Promoting Smoking Cessation among Individuals With Food Insecurity

促进粮食不安全人群戒烟

• 批准号: 10085757
• 负责人: Jin E. Kim-Mozeleski
• 金额: $ 12.57万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-04-15 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10085757
• 关键词: Promoting; Smoking; Cessation; among; Individuals

PROJECT SUMMARY/ABSTRACT Despite overall declines in the prevalence of cigarette smoking, smoking remains the leading cause of preventable disease and death. Smoking prevalence is also disproportionately concentrated among population groups that are economically disadvantaged, contributing to an uneven burden of tobacco-related health problems. Socioeconomic disparities in tobacco use persist largely because economically disadvantaged smokers are less likely to succeed in quitting than non-economically disadvantaged smokers. Many economically disadvantaged smokers are motivated to quit, but various life stressors pose significant barriers to cessation. One of the most stressful conditions in the experience of poverty is food insecurity, or the inability to afford adequate and appropriate foods needed to live an active and healthy life. Epidemiological studies have demonstrated that food insecurity is independently associated with increased odds of smoking. However, proximal factors linking food insecurity and smoking are not well understood, and research has not extended this association towards informing cessation. Extant literature suggests that there are shared psychological (e.g., stress) and physiological (e.g., hunger) factors that may predispose food insecure smokers to encountering difficulties with quitting smoking. The overall goal of this proposal is to build the candidate's research expertise on the intersection of food insecurity, smoking, and quitting. This award will support the candidate's career development as a social and health psychologist whose research addresses social determinants of health to promote smoking cessation among socioeconomically disadvantaged populations. The career development plan includes advanced training and mentorship in (1) social epidemiology, (2) qualitative research methods, (3) food insecurity and nutrition policy, and (4) smoking cessation intervention research. Aim 1 of the proposed study will determine whether the experience of food insecurity is associated with continued smoking among a nationally representative sample of low-income smokers, using extant longitudinal data from the 2001-2013 Panel Study of Income Dynamics. Aim 2 will target a subset of the local population with food insecurity—individuals seeking federal food assistance through the Supplemental Nutrition Assistance Program (SNAP) in San Francisco, California—to conduct surveys and in-depth interviews on the lived experience of food insecurity and its association with smoking behaviors and quitting. Aim 3 will develop and pilot test a smoking cessation outreach program that is delivered to 100 smokers with food insecurity in the context of SNAP, which provides a novel venue for smoking cessation and health promotion research. Taken together, this research and training plan will lay the foundation for a planned community-based randomized controlled trial of a smoking cessation intervention targeting households with food insecurity. This work has the potential to inform reductions in tobacco-related health disparities.

项目总结/摘要 尽管吸烟的普遍程度总体上有所下降，但吸烟仍然是导致吸烟的主要原因。 可预防的疾病和死亡。吸烟率也不成比例地集中在人口中 经济上处于不利地位的群体，造成与烟草有关的健康负担不均衡 问题烟草使用方面的社会经济差异持续存在，主要是因为经济上处于不利地位 吸烟者成功戒烟的可能性低于非经济弱势吸烟者。许多 经济上处于不利地位的吸烟者有戒烟的动机，但各种生活压力构成了重大障碍 停止。在贫困的经历中，最紧张的条件之一是粮食不安全，或者说没有能力 提供足够和适当的食物，使人们过上积极和健康的生活。流行病学研究 已经证明，粮食不安全与吸烟几率增加独立相关。然而，在这方面， 食品不安全与吸烟之间的近因尚不清楚，相关研究也没有扩展到 这种联系是为了告知停止。现存的文献表明， (e.g.,应激）和生理（例如，饥饿）的因素，可能使粮食不安全的吸烟者 遇到戒烟的困难。本提案的总体目标是建立候选人的 研究粮食不安全，吸烟和戒烟的交叉点的专业知识。该奖项将支持 候选人的职业发展作为一个社会和健康心理学家，其研究涉及社会 健康决定因素，以促进社会经济弱势群体戒烟。 职业发展计划包括在（1）社会流行病学，（2） 定性研究方法，（3）粮食不安全和营养政策，（4）戒烟干预 research.拟议研究的目标1将确定粮食不安全的经历是否与此相关 在全国代表性的低收入吸烟者样本中继续吸烟，使用现有的 2001-2013年收入动态面板研究的纵向数据。目标2将针对当地的一个子集 粮食不安全人口-通过补充营养计划寻求联邦粮食援助的个人 在加利福尼亚州旧金山弗朗西斯科进行调查和深入访谈， 食物不安全的生活经历及其与吸烟行为和戒烟的关系。Aim 3将开发 和试点测试戒烟推广计划，提供给100名吸烟者与粮食不安全， SNAP为戒烟和健康促进研究提供了一个新的场所。采取 这项研究和培训计划将为有计划的以社区为基础的随机 一项针对粮食不安全家庭的戒烟干预对照试验。这项工作有 有可能为减少与烟草有关的健康差距提供信息。