Department of Psychology, University of Houston, 3695 Cullen Blvd., Room 126, 77204, Houston, TX, USA.
Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
J Behav Med. 2023 Oct;46(5):791-800. doi: 10.1007/s10865-023-00409-7. Epub 2023 Mar 29.
The Latinx/Hispanic (hereafter, Latinx) population in the United States (US) experiences significant tobacco-related health disparities. Extant work suggests social determinants of health (SDoH) such as perceived discrimination is an individual differences factor for cigarette smoking behavior among Latinx individuals who smoke cigarettes. Other research has suggested sensitivity to internal cues, referred to as anxiety sensitivity, is related to smoking among Latinx adults, but this work has not explored whether anxiety sensitivity may moderate the association between perceived discrimination and smoking behavior.
Therefore, the present investigation sought to explore the main and interactive association of perceived discrimination and anxiety sensitivity in relation to cigarettes smoked per day, severity of problems experienced when quitting, and perceived barriers for smoking cessation among 338 English-speaking Latinx individuals living in the US (M = 35.5 years; SD = 8.65; age range 18-61; 37.3% female) who smoke cigarettes.
Results supported statistically significant main effects for perceived discrimination and anxiety sensitivity in relation to increased severity of problems experienced when quitting and perceived barriers for smoking cessation. These associations were evident after adjusting for a sociodemographic covariates.
Overall, the present investigation suggests that both perceived discrimination and anxiety sensitivity are important constructs relevant to understanding smoking processes among Latinx adults who smoke cigarettes and should be integrated in theoretical models of smoking among this population.
美国的拉丁裔/西班牙裔（以下简称拉丁裔）人群经历着显著的与烟草相关的健康不平等。现有研究表明，健康的社会决定因素（SDoH），如感知到的歧视，是拉丁裔烟民吸烟行为的个体差异因素。其他研究表明，对内部线索的敏感性，即焦虑敏感性，与拉丁裔成年人的吸烟有关，但这项工作尚未探讨焦虑敏感性是否可以调节感知歧视与吸烟行为之间的关系。
因此，本研究旨在探讨感知歧视和焦虑敏感性与每天吸烟量、戒烟时经历的问题严重程度以及戒烟障碍感知之间的主要和交互关联，该研究纳入了 338 名居住在美国的讲英语的拉丁裔个体（M=35.5 岁；SD=8.65；年龄范围 18-61；女性占 37.3%），他们吸烟。
结果支持感知歧视和焦虑敏感性与戒烟时经历的问题严重程度和戒烟障碍感知增加之间存在统计学显著的主要效应。在调整了社会人口统计学协变量后，这些关联仍然存在。
总体而言，本研究表明，感知歧视和焦虑敏感性都是理解拉丁裔成年烟民吸烟过程的重要结构，应该被纳入这个人群的吸烟理论模型中。
