Pain self-efficacy, race, and motivation to quit smoking among persons living with HIV (PLWH).
Pain self-efficacy, race, and motivation to quit smoking among persons living with HIV (PLWH).
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DOI：
10.1016/j.addbeh.2020.106318
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发表时间：
2020-01
影响因子：
4.4
通讯作者：
Lisa R. LaRowe;Yvette Rother;Jessica M. Powers;M. Zvolensky;P. Vanable;J. Ditre
中科院分区：
文献类型：
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作者：
Lisa R. LaRowe;Yvette Rother;Jessica M. Powers;M. Zvolensky;P. Vanable;J. Ditre
疼痛和吸烟是常见的同时发生且代价高昂的公共卫生问题，并且在艾滋病毒感染者 (PLWH) 中，这两种情况的发生率均较高。最近的工作重点是阐明认知因素在疼痛与吸烟相互关系中的作用，并且 PLWH 已经认可了有关疼痛和吸烟的各种信念。有理由怀疑疼痛自我效能（即相信自己有能力应对疼痛）可能与维持吸烟有关。然而，之前没有研究探讨疼痛自我效能与戒烟动机之间的关系。本研究的目的是对 PLWH 中疼痛自我效能与戒烟动机之间的横断面关联进行首次测试。种族作为假设关联的调节因素进行了测试。参与者（N = 76 名每天吸烟者；37% 为女性；Mage = 50.6；MCPD = 13.7）是从传染病门诊诊所招募的，用于一项初步研究，检查个性化反馈干预对 PLWH 的影响。结果表明，在整个样本中，疼痛自我效能感与戒烟的重要性以及未来六个月内戒烟的意愿呈正相关（ps < 0.05），并且与黑人/非裔美国人参与者考虑戒烟的准备度和戒烟信心呈正相关（但与其他参与者无关；ps < 0.05）。这些数据提供了初步证据，表明疼痛自我效能可能与戒烟的动机和意图有关，特别是在黑人/非裔美国感染者中。未来的研究应该测试疼痛自我效能与开始/维持戒烟之间的前瞻性关联。
Pain and cigarette smoking are commonly co-occurring and costly public health issues, and rates of both conditions are elevated among persons living with HIV (PLWH). Recent work has focused on elucidating the role of cognitive factors in pain-smoking interrelations, and PLWH have endorsed various beliefs regarding pain and smoking. There is reason to suspect that pain self-efficacy (i.e., belief in one’s ability to cope with pain) may be associated with the maintenance of smoking. However, no previous research has examined relations between pain self-efficacy and motivation to quit. The goal of this study was to conduct the first test of cross-sectional associations between pain self-efficacy and motivation to quit smoking among PLWH. Race was tested as a moderator of the hypothesized associations. Participants (N= 76 daily smokers; 37% female;Mage= 50.6;MCPD= 13.7) were recruited from an outpatient infectious disease clinic for a primary study examining the effects of a personalized feedback intervention for PLWH. Results indicated that pain self-efficacy was positively associated with perceived importance of quitting and intention to quit within the next six months across the entire sample (ps < 0.05), and positively associated with readiness to consider smoking cessation and confidence in quitting among Black/African American participants (but not among other participants;ps < 0.05). These data provide initial evidence that pain self-efficacy may be related to motivation and intention to quit smoking, particularly among Black/African American PLWH. Future research should test prospective associations between pain self-efficacy and the initiation/maintenance of smoking cessation.