Psychosocial characteristics of smoking patterns among young adult Samoans and Tongans in California

Introduction: Despite the high burden of tobacco-related diseases experienced by Samoans and Tongans, there is relatively little understanding of the factors that influence their smoking behaviors which could inform effective smoking cessation strategies. This study examined several psychosocial cha...

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Main Authors: Michelle A. Rainer, Bin Xie, Melanie Sabado-Liwag, Patchareeya P. Kwan, James Russell Pike, Nasya S. Tan, Dorothy Etimani S. Vaivao, Vanessa Tui'one May, Jane Ka'ala Pang, Victor Kaiwi Pang, Tupou Bo Toilolo, Sora Park Tanjasiri, Paula Healani Palmer
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:Addictive Behaviors Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2352853218301779
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author Michelle A. Rainer
Bin Xie
Melanie Sabado-Liwag
Patchareeya P. Kwan
James Russell Pike
Nasya S. Tan
Dorothy Etimani S. Vaivao
Vanessa Tui'one May
Jane Ka'ala Pang
Victor Kaiwi Pang
Tupou Bo Toilolo
Sora Park Tanjasiri
Paula Healani Palmer
author_facet Michelle A. Rainer
Bin Xie
Melanie Sabado-Liwag
Patchareeya P. Kwan
James Russell Pike
Nasya S. Tan
Dorothy Etimani S. Vaivao
Vanessa Tui'one May
Jane Ka'ala Pang
Victor Kaiwi Pang
Tupou Bo Toilolo
Sora Park Tanjasiri
Paula Healani Palmer
author_sort Michelle A. Rainer
collection DOAJ
description Introduction: Despite the high burden of tobacco-related diseases experienced by Samoans and Tongans, there is relatively little understanding of the factors that influence their smoking behaviors which could inform effective smoking cessation strategies. This study examined several psychosocial characteristics that intertwine to predict smoking patterns in these Pacific Islander subgroups. Methods: Samoans and Tongans between the ages of 18 and 33, who consumed at least 100 cigarettes in their lifetime and were current smokers, were categorized as light, moderate, or heavy smokers. Baseline data from a randomized controlled smoking cessation trial were analyzed. Participants (n = 278) were measured on self-efficacy, perceived stress, sensation seeking, hostility, depression, and impulsivity. Least square means estimated from General Linear Models were used to compare psychosocial characteristics across smoking groups, as well as by gender and ethnicity. Results: Samoan male heavy smokers reported higher levels of self-efficacy compared to light smokers, and greater stress, hostility, depression, and urgency over moderate smokers. Samoan female heavy smokers demonstrated greater stress and hostility than moderate and light smokers. Tongan female heavy and light smokers had significantly elevated levels of sensation seeking compared to moderate smokers. Tongan male smokers did not display any meaningful associations with these psychosocial constructs. Conclusions: This study underscores the important distinctions between smoking patterns, gender, and ethnic subgroups. Interventions that rely on aggregated smoking profiles or general Pacific Islander data may not adequately address the complex array of mental health factors that contribute to tobacco use. Keywords: Smoking, Samoans, Tongans, California, Young adults, Gender, Self-efficacy, Perceived stress, Sensation seeking, Hostility, Depression, Impulsivity
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spelling doaj.art-89de05d7967049e8b8a49bc8aaa28a642022-12-21T22:09:09ZengElsevierAddictive Behaviors Reports2352-85322019-06-019Psychosocial characteristics of smoking patterns among young adult Samoans and Tongans in CaliforniaMichelle A. Rainer0Bin Xie1Melanie Sabado-Liwag2Patchareeya P. Kwan3James Russell Pike4Nasya S. Tan5Dorothy Etimani S. Vaivao6Vanessa Tui'one May7Jane Ka'ala Pang8Victor Kaiwi Pang9Tupou Bo Toilolo10Sora Park Tanjasiri11Paula Healani Palmer12Claremont Graduate University, School of Community and Global Health, 150 E 10th St, Claremont, CA 91711, United States of America; Corresponding author.Claremont Graduate University, School of Community and Global Health, 150 E 10th St, Claremont, CA 91711, United States of AmericaCalifornia State University, Los Angeles, Department of Public Health, 5151 State University Dr, Los Angeles, CA 90032, United States of AmericaCalifornia State University, Northridge, Department of Health Sciences, Jacaranda Hall 2500, 18111 Nordhoff St, Northridge, CA 91330, United States of AmericaClaremont Graduate University, School of Community and Global Health, 150 E 10th St, Claremont, CA 91711, United States of AmericaClaremont Graduate University, School of Community and Global Health, 150 E 10th St, Claremont, CA 91711, United States of AmericaSamoan National Nurses Association, 14112 S Kingsley Dr, Gardena, CA 90249, United States of AmericaTongan Community Service Center, 13030 S Inglewood Ave #104, Hawthorne, CA 90250, United States of AmericaPacific Islander Health Partnership, 12912 Brookhurst St, Suite 410, Garden Grove, CA 92840, United States of AmericaPacific Islander Health Partnership, 12912 Brookhurst St, Suite 410, Garden Grove, CA 92840, United States of AmericaUnion of Pan Asian Communities, 1031 25th St, San Diego, CA 92102, United States of AmericaCalifornia State University, Fullerton, Department of Public Health, 800 North State College, Room KHS-121, Fullerton, CA 92834, United States of AmericaClaremont Graduate University, School of Community and Global Health, 150 E 10th St, Claremont, CA 91711, United States of AmericaIntroduction: Despite the high burden of tobacco-related diseases experienced by Samoans and Tongans, there is relatively little understanding of the factors that influence their smoking behaviors which could inform effective smoking cessation strategies. This study examined several psychosocial characteristics that intertwine to predict smoking patterns in these Pacific Islander subgroups. Methods: Samoans and Tongans between the ages of 18 and 33, who consumed at least 100 cigarettes in their lifetime and were current smokers, were categorized as light, moderate, or heavy smokers. Baseline data from a randomized controlled smoking cessation trial were analyzed. Participants (n = 278) were measured on self-efficacy, perceived stress, sensation seeking, hostility, depression, and impulsivity. Least square means estimated from General Linear Models were used to compare psychosocial characteristics across smoking groups, as well as by gender and ethnicity. Results: Samoan male heavy smokers reported higher levels of self-efficacy compared to light smokers, and greater stress, hostility, depression, and urgency over moderate smokers. Samoan female heavy smokers demonstrated greater stress and hostility than moderate and light smokers. Tongan female heavy and light smokers had significantly elevated levels of sensation seeking compared to moderate smokers. Tongan male smokers did not display any meaningful associations with these psychosocial constructs. Conclusions: This study underscores the important distinctions between smoking patterns, gender, and ethnic subgroups. Interventions that rely on aggregated smoking profiles or general Pacific Islander data may not adequately address the complex array of mental health factors that contribute to tobacco use. Keywords: Smoking, Samoans, Tongans, California, Young adults, Gender, Self-efficacy, Perceived stress, Sensation seeking, Hostility, Depression, Impulsivityhttp://www.sciencedirect.com/science/article/pii/S2352853218301779
spellingShingle Michelle A. Rainer
Bin Xie
Melanie Sabado-Liwag
Patchareeya P. Kwan
James Russell Pike
Nasya S. Tan
Dorothy Etimani S. Vaivao
Vanessa Tui'one May
Jane Ka'ala Pang
Victor Kaiwi Pang
Tupou Bo Toilolo
Sora Park Tanjasiri
Paula Healani Palmer
Psychosocial characteristics of smoking patterns among young adult Samoans and Tongans in California
Addictive Behaviors Reports
title Psychosocial characteristics of smoking patterns among young adult Samoans and Tongans in California
title_full Psychosocial characteristics of smoking patterns among young adult Samoans and Tongans in California
title_fullStr Psychosocial characteristics of smoking patterns among young adult Samoans and Tongans in California
title_full_unstemmed Psychosocial characteristics of smoking patterns among young adult Samoans and Tongans in California
title_short Psychosocial characteristics of smoking patterns among young adult Samoans and Tongans in California
title_sort psychosocial characteristics of smoking patterns among young adult samoans and tongans in california
url http://www.sciencedirect.com/science/article/pii/S2352853218301779
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