Monday, June 6, 2011

Studies Offer New Insight Into Helping Latinos Quit Smoking

Studies Offer New Insight Into Helping Latinos Quit Smoking

Latinos looking to resign smoking are more successful when they be the subject of a significant other and partner protect, say researchers from The Miriam Hospital's Centers beneficial to Behavioral and Preventive Medicine. According to the study, published in the May/June egress of the American Journal of Health Promotion, this undergo can also buffer the demonstrated negative truth that depression can have on smoking cessation.

Latinos are the largest, fastest increasing minority population in the country, based without interrupti~ U.S. Census data. Smoking influence among Latinos is 15.8 percent and is equable higher among those who are in addition adapted to U.S. culture. Overall, Cubans be obliged the highest rates of smoking, followed by American-born Mexicans, Puerto Ricans, Central and South Americans, immigrant Mexicans and Dominicans.

Although previous research suggests that social support appears to facilitate smoking cessation, other factors, such while depressed mood, can hinder those efforts, subsequently to depression and depressive symptoms are associated by lower likelihood of quitting. Given that Latinos wish slightly higher rates of depressive symptoms compared to other racial or ethnological groups, they may have particular hard row to hoe quitting smoking.

The study included 131 Latino smokers who have children with asthma. The majority of participants were Puerto Rican (52 percent), Dominican (23 percent) and Central American (11 percent), at the same time that nearly three-quarters were female. Participants reported smoking each average of 10.8 cigarettes through day with an average of three liberate attempts.

Overall, approximately 46 percent of participants reported having a signifying other, defined as being married, engaged or support together. Questionnaires determined their perceived levels of communicative support, which was defined as having someone to conference to about their problems, people with whom they can do things, material or material support and self-valuation support. Participants also reported on perceived supportive and non-supportive smoking discontinuance-related behaviors from their significant others. A eliminate assessment measured participants' levels of dent and depressive mood.

Approximately 30 percent of participants through a partner quit smoking compared to 14.3 percent of those lacking a partner. More than 43 percent of those through high levels of perceived partner have quit smoking, versus 17.4 percent of participants with low levels.

"Simply having a sharer, regardless of the type of defend they offer, may be important to Latino smokers who are afflicting to quit smoking," said Belinda Borrelli, Ph.D., older author on the study and a psychologist through The Miriam Hospital's Centers in quest of Behavioral and Preventive Medicine.

The study in like manner examined whether or not having a sharer buffered the effect of depressed mood on quitting smoking. Among smokers on the outside of a partner, quit rates were higher concerning those with low levels of depressed mood (37 percent) than those with boisterous levels of depressed mood (9 percent). Depressive symptoms did not arrogate quitting smoking among those with a participant. According to researchers, this finding suggests that alone having a partner, regardless of whether that one of a firm offers positive or negative support, buffers the force of depressive symptoms on smoking stop.

"Latino smokers who are depressed and/or those on the outside of a partner may need to be connected to additional supportive resources to fortunately quit smoking," says Borrelli. Although she says the study provides a first step in exploring possible factors - like as social support and depression = that may any one help or hinder smoking cessation, denoting futurity research is needed to discover ways to capitalize in successi~ the social context of Latinos to promote smoking cessation.

Are there differences in smoking manner and attitudes among Puerto Rican, Dominican and non-white Latino smokers?

In a related study, also published in the May/June edition of the American Journal of Health Promotion, Borrelli and colleagues appoint out to determine whether smoking mien and attitudes differ among Puerto Ricans and Dominicans and on the supposition that so, how do they compare to non-Latino whites (or Caucasians).

Researchers focused their study forward 225 smokers who are also caregivers of children with asthma. They examined smokers' motivation to discharged, risk perception, social support, depressed humor and perceived stress because these factors are associated with poor smoking cessation outcomes among the manhood population.

"No studies have examined the differences in smoking attitudes and carriage between Dominicans and Puerto Ricans," before-mentioned Borrelli. "Exploring differences between these pair subgroups as well as how harvested land differs from non-Latino whites is of importance for determining whether smoking cessation interventions developed since the majority population are relevant to characteristic Latino populations."

Overall, researchers say there were important differences between Dominicans and Puerto Ricans compared to either other and with non-Latino whites that become it less likely that evidence-based treatments that are efficacious for the majority of adult smokers demise be equally effective for Latinos, suggesting the exigency for cultural adaptation of smoking cessation treatments for Latinos.

Borrelli and colleagues in addition note that Puerto Ricans appear to regard more factors associated with risk of smoking pause treatment failure, such as less motivation and confidence to quit, lower levels of social support, and greater levels of U.S. acculturation and depressed disposition. On the other hand, Dominicans present itself to have the most protective factors amid the three groups to facilitate quitting, including unhandsome nicotine dependence and high motivation to renounce, and they also identified more negative consequences of smoking.

Only 13.3 percent of Dominicans lived with another smoker, compared to 35.8 percent of Puerto Ricans. 60% of Dominicans had a household ban on smoking, versus 44.8% of Puerto Rican smokers.

"Although it may not have existence feasible to have numerous smoking remission treatments for different subgroups, we set up meaningful differences between subgroups that could exist used in treatment tailoring," said Borrelli. "We exigency to examine the role of these smoking attitudes viewed like potential moderators and mediators of smoking mien in order to guide the cultural harmony of evidence-based treatments."

Notes:

Both studies were funded ~ means of grants from The Robert Wood Johnson Foundation Smoke Free Families Initiative to Borrelli. Brittany M. Brothers, Ph.D., from The Ohio State University, co-authored the journal titled Motivating Latino Smokers to Quit: Does Type of Support Matter? Co-authors of the helper paper, Differences in Smoking Behavior and Attitudes amid Puerto Rican, Dominican and Non-Latino White Caregivers of Children with Asthma, included Elizabeth McQuaid, Ph.D., from the Bradley Hasbro Children's Research Center; Kristin Gregor, Ph.D., of The Miriam Hospital's Centers on account of Behavioral and Preventive Medicine; Rashelle B. Hayes, Ph.D., of the University of Massachusetts Medical School; and Christina S. Lee, Ph.D., of the Center for Alcohol & Addiction at Brown University and the Institute on Urban Health Research at Northeastern University.

The source affiliation of Belinda Borrelli, Ph.D., is The Miriam Hospital (a component hospital of the Lifespan health hypothesis in Rhode Island), and direct monetary and infrastructure support for this project was received through the Lifespan Office of Research Administration. The researcher in like manner has an academic appointment at The Warren Alpert Medical School of Brown University.

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