Association of frequency of perceived exposure to discrimination with tobacco withdrawal symptoms and smoking lapse behavior in African Americans.
Association of frequency of perceived exposure to discrimination with tobacco withdrawal symptoms and smoking lapse behavior in African Americans.
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DOI：
10.1111/add.15238
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
Leventhal AM
中科院分区：
文献类型：
--
作者：
Bello MS;Liautaud MM;De La Cerda JT;Pang RD;Ray LA;Ahluwalia JA;Leventhal AM
经常遭受歧视可能会增加受烟草相关健康差异影响的人群戒烟和戒烟的脆弱性。这项实验室研究（2013-2017）检查了在日常生活中感知到的歧视暴露的个体差异是否预测了非裔美国人吸烟者急性烟草剥夺后的烟草戒断症状和吸烟行为。混合设计，受试者之间的连续变量感知歧视与烟草剥夺状态（剥夺与非剥夺）的受试者内变量交叉。美国加州洛杉矶的学术医疗中心。非寻求治疗的每日吸烟者（N=607，≥10 cig/天）。在基线访问，自我报告的频率感知暴露于歧视在一个人的日常生活进行了测量（EDDS）。在随后的两次平衡实验访问（16小时烟草剥夺与自由吸烟），自我报告评估的各种烟草戒断症状域（简报QSU，WSWS，POMS，SHAPS和CIS）和行为吸烟失效模拟任务进行了测量。调整后的模型表明，更高频率的感知歧视与更大程度的剥夺诱导的急性吸烟欲望增加有关，以缓解消极情绪，几种消极情绪状态，主观认知功能效应大小很小（βs= 0.09 - 0.13; ps<0.02）。数据是不确定的感知暴露于歧视和剥夺引起的变化的渴望之间的关联，敦促吸烟的乐趣，积极的情绪减少，其他症状，或吸烟恢复行为。频率的感知暴露于歧视似乎是适度相关的一些剥夺引起的烟草戒断症状在非洲裔美国人吸烟者的严重程度增加。
Frequent experiences of discrimination could increase vulnerability to tobacco withdrawal and smoking lapse in populations subject to tobacco-related health disparities. This laboratory study (2013–2017) examined whether individual differences in perceived exposure to discrimination in one’s daily life predicted tobacco withdrawal symptoms and smoking lapse behavior following acute tobacco deprivation in African American smokers. Mixed design with the between-subjects continuous variable of perceived discrimination crossed with the within-subject variable of tobacco deprivation status (deprived vs. non-deprived). Academic medical center in Los Angeles, California, USA. African American non-treatment seeking daily cigarette smokers (N=607, ≥10 cig/day). At a baseline visit, self-reported frequency of perceived exposure to discrimination in one’s daily life was measured (EDDS). At two subsequent counterbalanced experimental visits (16-hour tobacco deprivation vs. ad libitum smoking), self-report assessments of various tobacco withdrawal symptom domains (Brief-QSU, WSWS, POMS, SHAPS, and CIS) and a behavioral smoking lapse analogue task were measured. Adjusted models demonstrated that greater frequency of perceived exposure to discrimination was associated with larger deprivation-induced increases in acute urges to smoke to alleviate negative mood, several negative mood states, and subjective cognitive functioning—effect sizes were small in magnitude (βs=.09-.13; ps<.02). Data were inconclusive for associations between perceived exposure to discrimination and deprivation-induced changes in cravings, urges to smoke for pleasure, positive mood reduction, other symptoms, or smoking reinstatement behavior. Frequency of perceived exposure to discrimination appears to be modestly associated with increased severity of some deprivation-induced tobacco withdrawal symptoms in African American smokers.
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影响因子：
4.6
作者：
Bello MS;McBeth JF;Ditre JW;Kirkpatrick MG;Ray LA;Dunn KE;Leventhal AM
通讯作者：
Leventhal AM
影响因子：
5.1
作者：
Borrell, Luisa N.;Roux, Ana V. Diez;Jacobs, David R., Jr.;Shea, Steven;Jackson, Sharon A.;Shrager, Sandi;Blumenthal, Roger S.
通讯作者：
Blumenthal, Roger S.
影响因子：
33.9
作者：
Babb, Stephen;Malarcher, Arm;Jamal, Ahmed
通讯作者：
Jamal, Ahmed
影响因子：
4.4
作者：
Clark, Trenette T.;Salas-Wright, Christopher P.;Whitfield, Keith E.
通讯作者：
Whitfield, Keith E.
影响因子：
3.4
作者：
Ameringer, Katherine J.;Leventhal, Adam M.
通讯作者：
Leventhal, Adam M.