University of Southern California, Keck School of Medicine, Department of Psychiatry and Behavioral Sciences, 2250 Alcazar Street, Los Angeles, CA 90089, USA.
University of Southern California, Suzanne Dworak-Peck School of Social Work. 669 W 34th St, Los Angeles, CA 90089, USA.
Addict Behav. 2022 Jul;130:107289. doi: 10.1016/j.addbeh.2022.107289. Epub 2022 Feb 21.
Smoking prevalence among youth experiencing homelessness (YEH) is three times higher than smoking prevalence among the general population. Many YEH who smoke are interested in quitting smoking, but also report smoking to cope with mental health symptoms. Research on factors that facilitate or impede successful smoking cessation among YEH is limited. This study examined mental health correlates (i.e., anxiety and depression symptoms) of quitting-related factors (i.e., quit attempts, perceived barriers to quitting) and whether smoking to cope moderates these relationships among this vulnerable population. The sample consisted of 77 YEH cigarette smokers between the ages of 18-25 who were interested in quitting. Participants completed a survey assessing various behavioral and cognitive factors related to tobacco use. Analyzing two separate models, hierarchical negative binomial and hierarchical linear regression were used to examine hypothesized correlates of the number of past year quit attempts and perceived barriers to quitting. Smoking to cope moderated the relationships of depression with past year quit attempts and perceived barriers to quitting. Those high in depression and smoking to cope had the fewest number of quit attempts and reported the greatest perceived barriers. Anxiety symptoms were not significantly associated with quit attempts or perceived barriers. Smoking cessation interventions that address using smoking to cope with mental health symptoms may be important for YEH with depression.
无家可归的青年（YEH）的吸烟率是普通人群的三倍。许多吸烟的 YEH 有戒烟的意愿，但也报告说吸烟是为了应对心理健康症状。关于促进或阻碍 YEH 成功戒烟的因素的研究有限。本研究调查了与戒烟相关的因素（即戒烟尝试、戒烟障碍感知）的心理健康相关性（即焦虑和抑郁症状），以及吸烟应对是否会调节这些关系。该样本包括 77 名年龄在 18-25 岁之间、有戒烟意愿的 YEH 香烟吸烟者。参与者完成了一项调查，评估了与烟草使用相关的各种行为和认知因素。通过分析两个单独的模型，使用分层负二项式和分层线性回归来检验过去一年戒烟尝试次数和戒烟障碍感知的假设相关性。吸烟应对调节了抑郁与过去一年戒烟尝试次数和戒烟障碍感知的关系。那些抑郁和吸烟应对程度高的人戒烟尝试次数最少，报告的戒烟障碍最大。焦虑症状与戒烟尝试或戒烟障碍感知没有显著关联。针对吸烟应对心理健康症状的戒烟干预措施可能对有抑郁症状的 YEH 很重要。
