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Concurrent nicotine and tobacco product use among homeless smokers and associations with cigarette dependence and other factors related to quitting.
Drug Alcohol Depend. 2018 04 01; 185:133-140.DA

Abstract

BACKGROUND

Cigarette smoking rates among homeless adults are exceptionally high, contributing to health disparities experienced by this disadvantaged population. Concurrent nicotine and tobacco product use have been shown to result in greater health problems than cigarette smoking alone, and little is known about the rates, motives, and perceived impacts of concurrent use in this group. The purpose of this study is to explore concurrent use rates and constructs of interest among homeless adult daily smokers and to examine differences between concurrent users and non-concurrent users on cigarette dependence, perceived risk of smoking, readiness to quit, and the receipt of recent cessation intervention.

METHODS

Participants (N = 396) were recruited from six homeless-serving agencies and/or shelters in Oklahoma City. Enrolled participants completed self-report questionnaires.

RESULTS

The rate of concurrent use was high -67.2%. Participants most frequently endorsed lower cost and a desire to cut down on cigarette smoking as motives for concurrent product use. Concurrent users indicated both a greater likelihood of developing a smoking-related disease if they did not quit for good and a greater number of past year quit attempts relative to non-concurrent users. There was no significant difference between concurrent users and non-concurrent users on readiness to quit or having received recent smoking cessation intervention.

CONCLUSION

The need for cessation efforts that account for concurrent use for homeless adult smokers is great. Study findings indicate that concurrent users are commonly pursuing the reduction or elimination of cigarette usage and should be specifically targeted for cessation intervention.

Authors+Show Affiliations

Department of Psychological, Health, and Learning Sciences, The University of Houston, College of Education, 491 Farish Hall, Houston, TX 77204-5029, United States.Department of Psychological, Health, and Learning Sciences, The University of Houston, College of Education, 491 Farish Hall, Houston, TX 77204-5029, United States. Electronic address: lrreitze@central.uh.edu.Department of Psychology, The University of Houston, 126 Heyne Building, Houston, TX 77204-5029, United States.Oklahoma Tobacco Research Center, The University of Oklahoma Health Sciences Center, 655 Research Parkway, Suite 400, Oklahoma City, OK 73104, United States.Oklahoma Tobacco Research Center, The University of Oklahoma Health Sciences Center, 655 Research Parkway, Suite 400, Oklahoma City, OK 73104, United States.Division of General Internal Medicine, University of California San Francisco, 1001 Potrero Avenue, 1311 E, Box 1364, San Francisco, CA 94110, United States.Oklahoma Tobacco Research Center, The University of Oklahoma Health Sciences Center, 655 Research Parkway, Suite 400, Oklahoma City, OK 73104, United States.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

29448145

Citation

Neisler, Julie, et al. "Concurrent Nicotine and Tobacco Product Use Among Homeless Smokers and Associations With Cigarette Dependence and Other Factors Related to Quitting." Drug and Alcohol Dependence, vol. 185, 2018, pp. 133-140.
Neisler J, Reitzel LR, Garey L, et al. Concurrent nicotine and tobacco product use among homeless smokers and associations with cigarette dependence and other factors related to quitting. Drug Alcohol Depend. 2018;185:133-140.
Neisler, J., Reitzel, L. R., Garey, L., Kenzdor, D. E., Hébert, E. T., Vijayaraghavan, M., & Businelle, M. S. (2018). Concurrent nicotine and tobacco product use among homeless smokers and associations with cigarette dependence and other factors related to quitting. Drug and Alcohol Dependence, 185, 133-140. https://doi.org/10.1016/j.drugalcdep.2017.12.012
Neisler J, et al. Concurrent Nicotine and Tobacco Product Use Among Homeless Smokers and Associations With Cigarette Dependence and Other Factors Related to Quitting. Drug Alcohol Depend. 2018 04 1;185:133-140. PubMed PMID: 29448145.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Concurrent nicotine and tobacco product use among homeless smokers and associations with cigarette dependence and other factors related to quitting. AU - Neisler,Julie, AU - Reitzel,Lorraine R, AU - Garey,Lorra, AU - Kenzdor,Darla E, AU - Hébert,Emily T, AU - Vijayaraghavan,Maya, AU - Businelle,Michael S, Y1 - 2018/02/07/ PY - 2017/08/02/received PY - 2017/12/09/revised PY - 2017/12/13/accepted PY - 2018/2/16/pubmed PY - 2018/9/21/medline PY - 2018/2/16/entrez KW - Addiction KW - Concurrent use KW - Disadvantaged population KW - Homeless KW - Smoking KW - Tobacco use SP - 133 EP - 140 JF - Drug and alcohol dependence JO - Drug Alcohol Depend VL - 185 N2 - BACKGROUND: Cigarette smoking rates among homeless adults are exceptionally high, contributing to health disparities experienced by this disadvantaged population. Concurrent nicotine and tobacco product use have been shown to result in greater health problems than cigarette smoking alone, and little is known about the rates, motives, and perceived impacts of concurrent use in this group. The purpose of this study is to explore concurrent use rates and constructs of interest among homeless adult daily smokers and to examine differences between concurrent users and non-concurrent users on cigarette dependence, perceived risk of smoking, readiness to quit, and the receipt of recent cessation intervention. METHODS: Participants (N = 396) were recruited from six homeless-serving agencies and/or shelters in Oklahoma City. Enrolled participants completed self-report questionnaires. RESULTS: The rate of concurrent use was high -67.2%. Participants most frequently endorsed lower cost and a desire to cut down on cigarette smoking as motives for concurrent product use. Concurrent users indicated both a greater likelihood of developing a smoking-related disease if they did not quit for good and a greater number of past year quit attempts relative to non-concurrent users. There was no significant difference between concurrent users and non-concurrent users on readiness to quit or having received recent smoking cessation intervention. CONCLUSION: The need for cessation efforts that account for concurrent use for homeless adult smokers is great. Study findings indicate that concurrent users are commonly pursuing the reduction or elimination of cigarette usage and should be specifically targeted for cessation intervention. SN - 1879-0046 UR - https://www.unboundmedicine.com/medline/citation/29448145/Concurrent_nicotine_and_tobacco_product_use_among_homeless_smokers_and_associations_with_cigarette_dependence_and_other_factors_related_to_quitting_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0376-8716(18)30040-1 DB - PRIME DP - Unbound Medicine ER -