Ongoing tobacco use in women who experience homelessness and unstable housing: A prospective study to inform tobacco cessation interventions and policies

Riley, Elise D.; Delucchi, Kevin; Rubin, Sara; Weiser, Sheri D.; Vijayaraghavan, Maya; Lynch, Kara L.; Tsoh, Janice Y.

doi:10.1016/j.addbeh.2021.107125

Cited by 8 publications

(6 citation statements)

References 92 publications

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“…Likewise, more time may need to be spent with women in building motivation to quit (and to persevere through quit attempts) despite these barriers. Our results are consistent with a previous study supporting the importance of tailoring concurrent tobacco use cessation interventions for women experiencing homelessness [ 39 ].…”

Section: Discussionsupporting

confidence: 93%

Perceived Disease Risk of Smoking, Barriers to Quitting, and Cessation Intervention Preferences by Sex Amongst Homeless Adult Concurrent Tobacco Product Users and Conventional Cigarette-Only Users

Brown

Roberts

Chen

et al. 2022

IJERPH

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Adults experiencing homelessness smoke conventional cigarettes and engage in concurrent tobacco product use at very high rates; however, little is known about how use patterns, perceived disease risk, barriers to quitting smoking, and smoking cessation intervention preferences differ by sex in this group. Participants comprised a convenience sample of 626 adult conventional cigarette smokers experiencing homelessness. Participants self-reported their sex, smoking history, mental health and substance use diagnosis history, other concurrent tobacco product use (CU), disease risk perceptions, perceived barriers to quitting smoking, and preferences regarding tobacco cessation interventions via a computer-administered survey. CU rates were 58.1% amongst men and 45.3% amongst women smokers. In both sexes, CUs started smoking earlier (p-values < 0.001) and were more likely to have been diagnosed with a non-nicotine substance use disorder (p-values < 0.014) relative to cigarette-only users. Among men only, CUs were younger, smoked more cigarettes per day and were more likely to identify as non-Hispanic White (p-values < 0.003) than cigarette-only users. Additionally, male CUs reported a greater risk of developing ≥1 smoking-related disease if they did not quit for good; were more likely to endorse craving cigarettes, being around other smokers, habit, stress/mood swings, and coping with life stress as barriers for quitting smoking; and were less likely to prefer medications to quit smoking relative to male cigarette-only users (p-values < 0.04). On the other hand, female CUs reported a greater risk of developing ≥1 smoking-related disease even if they quit for good; were more likely to endorse stress/mood swings and coping with life stress as barriers for quitting smoking relative to female cigarette-only users (p-values < 0.05); and did not differentially prefer one cessation medication over another. Overall, findings confirm high rates of CU among both sexes, characterize those who may be more likely to be CUs, and reveal opportunities to educate men and women experiencing homeless on the benefits of evidence-based interventions for smoking cessation.

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Section: Discussionsupporting

confidence: 93%

Perceived Disease Risk of Smoking, Barriers to Quitting, and Cessation Intervention Preferences by Sex Amongst Homeless Adult Concurrent Tobacco Product Users and Conventional Cigarette-Only Users

Brown

Roberts

Chen

et al. 2022

IJERPH

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“…Seventy-one participants (55%) had depression and 54 (42%) had anxiety during the pandemic, which is similar to the prepandemic prevalence of symptom scores indicating depression (49% of women) and anxiety (36% of women) in this population . Factors significantly associated with depression and anxiety included recent homelessness (anxiety odds ratio [OR], 4.61 [95% CI, 1.91-12.72]; depression OR, 5.20 [95% CI, 2.37-12.19]), unmet subsistence needs (anxiety OR, 2.18 [95% CI, 1.00-4.74]; depression OR, 4.81 [95% CI, 2.23-10.81]), and social isolation (anxiety OR, 5.22 [95% CI, 2.34-12.38]; depression OR, 3.29 [95% CI, 1.62-6.88]) (Table).…”

Section: Resultsmentioning

confidence: 89%

“…Seventy-one participants (55%) had depression and 54 (42%) had anxiety during the pandemic, which is similar to the prepandemic prevalence of symptom scores indicating depression (49% of women) and anxiety (36% of women) in this population. 6 ). In addition, women with increased difficulties getting care for a chronic medical condition during the pandemic had Patient Health Questionnaire-9 scores that were 3.92 points higher than those who did not have difficulties, and their odds of screening positive for depression were 6-fold higher (OR, 6.26 [95% CI, 2.31-20.93]).…”

Section: Resultsmentioning

confidence: 99%

Factors Associated With Symptoms of Depression and Anxiety Among Women Experiencing Homelessness and Unstable Housing During the COVID-19 Pandemic

et al. 2021

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“…Surveillance systems should sample populations to obtain reliable estimates of smoking prevalence in groups with high prevalence of smoking and tobacco-related disease, such as individuals experiencing homelessness or with other substance use disorders 2 39–41. Surveys should include items that ask about use of a range of tobacco products, especially those used among racial minority and lower socioeconomic groups 39.…”

Section: Recommendationsmentioning

confidence: 99%

Recommendations to advance equity in tobacco control

et al. 2022

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Reducing racial and socioeconomic inequities in smoking has been declared a priority for tobacco control in the USA for several decades. Yet despite the rhetoric, these inequities persist and some have actually worsened over time. Although tobacco companies have targeted racially and ethnically diverse and lower-income tobacco users, which substantially contributes to these disparities, less attention has been given to the role of individuals and organisations within the tobacco control movement who have allowed progress in eliminating disparities to stagnate. We examine the failure of tobacco control professionals to ensure the widespread adoption of equity-focused tobacco control strategies. Review of major US tobacco control reports found that the focus on equity often stops after describing inequities in tobacco use. We suggest ways to advance equity in tobacco control in the USA. These recommendations fall across five categories: surveillance, interventions, funding, accountability and addressing root causes. Policy interventions that will have a pro-equity impact on smoking and related disease should be prioritised. Funding should be designated to tobacco control activities focused on eliminating racial and socioeconomic inequities in smoking, and tobacco control programmes should be held accountable for meeting equity-related goals.

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Ongoing tobacco use in women who experience homelessness and unstable housing: A prospective study to inform tobacco cessation interventions and policies

Cited by 8 publications

References 92 publications

Perceived Disease Risk of Smoking, Barriers to Quitting, and Cessation Intervention Preferences by Sex Amongst Homeless Adult Concurrent Tobacco Product Users and Conventional Cigarette-Only Users

Perceived Disease Risk of Smoking, Barriers to Quitting, and Cessation Intervention Preferences by Sex Amongst Homeless Adult Concurrent Tobacco Product Users and Conventional Cigarette-Only Users

Factors Associated With Symptoms of Depression and Anxiety Among Women Experiencing Homelessness and Unstable Housing During the COVID-19 Pandemic

Recommendations to advance equity in tobacco control

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