Pain and Menthol Use Are Related to Greater Nicotine Dependence Among Black Adults Who Smoke Cigarettes at Wave 5 (2018-2019) of the Population Assessment of Tobacco and Health (PATH) Study.
Pain and Menthol Use Are Related to Greater Nicotine Dependence Among Black Adults Who Smoke Cigarettes at Wave 5 (2018-2019) of the Population Assessment of Tobacco and Health (PATH) Study.
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DOI：
10.1007/s40615-022-01419-y
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发表时间：
2023-10
影响因子：
3.9
通讯作者：
Ditre, Joseph W
中科院分区：
文献类型：
--
作者：
Powers, Jessica M;Zale, Emily L;Deyo, Alexa G;Rubenstein, Dana;Terry, Ellen L;Heckman, Bryan W;Ditre, Joseph W
与疼痛、吸烟/尼古丁依赖和疼痛吸烟合并症相关的负担对美国黑人的影响不成比例，而在吸烟的黑人成年人中，薄荷醇香烟的使用比例过高。薄荷脑可能会增加尼古丁暴露，可能会增强急性镇痛作用，并导致更大的依赖性。因此，本研究的目的是检查疼痛，薄荷醇香烟使用和尼古丁依赖之间的关联。数据来自烟草与健康研究人口评估第5波（2018-2019）的黑人成年人（n = 1370）。使用威斯康星州吸烟依赖动机清单评估尼古丁依赖。协方差分析显示，中度/重度疼痛（与无/轻度疼痛相比）与更大的总体尼古丁依赖（p < .001）和更大的负强化、认知增强和亲和依恋吸烟动机（p < .001）相关。与无/低疼痛的非薄荷醇吸烟者相比，中度/重度疼痛的薄荷吸烟者也支持更大的香烟渴望和耐受性（ps < .05）。研究结果支持这样一种观点，即在吸烟的黑人个体中，中度/重度疼痛（与无/轻度疼痛相比）和薄荷醇的使用可能会产生更大的尼古丁依赖性物理指标。与无/轻度疼痛相比，中度/重度疼痛与对吸烟的更大情感依恋和更大的吸烟倾向有关，以减少负面影响和增强认知功能。临床意义包括需要解决的作用，疼痛和薄荷醇香烟的使用在尼古丁依赖的评估和治疗，特别是在黑人成年人。这些数据可能有助于为旨在规范或禁止薄荷醇烟草添加剂的不断演变的烟草控制政策提供信息。
Burdens related to pain, smoking/nicotine dependence, and pain-smoking comorbidity disproportionately impact Black Americans, and menthol cigarette use is overrepresented among Black adults who smoke cigarettes. Menthol may increase nicotine exposure, potentially conferring enhanced acute analgesia and driving greater dependence. Therefore, the goal of the current study was to examine associations between pain, menthol cigarette use, and nicotine dependence. Data was drawn from Black adults who were current cigarette smokers (n = 1370) at Wave 5 (2018–2019) of the Population Assessment of Tobacco and Health Study. Nicotine dependence was assessed using the Wisconsin Inventory of Smoking Dependence Motives. ANCOVA revealed that moderate/severe pain (vs. no/low pain) was associated with greater overall nicotine dependence (p < .001) and greater negative reinforcement, cognitive enhancement, and affiliative attachment smoking motives (ps < .001). Menthol smokers with moderate/severe pain also endorsed greater cigarette craving and tolerance, compared to non-menthol smokers with no/low pain (ps < .05). Findings support the notion that among Black individuals who smoke cigarettes, the presence of moderate/severe pain (vs. no/low pain) and menthol use may engender greater physical indices of nicotine dependence relative to non-menthol use. Compared to no/low pain, moderate/severe pain was associated with greater emotional attachment to smoking and greater proclivity to smoke for reducing negative affect and enhancing cognitive function. Clinical implications include the need to address the role of pain and menthol cigarette use in the assessment and treatment of nicotine dependence, particularly among Black adults. These data may help to inform evolving tobacco control policies aimed at regulating or banning menthol tobacco additives.
非裔美国人吸烟者给同龄人的书面建议：动机信息的定性研究。
影响因子：
2.2
作者：
Nagawa CS;Faro JM;Menon AJ;Ito Fukunaga M;Williams JH;Mourao D;Emidio OM;Davis M;Pbert L;Cutrona SL;Houston TK;Sadasivam RS
通讯作者：
Sadasivam RS