Identifying Novel Motivation Phase-Specific Cessation Targets for Youth Experiencing Homelessness in the United States.

Autor:	Nemeth JM; Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Columbus, OH, USA.; The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA., Glasser AM; Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Columbus, OH, USA.; Institute for Nicotine and Tobacco Studies, Rutgers University, New Brunswick, NJ, USA., Macisco J; Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Columbus, OH, USA., Hinton A; Division of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH, USA., Wermert A; Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Columbus, OH, USA., Patterson JG; Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Columbus, OH, USA., Sucaldito A; Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Columbus, OH, USA.; Department of Family and Community Medicine and Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA., Gilson C; Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Columbus, OH, USA.; Department of Psychology, University of Denver, Denver, CO, USA., Kemble H; Division of Health Sciences Management and Policy, College of Public Health, The Ohio State University, Columbus, OH, USA.; Wake Forest Baptist Health, Winston-Salem, NC, USA., Garbsch E; Division of Health Sciences Management and Policy, College of Public Health, The Ohio State University, Columbus, OH, USA., Caponi J; Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Columbus, OH, USA.; Department of Sociology, University of Michigan, Ann Arbor, MI, USA.
Jazyk:	angličtina
Zdroj:	Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco [Nicotine Tob Res] 2024 Jan 22; Vol. 26 (2), pp. 237-244.
DOI:	10.1093/ntr/ntad176
Abstrakt:	Introduction: Of youth experiencing homelessness (YEH; 14-24 years old), 70%+ smoke combustible, commercial tobacco. Though many have tried to quit, most use ineffective methods. Drop-in centers for YEH are opportune places to link YEH to evidence-based treatment. Using the Phase-Based Model (PBM) for Cessation Research, the aim of this study was to identify "Motivation" phase-specific challenges impacting YEH's willingness to make a quit attempt-the goal of this cessation phase. Aims and Methods: Surveys were interview administered with 96 past-week combusted tobacco users accessing drop-in services. Regression models were fit to confirm hypothesized challenges impacting YEH's willingness to quit. Results: Moderate nicotine dependence was noted-a key Motivation phase cessation mechanism targeted-and was associated with population challenges including, but not limited to, replacing food with tobacco, accidental oxygen-deprivation events, and smoking to socialize. While 67.1% of participants made a past-year quit attempt, 45.8% expressed 30-day quit interest. Dimensions of coping with housing were associated with quit attempts and quit interest. Quit attempts were also associated with nicotine dependence, working, and smoking to socialize. Whereas, quit interest was associated with less endorsement of smoking to regulate affect and more endorsement to avoid danger. Conclusions: Though common challenges targeted in Motivation phase cessation exist among YEH, other challenges may also need to be addressed to promote quitting. Implications: Future research in optimizing evidence-based cessation access for YEH through drop-in centers may consider addressing the challenges of housing, food security, social context, violence, and neurotrauma sequela to bolster YEH willingness to make a quit attempt. (© The Author(s) 2023. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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