Tobacco use characteristics, treatment preferences, and motivation to quit among adults accessing a day shelter in Oklahoma City
Background: Smoking rates are exceptionally high among adults experiencing homelessness (AEH). Research is needed to inform treatment approaches in this population. Methods: Participants (n=404) were adults who accessed an urban day shelter and reported current smoking. Participants completed survey...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Drug and Alcohol Dependence Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772724622000920 |
| _version_ | 1811292142324154368 |
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| author | Laili Kharazi Boozary Summer G. Frank-Pearce Adam C. Alexander Munjireen S. Sifat Jasmin Kurien Joseph J.C. Waring Sarah J. Ehlke Michael S. Businelle Jasjit S. Ahluwalia Darla E. Kendzor |
| author_facet | Laili Kharazi Boozary Summer G. Frank-Pearce Adam C. Alexander Munjireen S. Sifat Jasmin Kurien Joseph J.C. Waring Sarah J. Ehlke Michael S. Businelle Jasjit S. Ahluwalia Darla E. Kendzor |
| author_sort | Laili Kharazi Boozary |
| collection | DOAJ |
| description | Background: Smoking rates are exceptionally high among adults experiencing homelessness (AEH). Research is needed to inform treatment approaches in this population. Methods: Participants (n=404) were adults who accessed an urban day shelter and reported current smoking. Participants completed surveys regarding their sociodemographic characteristics, tobacco and substance use, mental health, motivation to quit smoking (MTQS), and smoking cessation treatment preferences. Participant characteristics were described and compared by MTQS. Results: Participants who reported current smoking (N=404) were primarily male (74.8%); White (41.4%), Black (27.8%), or American Indian/Alaska Native (14.1%) race; and 10.7% Hispanic. Participants reported a mean age of 45.6 (SD=11.2) years, and they smoked an average of 12.6 (SD=9.4) cigarettes per day. Most participants reported moderate or high MTQS (57%) and were interested in receiving free cessation treatment (51%). Participants most frequently selected the following options as among the top 3 treatments that offered the best chance of quitting: Nicotine replacement therapy (25%), money/gift cards for quitting (17%), prescription medications (17%), and switching to e-cigarettes (16%). Craving (55%), stress/mood (40%), habit (39%), and being around other smokers (36%) were frequently identified as the most challenging aspects of quitting. Low MTQS was associated with White race, lack of religious participation, lack of health insurance, lower income, greater cigarettes smoked per day, and higher expired carbon monoxide. Higher MTQS was associated with sleeping unsheltered, cell phone ownership, higher health literacy, more years of smoking, and interest in free treatment. Discussion: Multi-level, multi-component interventions are needed to address tobacco disparities among AEH. |
| first_indexed | 2024-04-13T04:40:54Z |
| format | Article |
| id | doaj.art-e16cf5e19f0b4920b8fe3eeee56808bf |
| institution | Directory Open Access Journal |
| issn | 2772-7246 |
| language | English |
| last_indexed | 2024-04-13T04:40:54Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Drug and Alcohol Dependence Reports |
| spelling | doaj.art-e16cf5e19f0b4920b8fe3eeee56808bf2022-12-22T03:02:00ZengElsevierDrug and Alcohol Dependence Reports2772-72462022-12-015100117Tobacco use characteristics, treatment preferences, and motivation to quit among adults accessing a day shelter in Oklahoma CityLaili Kharazi Boozary0Summer G. Frank-Pearce1Adam C. Alexander2Munjireen S. Sifat3Jasmin Kurien4Joseph J.C. Waring5Sarah J. Ehlke6Michael S. Businelle7Jasjit S. Ahluwalia8Darla E. Kendzor9Department of Psychology, Cellular and Behavioral Neurobiology, University of Oklahoma, Norman OK 73019; TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States; Corresponding author at: TSET Health Promotion Research Center 655 Research Parkway, Suite 400 Oklahoma City, OK 73104, United States.TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States; Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States; Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesBloomberg School of Public of Health, Johns Hopkins University, Baltimore, MD, United StatesTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States; Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesSchool of Public Health, Behavioral and Social Sciences, Brown University, Providence, RI, United StatesTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States; Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesBackground: Smoking rates are exceptionally high among adults experiencing homelessness (AEH). Research is needed to inform treatment approaches in this population. Methods: Participants (n=404) were adults who accessed an urban day shelter and reported current smoking. Participants completed surveys regarding their sociodemographic characteristics, tobacco and substance use, mental health, motivation to quit smoking (MTQS), and smoking cessation treatment preferences. Participant characteristics were described and compared by MTQS. Results: Participants who reported current smoking (N=404) were primarily male (74.8%); White (41.4%), Black (27.8%), or American Indian/Alaska Native (14.1%) race; and 10.7% Hispanic. Participants reported a mean age of 45.6 (SD=11.2) years, and they smoked an average of 12.6 (SD=9.4) cigarettes per day. Most participants reported moderate or high MTQS (57%) and were interested in receiving free cessation treatment (51%). Participants most frequently selected the following options as among the top 3 treatments that offered the best chance of quitting: Nicotine replacement therapy (25%), money/gift cards for quitting (17%), prescription medications (17%), and switching to e-cigarettes (16%). Craving (55%), stress/mood (40%), habit (39%), and being around other smokers (36%) were frequently identified as the most challenging aspects of quitting. Low MTQS was associated with White race, lack of religious participation, lack of health insurance, lower income, greater cigarettes smoked per day, and higher expired carbon monoxide. Higher MTQS was associated with sleeping unsheltered, cell phone ownership, higher health literacy, more years of smoking, and interest in free treatment. Discussion: Multi-level, multi-component interventions are needed to address tobacco disparities among AEH.http://www.sciencedirect.com/science/article/pii/S2772724622000920HomelessnessSmokingNicotineTobaccoSmoking cessationMotivation to quit smoking |
| spellingShingle | Laili Kharazi Boozary Summer G. Frank-Pearce Adam C. Alexander Munjireen S. Sifat Jasmin Kurien Joseph J.C. Waring Sarah J. Ehlke Michael S. Businelle Jasjit S. Ahluwalia Darla E. Kendzor Tobacco use characteristics, treatment preferences, and motivation to quit among adults accessing a day shelter in Oklahoma City Drug and Alcohol Dependence Reports Homelessness Smoking Nicotine Tobacco Smoking cessation Motivation to quit smoking |
| title | Tobacco use characteristics, treatment preferences, and motivation to quit among adults accessing a day shelter in Oklahoma City |
| title_full | Tobacco use characteristics, treatment preferences, and motivation to quit among adults accessing a day shelter in Oklahoma City |
| title_fullStr | Tobacco use characteristics, treatment preferences, and motivation to quit among adults accessing a day shelter in Oklahoma City |
| title_full_unstemmed | Tobacco use characteristics, treatment preferences, and motivation to quit among adults accessing a day shelter in Oklahoma City |
| title_short | Tobacco use characteristics, treatment preferences, and motivation to quit among adults accessing a day shelter in Oklahoma City |
| title_sort | tobacco use characteristics treatment preferences and motivation to quit among adults accessing a day shelter in oklahoma city |
| topic | Homelessness Smoking Nicotine Tobacco Smoking cessation Motivation to quit smoking |
| url | http://www.sciencedirect.com/science/article/pii/S2772724622000920 |
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