Ellison-Barnes Alejandra, Pollack Craig E, Levine David, Latkin Carl, Clark Jeanne M, Gudzune Kimberly A
Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Prev Med Rep. 2020 Mar 24;18:101081. doi: 10.1016/j.pmedr.2020.101081. eCollection 2020 Jun.
The U.S. Department of Housing and Urban Development (HUD) smokefree rule for public housing may prompt smokers to quit. Cessation, while desirable, can be associated with weight gain, and an excess burden of obesity already exists among public housing residents. Our objectives were to characterize the association between smoking and weight status prior to the policy implementation and to explore eating patterns. We conducted a cross-sectional analysis of survey data collected in 2014-2015 from randomly selected households in two public housing developments in Baltimore, MD. Our independent variable was self-reported smoking status, and dependent variables were measured body mass index (BMI) and uncontrolled/emotional eating scores. We used multivariable linear regression to examine the associations. Respondents included 266 heads of household with mean age 44.5 (SD 12.4). A majority (63.2%) were current smokers. Seventy-five percent were overweight or obese, with mean BMI 32.6 kg/m2 (SD 10.1). In the adjusted regression models, the mean BMI of smokers was significantly lower than that of former/never smokers (31.7 kg/m vs. 34.2 kg/m), and the mean uncontrolled eating score of smokers was significantly higher (24.4 vs 18.7). These results suggest that the new HUD smokefree rule has the potential to promote further weight gain among smokers prompted to quit, highlighting the need to simultaneously consider these two prevalent risk factors in the setting of policy changes.
美国住房和城市发展部（HUD）针对公共住房的无烟规定可能会促使吸烟者戒烟。戒烟虽然是件好事，但可能会导致体重增加，而且公共住房居民中已经存在肥胖负担过重的问题。我们的目标是描述政策实施前吸烟与体重状况之间的关联，并探究饮食模式。我们对2014年至2015年从马里兰州巴尔的摩市两个公共住房开发区随机抽取的家庭收集的调查数据进行了横断面分析。我们的自变量是自我报告的吸烟状况，因变量是测量的体重指数（BMI）和无节制/情绪化饮食得分。我们使用多变量线性回归来检验这些关联。受访者包括266名户主，平均年龄44.5岁（标准差12.4）。大多数（63.2%）是当前吸烟者。75%的人体重超重或肥胖，平均BMI为32.6kg/m²（标准差10.1）。在调整后的回归模型中，吸烟者的平均BMI显著低于曾经吸烟者/从不吸烟者（31.7kg/m²对34.2kg/m²），吸烟者的平均无节制饮食得分显著更高（24.4对18.7）。这些结果表明，新的HUD无烟规定有可能促使戒烟的吸烟者进一步体重增加，凸显了在政策变化背景下同时考虑这两个普遍存在的风险因素的必要性。
