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评估吸烟戒断预期在感知到的种族歧视与拉丁裔烟民的香烟依赖之间的关系中的作用。

Evaluating the role of smoking abstinence expectancies in the relation between perceived ethnic discrimination and cigarette dependence among Latinx individuals who smoke.

机构信息

Department of Psychology, University of Houston, United States.

Department of Psychology, University of Houston, United States; HEALTH Institute, University of Houston, United States.

出版信息

Addict Behav. 2024 Jan;148:107864. doi: 10.1016/j.addbeh.2023.107864. Epub 2023 Sep 27.

Abstract

The experience of perceived ethnic discrimination is prevalent and has harmful effects across various behavioral health processes among Latinx persons. Yet, there is limited work on the association between perceived ethnic discrimination and smoking among this health disparities group. Building from initial work that has demonstrated a relationship between perceived ethnic discrimination and smoking abstinence expectancies, the present study sought to explore mechanisms by which perceived ethnic discrimination may be related to cigarette dependence. Specifically, we tested the indirect effect of perceived ethnic discrimination on cigarette dependence through smoking abstinence expectancies (i.e., negative mood, somatic symptoms, harmful consequences, and positive consequences) among Latinx persons who smoke (N = 338; M = 35.53 years; SD = 8.65; age range 18-61; 37.3% female). Results indicated that abstinence expectancies related to harmful consequences was a statistically significant underlying factor between the experience of perceived discrimination and cigarette dependence (b = 0.39, SE = 0.16, CI95% = 0.08, 0.71, CSE = 0.14). Overall, the present study suggests that smoking abstinence expectancies pertaining to harmful consequences may be a point of intervention for Latinx persons seeking to reduce or quit smoking. Future research is needed to extend the generalizability of these findings by corroborating the mediational role of abstinence expectancies related to harmful consequences across Latinx persons of varying cigarette use severity levels over time.

摘要

感知到的族裔歧视在拉丁裔人群的各种行为健康过程中普遍存在,并产生有害影响。然而,针对感知到的族裔歧视与拉丁裔人群吸烟之间的关联,相关研究工作十分有限。本研究基于初步研究工作,该工作表明感知到的族裔歧视与戒烟预期之间存在关联,旨在探讨感知到的族裔歧视与吸烟依赖之间可能存在关联的机制。具体而言,我们检验了感知到的族裔歧视通过吸烟戒烟预期(即负面情绪、躯体症状、有害后果和积极后果)对拉丁裔吸烟者(N=338;M=35.53 岁;SD=8.65;年龄范围 18-61;女性占 37.3%)与吸烟依赖之间的间接影响。结果表明,与有害后果相关的戒烟预期是感知到的歧视经历与吸烟依赖之间具有统计学意义的潜在因素(b=0.39,SE=0.16,CI95%=0.08,0.71,CSE=0.14)。总体而言,本研究表明,与有害后果相关的戒烟预期可能是拉丁裔人群减少或戒烟的干预点。需要进一步的研究来证实与有害后果相关的戒烟预期在不同吸烟严重程度的拉丁裔人群中的中介作用,以扩展这些发现的普遍性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3133/11200200/2e784d2d655c/nihms-2003795-f0001.jpg

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