Department of Psychology, University of Houston, Houston, TX, USA; Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA; HEALTH Institute, University of Houston, Houston, TX, USA.
Department of Psychology, University of Houston, Houston, TX, USA.
Addict Behav. 2019 Mar;90:55-61. doi: 10.1016/j.addbeh.2018.10.022. Epub 2018 Oct 19.
Despite the documented health disparities for smoking among the Latinx population, there is limited understanding of transdiagnostic constructs that may help explain smoking among Spanish-speaking Latinx smokers. The present study examined one promising transdiagnostic factor, anxiety sensitivity (fear of anxiety and related sensations), in relation to cigarette dependence, perceived barriers for quitting, and severity of problems experienced when trying to quit among a large sample of Latinx smokers. Participants were 367 Spanish-speaking Latinx daily smokers (59.1% female, M = 33.20 years, SD = 11.81). As hypothesized, anxiety sensitivity was significantly related to the severity of cigarette dependence, perceived barriers for quitting, and problems when trying to quit. Inspection of the lower-order dimensions of anxiety sensitivity indicated that Physical Concerns was significantly related to cigarette dependence whereas Cognitive Concerns was associated with greater perceived barriers for quitting and severity of problems experienced during past quit attempts. The present study provides novel empirical evidence that anxiety sensitivity is related to a moderate, yet clinically meaningful, proportion of the variance in cigarette dependence, perceived barriers for quitting, and problems experienced during quit attempts. These findings underscore the value of examining anxiety sensitivity among Latinx smokers and focusing greater attention on this construct in efforts to reduce or quit smoking among this population.
尽管有文献记载拉丁裔人群吸烟存在健康差异,但对于可能有助于解释西班牙语裔拉丁裔吸烟者吸烟的跨诊断结构的理解有限。本研究考察了一个有前途的跨诊断因素,即焦虑敏感性(对焦虑和相关感觉的恐惧),与吸烟依赖、戒烟障碍以及戒烟尝试中经历的问题严重程度之间的关系,研究对象是一个大型拉丁裔吸烟者样本。参与者为 367 名讲西班牙语的拉丁裔每日吸烟者(59.1%为女性,M=33.20 岁,SD=11.81)。正如假设的那样,焦虑敏感性与吸烟依赖的严重程度、戒烟障碍以及戒烟尝试中经历的问题显著相关。对焦虑敏感性的较低阶维度的检验表明,身体关注与吸烟依赖显著相关,而认知关注与戒烟障碍更大以及过去戒烟尝试中经历的问题严重程度相关。本研究提供了新的实证证据,表明焦虑敏感性与吸烟依赖、戒烟障碍以及戒烟尝试中经历的问题的中等但具有临床意义的比例的变异性有关。这些发现强调了在拉丁裔吸烟者中检查焦虑敏感性的价值,并在减少或戒烟方面更加关注这一结构。