PMID- 34305505
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220429
IS  - 1617-9625 (Electronic)
IS  - 2070-7266 (Print)
IS  - 1617-9625 (Linking)
VI  - 19
DP  - 2021
TI  - Factors associated with smoking in low-income persons with and without chronic 
      illness.
PG  - 59
LID - 10.18332/tid/138241 [doi]
LID - 59
AB  - INTRODUCTION: Tobacco disparities persist among low-income smokers who seek care 
      from safety-net clinics. Many of these patients suffer from chronic illnesses 
      (CILs) that are associated with and exacerbated by smoking. The objective of the 
      current study was to examine the differences between safety-net patients with and 
      without CILs in terms of nicotine dependence and related factors (such as 
      depression, anxiety) and self-efficacy regarding ability to abstain from smoking. 
      METHODS: Sixty-four low-income smokers who thought about or intended to quit 
      smoking were recruited from the San Francisco Health Network (SFHN) and assessed 
      for CILs, nicotine dependence, depression, anxiety, and smoking abstinence 
      self-efficacy. Four one-way analyses of variance were used to examine the 
      difference between those with and without CIL on the latter four variables. 
      RESULTS: The CIL group had significantly higher anxiety (CIL: 8.0 +/- 5.35; 
      non-CIL: 4.44 +/- 3.48; p=0.02) and tended to have higher nicotine dependence (CIL: 
      5.40 +/- 2.58; non-CIL: 3.88 +/- 2.28; p=0.04). In the CIL group, nicotine dependence 
      was positively correlated with anxiety [r(62)=0.39; p<0.01] and negatively 
      correlated with smoking abstinence self-efficacy [r(62)= -0.38; p<0.01]. Both 
      depression (Spearman's rho=0.39; p<0.01) and anxiety (Spearman's rho=0.29; 
      p<0.05) were associated with total number of CIL categories. CONCLUSIONS: 
      Safety-net patients who smoke and suffer from CILs may be suffering from higher 
      levels of anxiety and have less confidence in their ability to quit smoking. 
      Incorporating mood management and developing interventions that increase a sense 
      of self-efficacy for refraining from smoking may be necessary to help low-income 
      smokers quit smoking.
CI  - (c) 2021 Cano M.T. et al.
FAU - Cano, Monique T
AU  - Cano MT
AD  - Department of Psychiatry and Behavioral Sciences, University of California, San 
      Francisco, San Francisco, United States.
AD  - Research Service, San Francisco VA Health Care System, San Francisco, United 
      States.
FAU - Pennington, David L
AU  - Pennington DL
AD  - Department of Psychiatry and Behavioral Sciences, University of California, San 
      Francisco, San Francisco, United States.
AD  - Research Service, San Francisco VA Health Care System, San Francisco, United 
      States.
FAU - Reyes, Sara
AU  - Reyes S
AD  - Department of Psychology, University of Nebraska-Lincoln, Lincoln, United States.
FAU - Pineda, Blanca S
AU  - Pineda BS
AD  - Institute for International Internet Interventions for Health, Palo Alto 
      University, Palo Alto, United States.
FAU - Llamas, Jazmin A
AU  - Llamas JA
AD  - Institute for International Internet Interventions for Health, Palo Alto 
      University, Palo Alto, United States.
FAU - Periyakoil, Vyjeyanthi S
AU  - Periyakoil VS
AD  - Stanford University School of Medicine, Stanford University, Palo Alto, United 
      States.
FAU - Munoz, Ricardo F
AU  - Munoz RF
AD  - Department of Psychiatry and Behavioral Sciences, University of California, San 
      Francisco, San Francisco, United States.
AD  - Institute for International Internet Interventions for Health, Palo Alto 
      University, Palo Alto, United States.
LA  - eng
GR  - P30 AG066515/AG/NIA NIH HHS/United States
GR  - R01 AG062239/AG/NIA NIH HHS/United States
GR  - R01 DA039903/DA/NIDA NIH HHS/United States
GR  - IK2 CX001510/CX/CSRD VA/United States
GR  - P30 AG059307/AG/NIA NIH HHS/United States
PT  - Journal Article
DEP - 20210715
PL  - Greece
TA  - Tob Induc Dis
JT  - Tobacco induced diseases
JID - 101201591
PMC - PMC8280622
OTO - NOTNLM
OT  - health consequences
OT  - health disparities
OT  - mental health
OT  - tobacco-related disease
COIS- The authors have each completed and submitted an ICMJE form for disclosure of 
      potential conflicts of interest. The authors declare that they have no competing 
      interests, financial or otherwise, related to the current work. R.F. Munoz 
      reports a grant since the initial planning of the work and in the past 36 months 
      from Stanford University and from the UC Office of the President Tobacco-Related 
      Disease Research Program (TRDRP).
EDAT- 2021/07/27 06:00
MHDA- 2021/07/27 06:01
PMCR- 2021/07/15
CRDT- 2021/07/26 06:21
PHST- 2021/03/31 00:00 [received]
PHST- 2021/05/26 00:00 [revised]
PHST- 2021/05/26 00:00 [accepted]
PHST- 2021/07/26 06:21 [entrez]
PHST- 2021/07/27 06:00 [pubmed]
PHST- 2021/07/27 06:01 [medline]
PHST- 2021/07/15 00:00 [pmc-release]
AID - 59 [pii]
AID - 10.18332/tid/138241 [doi]
PST - epublish
SO  - Tob Induc Dis. 2021 Jul 15;19:59. doi: 10.18332/tid/138241. eCollection 2021.