Akande Morayo, Cioe Patricia A, Glasser Irene, Hirsch Eric
Center for Alcohol and Addiction Studies, Brown University School of Public Health, USA.
Center for Alcohol and Addiction Studies, Brown University School of Public Health, USA; Department of Behavioral and Social Sciences, Brown University School of Public Health, USA.
Addict Behav. 2020 Nov;110:106515. doi: 10.1016/j.addbeh.2020.106515. Epub 2020 Jun 21.
The prevalence of cigarette smoking in homeless populations is disproportionately high with rates between 57 and 80%. Resilience may affect a smoker's ability to successfully quit smoking. This cross-sectional study examined the association between resilience levels and smoking behaviors in homeless adults.
Fifty-nine homeless adults were recruited from a large multi-service homelessness agency in the northeast United States. Surveys were administered to measure smoking behaviors and resilience.
Most participants were current smokers (83.1%), with more than half (67.1%) identifying as "moderate smokers" (smoking 10-20 cigarettes per day). Of the current smokers, 93.9% reported smoking daily and 71.4% had tried to quit at least once in their lifetime. The number of quit attempts was significantly (p < 0.05) associated with one's contemplation of quitting (r = 0.29) and how one viewed importance of quitting (r = 0.33). Resilience levels were significantly associated with how participants ranked importance of quitting (r = 0.37). Smokers reported a high desire to quit smoking, but level of confidence in their ability to quit was low. Difficulty in finding stable housing and social support were reported as barriers to quitting.
This study demonstrates an association between importance of quitting and resilience levels in homeless adult smokers. Future work is needed to examine whether resilience is related to successful smoking cessation in homeless adults, and whether resilience levels can be increased with targeted interventions.
无家可归人群中吸烟率极高，在57%至80%之间。心理复原力可能会影响吸烟者成功戒烟的能力。这项横断面研究调查了无家可归成年人的心理复原力水平与吸烟行为之间的关联。
从美国东北部一家大型多服务无家可归者机构招募了59名无家可归成年人。通过问卷调查来衡量吸烟行为和心理复原力。
大多数参与者为当前吸烟者（83.1%），超过一半（67.1%）的人将自己归类为“中度吸烟者”（每天吸10至20支烟）。在当前吸烟者中，93.9%的人报告每天吸烟，71.4%的人一生中至少尝试过一次戒烟。戒烟尝试的次数与个人戒烟的考虑程度（r = 0.29）以及个人对戒烟重要性的看法（r = 0.33）显著相关（p < 0.05）。心理复原力水平与参与者对戒烟重要性的排名显著相关（r = 0.37）。吸烟者表示有很高的戒烟意愿，但对自己戒烟能力的信心较低。据报告，难以找到稳定住房和社会支持是戒烟的障碍。
本研究表明无家可归成年吸烟者的戒烟重要性与心理复原力水平之间存在关联。未来需要开展工作，以研究心理复原力是否与无家可归成年人成功戒烟有关，以及是否可以通过有针对性的干预措施提高心理复原力水平。
