Psychosocial factors influencing smoking relapse among youth experiencing homelessness: A qualitative study.

Autor: Patterson JG; The Ohio State University Comprehensive Cancer Center, Columbus, Ohio, United States of America.; Division of Epidemiology, The Ohio State University College of Public Health, Columbus, Ohio, United States of America., Macisco JM; Division of Health Behavior and Health Promotion, The Ohio State University College of Public Health, Columbus, Ohio, United States of America., Glasser AM; Division of Health Behavior and Health Promotion, The Ohio State University College of Public Health, Columbus, Ohio, United States of America., Wermert A; Division of Health Behavior and Health Promotion, The Ohio State University College of Public Health, Columbus, Ohio, United States of America., Nemeth JM; The Ohio State University Comprehensive Cancer Center, Columbus, Ohio, United States of America.; Division of Health Behavior and Health Promotion, The Ohio State University College of Public Health, Columbus, Ohio, United States of America.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2022 Jul 26; Vol. 17 (7), pp. e0270665. Date of Electronic Publication: 2022 Jul 26 (Print Publication: 2022).
DOI: 10.1371/journal.pone.0270665
Abstrakt: Objectives: In the United States, up to 70% of youth experiencing homelessness smoke cigarettes. Many are interested in quitting; however, little is known about psychosocial factors influencing smoking relapse in this population. This study, part of a larger project to develop an optimized smoking cessation intervention for youth experiencing homelessness, aimed to describe how psychosocial factors influence smoking relapse in this group.
Methods: This study describes the smoking relapse experiences of 26 youth tobacco users, aged 14-24 years, who were recruited from a homeless drop-in center in Ohio. We conducted semi-structured interviews to understand how stress, opportunity, and coping contribute to smoking relapse.
Results: Five themes emerged from the data: (1) smoking as a lapse in emotional self-regulation in response to stress; (2) smoking as active emotional self-regulation in response to stress; (3) social opportunities facilitate smoking in the context of emotion-focused stress coping; (4) problem-focused stress coping; and (5) opportunity facilitates smoking relapse.
Conclusions: Stress was a primary driver of smoking relapse among youth experiencing homelessness, yet social and environmental opportunities to smoke also precipitated relapse. Interventions to improve abstinence among this population should target foundational stressors, coping skills, social supports, and nicotine dependence.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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