Weinberger Andrea H, Pang Raina D, Seng Elizabeth K, Levin Jacob, Esan Hannah, Segal Kate S, Shuter Jonathan
Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA; Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.
Keck School of Medicine at University of Southern California, Department of Preventive Medicine, Los Angeles, CA, USA.
Addict Behav. 2021 May;116:106807. doi: 10.1016/j.addbeh.2020.106807. Epub 2020 Dec 29.
Cigarette smoking prevalences are very high in persons living with HIV (PLWH). Identifying variables among PLWH that are linked to smoking in community samples (e.g., self-control) can inform smoking treatments for PLWH. The current study examined the association of self-reported self-control and smoking (e.g., smoking status, cigarette dependence) in a sample of PLWH.
Adult PLWH were recruited from the Center for Positive Living (Montefiore Medical Center, Bronx, New York, US). All participants completed measures of demographics, cigarette smoking, and self-control. Participants who reported current cigarette smoking completed measures of cigarette dependence; intolerance for smoking abstinence; and motivation, confidence, and desire to quit smoking.
The overall sample included 285 PLWH (49.1% cigarette users, 55.4% male, 52.7% Black race, 54.8% Latino/a ethnicity). PLWH with current cigarette smoking reported lower self-control than PLWH with no current cigarette smoking (M = 116.88, SD = 17.07 versus M = 127.39, SD = 20.32; t = -4.15, df = 211, p < 0.001). Among PLWH with current cigarette smoking, lower self-control was associated with greater cigarette dependence (ρ = -0.272, p < 0.01), and lower confidence in quitting smoking cigarettes (ρ = 0.214, p < 0.05). Lower self-control was associated with greater overall smoking abstinence intolerance (ρ = -0.221, p < 0.05) and withdrawal intolerance (ρ = -0.264, p < 0.01).
Among a sample of PLWH, lower self-control was related to cigarette smoking (versus no smoking), greater cigarette dependence, lower confidence in quitting smoking, and greater intolerance for smoking abstinence. It may be useful to target self-control among PLWH to increase confidence in quitting and abstinence intolerance with the goal of improving smoking cessation outcomes.
艾滋病毒感染者（PLWH）中的吸烟率非常高。确定社区样本中与吸烟相关的艾滋病毒感染者变量（例如自我控制能力）可为艾滋病毒感染者的吸烟治疗提供参考。本研究调查了一组艾滋病毒感染者样本中自我报告的自我控制能力与吸烟（例如吸烟状况、香烟依赖程度）之间的关联。
从积极生活中心（美国纽约州布朗克斯区蒙特菲奥里医疗中心）招募成年艾滋病毒感染者。所有参与者均完成了人口统计学、吸烟情况和自我控制能力的测量。报告当前吸烟的参与者完成了香烟依赖程度、戒烟不耐受程度以及戒烟动机、信心和意愿的测量。
总样本包括285名艾滋病毒感染者（49.1%为吸烟者，55.4%为男性，52.7%为黑人，54.8%为拉丁裔）。当前吸烟的艾滋病毒感染者报告的自我控制能力低于不吸烟的艾滋病毒感染者（均值分别为116.88，标准差为17.07；与均值127.39，标准差为20.32相比；t=-4.15，自由度为211，p<0.001）。在当前吸烟的艾滋病毒感染者中，自我控制能力较低与更高的香烟依赖程度（ρ=-0.272，p<0.01）以及更低的戒烟信心（ρ=0.214，p<0.05）相关。自我控制能力较低还与更高的总体戒烟不耐受程度（ρ=-0.221，p<0.05）和戒断不耐受程度（ρ=-0.264，p<0.01）相关。
在一组艾滋病毒感染者样本中，较低的自我控制能力与吸烟（而非不吸烟）、更高的香烟依赖程度、更低的戒烟信心以及更高的戒烟不耐受程度相关。针对艾滋病毒感染者的自我控制能力进行干预，以提高戒烟信心和戒烟不耐受程度，从而改善戒烟效果，可能是有益的。
