J Health Care Poor Underserved. 2020;31(3):1115-1123. doi: 10.1353/hpu.2020.0084.
Smoking and obesity relate to several leading causes of death in the U.S. and are common within the criminal justice system. Previous studies demonstrate links between smoking, obesity, depression, and race but have not examined all four variables together. The current study evaluated these relationships after a smoking cessation intervention. Participants (N=500) were recruited from community corrections. The Center for Epidemiological Studies Depression Scale (CES-D) measured depression. Self-reported number of cigarettes and weight and height measurements assessed smoking status and body mass index (BMI) at baseline and 12-month follow-up. Depression was associated with increased BMI. Among Blacks without depression, there was a significant relationship between smoking and BMI, such that greater smoking reduction was associated with greater weight gain. This is the first study to assess the interaction between race, smoking, BMI and depression. These findings support tailoring smoking cessation and depression interventions for different races.
吸烟和肥胖与美国的几个主要死因有关，在刑事司法系统中也很常见。先前的研究表明吸烟、肥胖、抑郁和种族之间存在关联，但并未同时研究这四个变量。本研究在一项戒烟干预后评估了这些关系。参与者（N=500）从社区惩教机构招募。使用流行病学研究抑郁量表（CES-D）评估抑郁程度。在基线和 12 个月随访时，通过自我报告的吸烟量以及体重和身高测量评估吸烟状况和体重指数（BMI）。抑郁与 BMI 增加有关。在没有抑郁的黑人中，吸烟和 BMI 之间存在显著关系，即吸烟量减少越多，体重增加越多。这是第一项评估种族、吸烟、BMI 和抑郁之间相互作用的研究。这些发现支持为不同种族量身定制戒烟和抑郁干预措施。
