Department of Psychology, University of Houston, Houston, Texas, USA.
Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Subst Use Misuse. 2020;55(7):1086-1096. doi: 10.1080/10826084.2020.1729195. Epub 2020 Mar 5.
Although acculturative stress is a known individual difference factor related to poor health, little is understood about its relationship to smoking among Latinx adults. One transdiagnostic factor that may serve a mediational role in the relation between acculturative stress and smoking is anxiety sensitivity. The current study evaluated whether anxiety sensitivity mediated the relations between acculturative stress and smoking among a large sample of adult Spanish-speaking Latinx smokers. Participants were 359 Spanish-speaking Latinx daily smokers (58.8% female, 33.2 years, = 9.7) who provided self-report data on acculturative stress, anxiety sensitivity, and smoking outcomes of cigarette dependence, perceived barriers for quitting cigarettes, and severity of problems during past quit attempts. Independent mediation models were conducted for each smoking outcome, with acculturative stress entered as the predictor and anxiety sensitivity entered as the proposed explanatory factor. There were statistically significant indirect effects of acculturative stress anxiety sensitivity in relation to cigarette dependence, perceived barriers for quitting cigarettes, and severity of problems during past quit attempts. The present findings provide novel evidence that anxiety sensitivity serves a mediational role in relations between acculturative stress and smoking outcomes among Latinx adult smokers.
尽管文化应激是与健康状况不佳相关的已知个体差异因素，但人们对其与拉丁裔成年人吸烟之间的关系知之甚少。一种可能在文化应激与吸烟之间的关系中起中介作用的跨诊断因素是焦虑敏感性。本研究评估了在大量西班牙语拉丁裔成年吸烟者样本中，焦虑敏感性是否在文化应激与吸烟之间的关系中起中介作用。 参与者是 359 名讲西班牙语的拉丁裔每日吸烟者（58.8%为女性，33.2 岁，=9.7），他们提供了关于文化应激、焦虑敏感性以及吸烟结果的自我报告数据，包括香烟依赖程度、戒烟障碍感知以及过去戒烟尝试期间的问题严重程度。针对每个吸烟结果进行了独立的中介模型分析，将文化应激作为预测因素，将焦虑敏感性作为提出的解释因素。 在香烟依赖程度、戒烟障碍感知以及过去戒烟尝试期间的问题严重程度方面，文化应激和焦虑敏感性之间存在统计学上显著的间接效应。 本研究结果为焦虑敏感性在拉丁裔成年吸烟者的文化应激与吸烟结果之间的关系中起中介作用提供了新的证据。
