Discussion: Intermittent and daily light smokers differ on several tobacco-related and psychosocial variables. Attending to these factors in prevention and cessation programs may enhance abstinence in both groups. IntroductionSmoking is the leading cause of preventable death in the United States ( Centers for Disease Control and Prevention, 2004 ). Despite a decrease in smoking among middle-aged and older adults, young adult smoking prevalence declines are smaller, and reductions in moderate to heavy smoking have been accompanied by an increase in prevalence of light and intermittent smoking ( Pierce, White, & Messer, 2009 ). One group of young adults who demonstrate high rates of smoking are individuals serving in the military ( Bray et al., 2006 ;Nelson & Pederson, 2008 ).Two subgroups of smokers who have received growing attention ( Fiore et al., 2008 ) and have yet to be examined among military personnel are light and intermittent (i.e., nondaily) smokers. Both young adults ( Substance Abuse and Mental Health Services Agency, 2004 ) and ethnic minorities ( Ahluwalia et al., 2006 ;Rodriguez-Esquivel, Cooper, Blow, & Resor, 2009 ;Trinidad et al., 2009 ) are predominant in the military and evidence high rates of low-level smoking. Therefore, light and intermittent smoking are likely to be especially common in this group.A pattern of maintaining low levels of smoking has multiple implications. First, relative to never smoking, even light smoking is deleterious to health such that light smokers are at increased Abstract Introduction: Few studies have assessed differences between intermittent and light smokers, particularly among young adults. Exploring these differences promotes a systematic approach to research and treatment in low-level smokers. This study explored demographic, tobacco-related, and psychosocial predictors of intermittent nondaily smoking relative to light smoking among basic military training (BMT) recruits. The impact of smoking status on abstinence rates at follow-up was also assessed.Methods: Participants were 5,603 U.S. Air Force BMT intermittent nondaily ( n = 3,134) or light daily ( n = 2,469) smoking recruits participating in a population-based group randomized trial targeting tobacco use prevention and cessation , Effi cacy of a tailored tobacco control program on long-term use in a population of U.S. military troops. Journal of Consulting and Clinical Psychology , 74,[295][296][297][298][299][300][301][302][303][304][305][306]. Participants completed baseline measures assessing demographics; tobacco use and history; and common social, attitudinal, and behavioral risk factors for tobacco use. Flights of recruits were randomly assigned to a tobacco use intervention or health education control intervention. At the 1-year follow-up, participants reported 7-day point prevalence and continuous abstinence. Results:Intermittent nondaily smoking relative to light daily smoking was associated with lesser perceived addiction, intermittent and daily use of smokeless tobacco, nonsmoking male and fe...
A nyone who doesn't believe that fear messages can change behaviour should try going into a crowded theatre and shouting "FIRE!"Certainly, such messages have served tobacco control well over the last 50 years. Even a casual glance at prevalence trends demonstrates the impact of the major revelations about smoking and ill health. The power of warnings is enhanced with evocative creative executions, provided the resulting fear does not overwhelm the audience, and adequate support with quitting is offered. The recent Australian campaign demonstrates the potential of this approach.
Obesity rates are alarming in various ethnocultural groups, particularly in Hispanics. With Hispanics being the fastest growing group to enter college, the aims of the current study were to examine patterns and correlates of exercise and dietary behaviors in Hispanic college students. Data were collected from 693 Hispanic undergraduates who enrolled online and received course extra credit for participation. Individuals completed questionnaires assessing constructs of the transtheoretical model for three health behaviors (exercise, dietary fat, and fruit/vegetable stages of change) along with demographic, psychosocial, and acculturation measures. Less than 1% of students had 0 obesity-relevant risks, while 68% indicated 2 or more risks. Only 2% of the sample met fruit and vegetable guidelines. Lower income was associated with greater obesity-relevant risks, while stress coping ability was associated with fewer such risks. Findings indicate specific obesity risk behaviors in Hispanic college students and suggest demographic and psychosocial targets for prevention and intervention according to stage of change.
Illicit substance use has increased in Hispanics. Recent trends also warrant focus on prescription drug misuse, given its increased prevalence among college students. The aims of this study were to assess prescription drug misuse and illicit drug use in Hispanic students, as well as potential theoretically and empirically based risk and protective factors. Hispanic students (n = 435; 59% female) from a U.S. university located on the border with México completed a sociodemographic survey, licit, illicit, and prescription drug use frequency questionnaires, an attitudes and beliefs about prescription drugs survey, the Short Acculturation Scale for Hispanics, the Depression, Anxiety, and Stress Scales, the Collectivist Coping Styles Measure, and the Multidimensional Scale of Perceived Social Support. A hierarchical logistic regression assessed prescription drug misuse predictors including demographics, licit/illicit substance use, attitudes toward prescription drug use, acculturation, distress symptoms, coping style, perceived social support, and the interaction between distress symptoms and acculturation. A negative binomial regression assessed predictors of past 30-day illegal drug use (the same predictors as the previous model except illicit drug use). Results indicated that positive attitudes toward prescription drugs, higher anxiety, and lower depressive symptomatology increased the odds of prescription drug misuse. Past 30-day alcohol use, positive attitudes toward prescription drugs, and higher acculturation predicted past 30-day illicit drug use. Prescription drug misuse was differentially associated with distress symptoms, whereas the convergence model of acculturation was supported regarding illegal drug use. Inconsistent with hypotheses, protective factors were not significantly associated with substance use.
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