Socioeconomic status, mindfulness, and momentary associations between stress and smoking lapse during a quit attempt.
Socioeconomic status, mindfulness, and momentary associations between stress and smoking lapse during a quit attempt.
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DOI：
10.1016/j.drugalcdep.2020.107840
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发表时间：
2020-04-01
影响因子：
4.2
通讯作者：
Wetter DW
中科院分区：
文献类型：
--
作者：
Cambron C;Hopkins P;Burningham C;Lam C;Cinciripini P;Wetter DW
健康差异模型强调了低社会经济地位（SES）吸烟者的压力是戒烟的障碍。最近的研究表明，正念可以通过减少戒烟尝试期间的压力来改善戒烟结果。目前的研究检查了SES和正念与戒烟尝试期间压力和吸烟失效的生态瞬时评估（EMA）的关联。EMA（N= 32，329）收集自364名戒烟者。一个多层次结构方程模型估计的人的路径从瞬间的压力，随后的吸烟失误。人与人之间的路径估计的路径从一个潜在的变量SES和正念的压力和吸烟失误，SES和正念的间接影响，通过压力失误，和温和的人内的SES和正念的压力失误协会。在个人估计发现，压力的瞬间增加预示着随后吸烟的风险增加。人与人之间的估计发现，较低的社会经济地位与通过增加压力吸烟的风险增加间接相关;并且，较高的正念与通过减少压力吸烟的风险降低间接相关。此外，较高的SES参与者在戒烟尝试期间报告的压力较低，表明压力的瞬间增加与随后吸烟失败的风险之间存在更强的关系。在低SES吸烟者参与戒烟尝试中，SES和正念都通过对压力的影响独特地影响吸烟失误。研究结果支持报告，正念提出了一个有前途的干预目标，以减少压力和改善低SES吸烟者的戒烟结果。
Models of health disparities highlight stress among low socioeconomic status (SES) smokers as a barrier to cessation. Recent studies suggest that mindfulness may improve cessation outcomes by reducing stress during a quit attempt. The current study examined associations of SES and mindfulness with ecological momentary assessments (EMAs) of stress and smoking lapse during a quit attempt. EMAs (N=32,329) were gathered from 364 smokers engaged in a quit attempt. A multilevel structural equation model estimated within person paths from momentary stress to subsequent smoking lapse. Between person paths estimated paths from a latent variable for SES and mindfulness to stress and smoking lapse, the indirect effect of SES and mindfulness on lapse through stress, and moderation of within person stress-lapse associations by SES and mindfulness. Within person estimates found that momentary increases in stress predicted increased risk of subsequent smoking lapse. Between person estimates found that lower SES was indirectly associated with greater risk for smoking lapse through increased stress; and, higher mindfulness was indirectly associated with lower risk for smoking lapse through reduced stress. Additionally, higher SES participants, who reported lower stress during the quit attempt, showed a stronger relationship between momentary increases in stress and risk for subsequent smoking lapse. Among low SES smokers engaged in a quit attempt, both SES and mindfulness uniquely influenced smoking lapse through their influence on stress. Findings support reports that mindfulness presents a promising intervention target to reduce stress and improve cessation outcomes among low SES smokers.
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影响因子：
5
作者：
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通讯作者：
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DOI：
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发表时间：
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