Discrimination, Mental Health, and Readiness to Quit Smoking

Alexandria Jones-Patten, Sanghyuk S. Shin, Dawn T. Bounds and Adeline Nyamathi

Clinical Nursing Research, 2023, vol. 32, issue 8, 1081-1091

Abstract: We conducted a cross-sectional study, examining the mediation effects of depression and anxiety on the association between discrimination and readiness to quit cigarette smoking among African American adult cigarette smokers experiencing homelessness. Using a convenience sample, participants were recruited from a homeless shelter in Southern California. Scores of discrimination, depressive, and anxiety symptoms, and readiness to quit smoking were analyzed using linear regression modeling. We enrolled 100 participants; 58 participants were male. In the final model, discrimination had no association with readiness to quit ( b  = 0.02; 95% CI [−0.04, 0.08]; p  = 0.47). The indirect effects of depression ( b  = 0.04, [0.01, 0.07]; p  = 0.02) and anxiety ( b  = 0.03; [0.01, 0.05]; p  = 0.04) reached statistical significance; the direct effects of depression ( b  = −0.01; [−0.09, 0.04]; p  = 0.70) and anxiety ( b  = −0.00; [−0.09, 0.06]; p  = 0.86) did not. Future studies should explore these associations to enhance smoking cessation programs for this population.

Keywords: discrimination; cigarette smoking; homelessness; mental health; clinical research areas; African Americans (search for similar items in EconPapers)
Date: 2023
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:32:y:2023:i:8:p:1081-1091

DOI: 10.1177/10547738231183210

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