知到的社会地位较低。SSS可能会导致较差的HRQoL，这可能是通过感知到的压力实现的。本研究调查了227名（70.9%为男性，平均年龄43.2岁）无家可归吸烟者中，感知到的压力在SSS与HRQoL关联中的作用。参与者完成了关于SSS、感知到的压力和HRQoL的自我报告测量。在协变量调整分析中，感知到的压力部分解释了SSS（美国和社区）与HRQoL之间的关系。结果表明，感知到的压力是SSS影响无家可归吸烟者HRQoL的一条途径。研究结果拓宽了当前对社会劣势和感知到的压力对无家可归吸烟者HRQoL影响的理解。
