Differences in tobacco use prevalence, behaviors, and cessation services by race/ethnicity: A survey of persons in addiction treatment

Pagano, Anna; Gubner, Noah R.; Le, Thao; Yip, Deborah; Williams, Denise; Delucchi, Kevin; Guydish, Joseph

doi:10.1016/j.jsat.2018.08.003

Cited by 20 publications

(21 citation statements)

References 69 publications

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“…Notably, our observation that the proportion of dual users was higher than that of polytobacco users has not been reported in previous research in SUD populations. In addition, consistent with previous studies among SUD samples, 12,13 we found that e-cigarettes were the This study extends the existing literature by indicating factors associated with dual-and polytobacco use among people in SUD treatment. Current tobacco users who had ever used e-cigarettes for quitting smoking were more likely to be both dual-and polytobacco users.…”

Section: Discussionsupporting

confidence: 91%

Factors associated with dual and polytobacco use among people in residential substance use disorder treatment

et al. 2021

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Background and Objectives: Little is known about whether people in substance use disorder (SUD) treatment are at risk for multiple-tobacco use. We examined the factors associated with dual-and polytobacco use among clients in SUD treatment. Methods: A cross-sectional survey was conducted in 2019 among 562 clients (M age = 39, 74% male) in 20 residential SUD treatment programs in California, USA. The outcomes included single-, dual-(use of two products), and polytobacco use (use of three of more products). Independent variables were nicotine dependence, quitting-related factors, blunt/spliff use, and health-related factors. A multinomial model examined associations between the independent variables and the outcome, controlling for demographics, and time in treatment.

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Section: Discussionsupporting

confidence: 91%

Factors associated with dual and polytobacco use among people in residential substance use disorder treatment

et al. 2021

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“…In furtherance of the burgeoning base of literature in support of anhedonia as a novel component of the tobacco withdrawal syndrome (Cook et al, 2015(Cook et al, , 2017Hughes et al, 2017;Piper et al, 2017), our findings suggest that deprivation-induced anhedonia may be implicated in the smoking patterns of AA smokers, who are considerably more likely to relapse following a quit attempt (Kulak et al, 2016;Pagano et al, 2018;Weinberger et al, 2019). Given the motivational salience that deprivation-induced generalized consummatory may have on smoking lapse and relapse among AA smokers, the current findings provide empirical justification for incorporating anhedonia into standard tobacco withdrawal assessment and targeting anhedonia in smoking cessation behavioral interventions used with AA smokers.…”

Section: Discussionmentioning

confidence: 69%

“…Keywords: anhedonia, consummatory anhedonia, anticipatory anhedonia, tobacco withdrawal, African-American smokers Supplemental materials: https://doi.org/10.1037/pha0000474.supp African-American (AA) smokers bear a disproportionate brunt of the public health burden of smoking (Henley et al, 2016;Simmons et al, 2016). Relative to white smokers, AA smokers are considerably more likely to relapse following quit attempts despite being more likely to initiate them (Kulak et al, 2016;Pagano et al, 2018;Weinberger et al, 2019). A major barrier to tobacco cessation both within the general smoking population and among AA smokers, the tobacco withdrawal syndrome is a set of unpleasant symptoms that emerge shortly after the discontinuation of sustained tobacco use (American Psychiatric Association, 2013;Hooper et al, 2017;Weinberger et al, 2017).…”

mentioning

confidence: 99%

Anhedonia in tobacco withdrawal among African-American smokers.

Liautaud¹,

Kechter²,

Bello³

et al. 2021

Experimental and Clinical Psychopharmacology

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Anhedonia—diminished interest and pleasure in response to rewards—may be a symptom of tobacco withdrawal that is understudied in priority populations. This experiment investigated the magnitude and correlates of various dimensions of anhedonia during tobacco withdrawal among African–American (AA) smokers—a population subject to health disparities. AA smokers (N = 607; ≥10 cigarettes/day, 37.8% female, M[SD] age = 50.0[10.6] years) completed self-report measures assessing expected pleasure from (i.e., consummatory anhedonia) and desire to engage in (i.e., anticipatory anhedonia) various types of hypothetically experienced rewards at counterbalanced 16-hr tobacco deprived and nondeprived lab visits. Other tobacco withdrawal symptom measures (e.g., craving, negative affect, hunger) were also assessed. Tobacco deprivation most robustly increased scores on a composite measure of consummatory anhedonia directed toward various reward domains (i.e., hobbies, sensory experiences, social activities; d = .32, p < .001). Deprivation modestly increased consummatory and anticipatory anhedonia directed toward sexual rewards (ds = .09–.12, ps < .02), did not significantly change anhedonia toward food rewards, and decreased anhedonia directed toward psychoactive drug rewards (i.e., increased desire for and pleasure from drugs; ds = −.21 to −.19, ps < .001). Deprivation-induced changes in anhedonia were modestly correlated with other withdrawal symptoms (average |r|s = .04–.23) and were amplified among participants with higher nicotine dependence and lower positive affect-related traits (|β|s = .10–.12, ps < .01). Some dimensions of anhedonia may be genuine expressions of acute tobacco withdrawal in AA smokers. Applying multi-dimensional anhedonia conceptualizations might advance basic knowledge and treatment of tobacco use disorder, improve smoking cessation outcomes, and address tobacco-related health disparities facing AA smokers.

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“…An additional study found less e-cigarette use in Black and Hispanic relative to White tobacco users. 116 The role of health care stakeholders (eg, medical schools, hospitals, and health insurance providers) in vaping cessation is not to be overlooked. Medical schools should develop curriculum on the risks of vaping, both long and short term.…”

Section: Regulatory Measuresmentioning

confidence: 99%

Cardiopulmonary Consequences of Vaping in Adolescents: A Scientific Statement From the American Heart Association

Wold¹,

Tarran²,

Alexander³

et al. 2022

Circulation Research

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Although the US Food and Drug Administration has not approved e-cigarettes as a cessation aid, industry has at times positioned their products in that way for adults trying to quit traditional cigarettes; however, their novelty and customizability have driven them into the hands of unintended users, particularly adolescents. Most new users of e-cigarette products have never smoked traditional cigarettes; therefore, understanding the respiratory and cardiovascular consequences of e-cigarette use has become of increasing interest to the research community. Most studies have been performed on adult e-cigarette users, but the majority of these study participants are either former traditional smokers or smokers who have used e-cigarettes to switch from traditional smoking. Therefore, the respiratory and cardiovascular consequences in this population are not attributable to e-cigarette use alone. Preclinical studies have been used to study the effects of naive e-cigarette use on various organ systems; however, almost all of these studies have used adult animals, which makes translation of health effects to adolescents problematic. Given that inhalation of any foreign substance can have effects on the respiratory and cardiovascular systems, a more holistic understanding of the pathways involved in toxicity could help to guide researchers to novel therapeutic treatment strategies. The goals of this scientific statement are to provide salient background information on the cardiopulmonary consequences of e-cigarette use (vaping) in adolescents, to guide therapeutic and preventive strategies and future research directions, and to inform public policymakers on the risks, both short and long term, of vaping.

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Differences in tobacco use prevalence, behaviors, and cessation services by race/ethnicity: A survey of persons in addiction treatment

Cited by 20 publications

References 69 publications

Factors associated with dual and polytobacco use among people in residential substance use disorder treatment

Factors associated with dual and polytobacco use among people in residential substance use disorder treatment

Anhedonia in tobacco withdrawal among African-American smokers.

Cardiopulmonary Consequences of Vaping in Adolescents: A Scientific Statement From the American Heart Association

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