Low housing quality, unmet social needs, stress and depression among low-income smokers.
Low housing quality, unmet social needs, stress and depression among low-income smokers.
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DOI：
10.1016/j.pmedr.2022.101767
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发表时间：
2022-06
影响因子：
2.8
通讯作者：
Kreuter MW
中科院分区：
文献类型：
--
作者：
Garg R;McQueen A;Wolff JM;Skinner KE;Kegler MC;Kreuter MW
超过 60% 的低收入吸烟者报告住房质量问题。住房质量问题是最常见的社会需求之一。住房质量问题与较差的健康指标有关。住房质量差可能会加剧低收入吸烟者的健康差距。吸烟者患多种健康状况的风险更大，而与住房质量低下相关的环境危害又加剧了这些健康状况。然而，人们对低收入吸烟者住房质量低下的普遍情况知之甚少。我们利用相关性和逻辑回归，以来自 6 个州的 786 名低收入吸烟者为社区样本，研究了八项住房质量指标（害虫、漏水、霉菌、含铅油漆和工作烟雾探测器、电器、供暖和空调）之间的关联，以及住房质量与社会需求、抑郁症状、感知压力、睡眠问题和健康自评之间的关联。大多数参与者是女性（68%）、白人（45%）或非裔美国人（43%）。四分之一 (27%) 的人完成了高中以下教育，41% 的人报告家庭税前年收入低于 10,000 美元。住房质量问题普遍存在。大多数参与者 (64%) 报告了他们家中至少存在一个问题，41% 报告了两个或更多问题，最常见的是虫害侵扰 (40%)、漏水 (22%)、缺乏空调 (22%) 和霉菌 (18%)。缺乏暖气和空调是相关的，漏水和霉菌也是相关的。通过控制参与者人口统计特征的逻辑回归分析，我们发现报告更多的住房质量问题与心理和身体健康状况恶化的可能性更大相关。多种健康威胁，包括住房质量、抑郁症状、压力、睡眠质量差和经济压力，可能会相互加强，加剧吸烟对健康的影响。未来的研究应该寻求在其他样本中复制这些发现，并纵向检查关联性以更好地理解因果关系。
Over 60% of low-income smokers reported housing quality problems. Problems with housing quality were among the most common social needs. Housing quality problems were associated with worse measures of health. Poor housing quality may exacerbate health disparities for low-income smokers. Smokers are at greater risk of multiple health conditions that are exacerbated by environmental hazards associated with low housing quality. However, little is known about the prevalence of low housing quality among low-income smokers. Using correlations and logistic regression, we examined associations among eight housing quality indicators – pests, water leaks, mold, lead paint, and working smoke detectors, appliances, heating, and air conditioning – and between housing quality and social needs, depressive symptoms, perceived stress, sleep problems, and self-rated health in a community-based sample of 786 low-income smokers from 6 states. Most participants were female (68%), and White (45%) or African-American (43%). One in four (27%) completed less than high school education, and 41% reported annual pre-tax household income of less than $10,000. Housing quality problems were common. Most participants (64%) reported at least one problem in their home, and 41% reported two or more problems, most commonly pest infestations (40%), water leaks (22%), lack of air conditioning (22%) and mold (18%). Lack of heat and air conditioning were correlated, as were water leaks and mold. Using logistic regression analyses controlling for participant demographic characteristics, we found that reporting more housing quality problems was associated with greater odds of worse mental and physical health outcomes. Multiple health threats, including housing quality, depressive symptoms, stress, poor sleep, and financial strain may be mutually reinforcing and compound the health consequence of smoking. Future research should seek to replicate these findings in other samples, and examine associations longitudinally to better understand causality.
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DOI：
10.2165/00148365-200403040-00009
发表时间：
2004-01-01
影响因子：
3.6
作者：
Busch, Susan H;Jofre-Bonet, Mireia;Sindelar, Jody L
通讯作者：
Sindelar, Jody L
影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
12.7
作者：
Blazer, DG;Sachs-Ericsson, N;Hybels, CF
通讯作者：
Hybels, CF
影响因子：
3.9
作者：
Evans, GW;Wells, NM;Moch, A
通讯作者：
Moch, A
影响因子：
1.4
作者：
Lewis CC;Wellman R;Jones SMW;Walsh-Bailey C;Thompson E;Derus A;Paolino A;Steiner J;De Marchis EH;Gottlieb LM;Sharp AL
通讯作者：
Sharp AL