A Qualitative Investigation of the Experiences of Tobacco Use among U.S. Adults with Food Insecurity.
A Qualitative Investigation of the Experiences of Tobacco Use among U.S. Adults with Food Insecurity.
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DOI：
10.3390/ijerph19127424
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发表时间：
2022-06-16
影响因子：
--
通讯作者：
Tsoh, Janice Y.
中科院分区：
文献类型：
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作者：
Kim-Mozeleski, Jin E.;Shaw, Susan J.;Yen, Irene H.;Tsoh, Janice Y.
背景资料：经历粮食不安全的低收入美国成年人吸烟率高得不成比例，定量研究表明，粮食不安全是戒烟的障碍。为了指导有效的烟草控制战略，本研究旨在了解经历粮食不安全的低收入人群的烟草使用和戒烟的经验，看法和背景。研究方法：我们对23名成年人进行了深入的半结构化访谈，这些人目前正在吸烟，并且正在经历粮食不安全，他们大多生活在农村地区。参与者是通过基于食品储藏室的需求评估调查和社区组织的研究传单招募的。访谈指南探讨了参与者的吸烟史、烟草在他们生活中的作用和功能、他们戒烟的兴趣和障碍，以及粮食不安全的生活经历。我们使用自反性主位分析来分析转录访谈。结果如下：在与贫困和财政紧张有关的结构性挑战的更广泛背景下，我们确定了以下五个主题：吸烟以忽视饥饿或少吃;在不稳定的情况下保持吸烟成瘾;在财政紧张的情况下吸烟被优先考虑;生活压力和戒烟和戒烟的困难;以及在粮食不安全和烟草使用的交叉点上的童年逆境。结论：粮食不安全的成年人烟草使用的背景非常复杂。为了有效解决社会和经济弱势群体中与烟草有关的差距，烟草控制工作应考虑相关的生活经历和吸烟与粮食不安全交叉的结构性制约因素。研究结果适用于聚类的条件，有助于尼古丁依赖，粮食不安全和压力的概念化。
Background: Low-income U.S. adults experiencing food insecurity have a disproportionately high prevalence of cigarette smoking, and quantitative studies suggest that food insecurity is a barrier to quitting. To guide effective tobacco control strategies, this study aimed to understand the experiences, perceptions, and context of tobacco use and cessation among low-income populations experiencing food insecurity. Methods: We conducted in-depth, semi-structured interviews with 23 adults who were currently smoking cigarettes and were experiencing food insecurity, mostly living in rural settings. Participants were recruited through food-pantry-based needs assessment surveys and study flyers in community-based organizations. The interview guide explored participants’ histories of smoking, the role and function of tobacco in their lives, their interest in and barriers to quitting, as well as lived experiences of food insecurity. We used reflexive thematic analysis to analyze transcribed interviews. Results: Within a broader context of structural challenges related to poverty and financial strain that shaped current smoking behavior and experiences with food insecurity, we identified the following five themes: smoking to ignore hunger or eat less; staying addicted to smoking in the midst of instability; smoking being prioritized in the midst of financial strain; life stressors and the difficulty of quitting smoking and staying quit; and childhood adversity at the intersection of food insecurity and tobacco use. Conclusion: The context of tobacco use among adults with food insecurity was highly complex. To effectively address tobacco-related disparities among those who are socially and economically disadvantaged, tobacco control efforts should consider relevant lived experiences and structural constraints intersecting smoking and food insecurity. Findings are applied to a conceptualization of clustering of conditions contributing to nicotine dependence, food insecurity, and stress.
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影响因子：
5.2
作者：
Mills, Sarah D.;Golden, Shelley D.;O'Leary, Meghan C.;Logan, Paige;Lich, Kristen Hassmiller
通讯作者：
Lich, Kristen Hassmiller
影响因子：
33.9
作者：
Babb, Stephen;Malarcher, Arm;Jamal, Ahmed
通讯作者：
Jamal, Ahmed
影响因子：
12.7
作者：
Frohlich, Katherine L.;Potvin, Louise
通讯作者：
Potvin, Louise
影响因子：
1.5
作者：
Garg R;McQueen A;Roberts C;Butler T;Grimes LM;Thompson T;Caburnay C;Wolff J;Javed I;Carpenter KM;Wartts JG;Charles C;Howard V;Kreuter MW
通讯作者：
Kreuter MW
DOI：
10.15585/mmwr.mm6946a4
发表时间：
2020-11-20
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Cornelius ME;Wang TW;Jamal A;Loretan CG;Neff LJ
通讯作者：
Neff LJ