Tobacco Withdrawal Amongst African American, Hispanic, and White Smokers

Bello, Mariel S.; Pang, Raina D.; Cropsey, Karen L.; Zvolensky, Michael J.; Reitzel, Lorraine R.; Huh, Jimi; Leventhal, Adam M.

doi:10.1093/ntr/ntv231

Cited by 21 publications

(21 citation statements)

References 77 publications

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“…The gender difference observed here is consistent with prior studies of NW (Leventhal et al, 2007; Xu et al, 2008; Cosgrove et al, 2012; Hogle and Curtin, 2006). The literature on racial and ethnic variation in NW is equivocal, with some studies of African American smokers reporting more severe NW (Bello et al, 2015) and others reporting less severity (Riedel et al, 2003; Robinson et al, 2014). That African American participants in the current study were less likely to be offered NRT upon hospital admission may account for the observed effects.…”

Section: Discussionmentioning

confidence: 99%

“…Preexisting psychiatric conditions (Pomerleau et al, 2000; Xian et al, 2005); exposure to trauma (Dedert et al, 2012); alcohol and other drug use (Weinberger et al, 2010); female gender (Xu et al, 2008); African American ethnicity (Bello et al, 2015); and genetic vulnerability (Xian et al, 2003; Lazary et al, 2014) have been linked with greater intensity of NW. That individuals experience and present with NW in different forms is of interest clinically and perhaps particularly so in an environment in which the cues to smoke have been removed, as is the case for hospitals with complete smoking bans.…”

Section: Introductionmentioning

confidence: 99%

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Correlates of nicotine withdrawal severity in smokers during a smoke-free psychiatric hospitalization

Soyster

Anzai

Fromont

et al. 2016

Preventive Medicine

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Psychiatric hospitals are increasingly adopting smoke-free policies. Tobacco use is common among persons with mental illness, and nicotine withdrawal (NW), which includes symptoms of depression, anxiety, anger/irritability, and sleep disturbance, may confound psychiatric assessment and treatment in the inpatient setting. This study aimed to characterize NW and correlates of NW severity in a sample of smokers hospitalized for treatment of mental illness in California. Participants (N = 754) were enrolled between 2009 and 2013, and averaged 17 (SD = 10) cigarettes/day prior to hospitalization. Though most (70%) received nicotine replacement therapy (NRT) during hospitalization, a majority (65%) reported experiencing moderate to severe NW. In a general linear regression model, NW symptoms were more severe for women, African American patients, and polysubstance abusers. Though invariant by psychiatric diagnostic category, greater NW was associated with more severe overall psychopathology and greater cigarette dependence. The full model explained 46% of the total variation in NW symptom severity (F [19, 470] = 23.03 p < 0.001). A minority of participants (13%) refused NRT during hospitalization. Those who refused NRT reported milder cigarette dependence and stated no prior use of NRT. Among smokers hospitalized for mental illness, NW severity appears multidetermined, related to cigarette dependence, demographic variables, psychiatric symptom severity, and other substance use. Assessment and treatment of NW in the psychiatric hospital is clinically warranted and with extra attention to groups that may be more vulnerable or naïve to cessation pharmacotherapy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Correlates of nicotine withdrawal severity in smokers during a smoke-free psychiatric hospitalization

Soyster

Anzai

Fromont

et al. 2016

Preventive Medicine

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“…Smoking is more frequent in minority populations (e.g., racial and sexual minorities) and in those who have low levels of education and SES (Antin, Lipperman-Kreda, & Hunt, 2015; Hiscock, Bauld, Amos, Fidler, & Munafo, 2012; Leventhal, 2016; Siahpush, Singh, Jones, & Timsina, 2010; USDHHS, 2014). These same groups also struggle disproportionately with smoking cessation and suffer increased nicotine withdrawal symptoms (Bello et al, 2016; Croghan et al, 2010). Low SES individuals are less likely to try to quit smoking (Reid, Hammond, Boudreau, Fong, & Siahpush, 2010) and when they do make a quit attempt, they are less likely to succeed (Gilman, Abrams, & Buka, 2003; Reid et al, 2010).…”

Section: Applying Social Context To Smokingmentioning

confidence: 99%

A review of the effects of nicotine on social functioning.

Martin

Sayette

2018

Experimental and Clinical Psychopharmacology

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Many smokers are aware that smoking is a dangerous health behavior and eventually try to quit smoking. Unfortunately, most quit attempts end in failure. Traditionally, the addictive nature of smoking has been attributed to the pharmacologic effects of nicotine. In an effort to offer a more comprehensive, biobehavioral analysis of smoking behavior and motivation, some researchers have begun to consider the role of social factors in smoking. In line with recent recommendations to integrate social and pharmacological analyses of smoking, we reviewed the experimental literature examining the effects of nicotine and nicotine withdrawal on social functioning. The review identified 13 studies that experimentally manipulated nicotine and assessed social functioning, 12 of which found support for nicotine's enhancement of social functioning. Although few experiments have investigated social functioning, they nevertheless offer compelling evidence that nicotine enhances social functioning in smokers and suggest that nicotine deprivation may hamper social functioning in those dependent on nicotine. Future directions for investigating social outcomes and context in those who use nicotine products are discussed with a focus on leveraging advances in social and developmental psychology, animal research, sociology, and neuroimaging to more comprehensively understand smoking behavior. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

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“…Although cigarette consumption rates were consistently found to be much higher among non-Hispanic Whites and other racial/ethnic groups (vs. African Americans; Trinidad et al, 2015; Evans-Polce, Vasilenko, & Lanza, 2015; Jamal et al, 2014; Herzog & Pokhrel, 2012), African American smokers are more susceptible to the effects of smoking on tobacco-related disease morbidity and mortality (American Cancer Society, 2016; DeLancey, Thun, Jemal, & Ward, 2008; Haiman et al, 2006; Irvin Vidrine, Reitzel, & Wetter, 2009), are less likely than other racial groups to initiate a quit attempt (Bacio, Guzman, Shapiro, & Ray, 2014; Fu et al, 2008; Hahn, Folsom, Sprafka, & Norsted, 1990; Trinidad, Perez-Stable, White, Emery, & Messer, 2011), appear to be at greater risk of relapse following a cessation attempt (Choi, Okuyemi, Kaur, & Ahluwalia, 2004), and may experience more extensive affective disturbances during acute abstinence (Bello et al, 2016). Moreover, recent literature has illustrated disproportionately higher rates of menthol cigarette smoking among African Americans, with African American menthol smokers being more likely to initiate smoking and less likely to successfully quit smoking than non-Hispanic White non-menthol smokers, despite showing more motivation to quit smoking (Alexander et al, 2016; Keeler et al, 2016; Stahre et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Obsessive-compulsive symptoms and negative affect during tobacco withdrawal in a non-clinical sample of African American smokers

Bello

Pang

Chasson

et al. 2017

Journal of Anxiety Disorders

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The association between obsessive-compulsive (OC) symptomatology and smoking is poorly understood, particularly in African Americans—a group subject to smoking- and OC-related health disparities. In a non-clinical sample of 253 African American smokers, we tested the negative reinforcement model of OC-smoking comorbidity, purporting that smokers with higher OC symptoms experience greater negative affect (NA) and urge to smoke for NA suppression upon acute tobacco abstinence. Following a baseline visit involving OC assessment, participants completed two counterbalanced experimental visits (non-abstinent vs. 16-hr tobacco abstinence) involving affect, smoking urge, and nicotine withdrawal assessment. OC symptom severity predicted larger abstinence-provoked increases in overall NA, anger, anxiety, depression, fatigue, urge to smoke to suppress NA, and composite nicotine withdrawal symptom index. African American smokers with elevated OC symptoms appear to be vulnerable to negative reinforcement-mediated smoking motivation and may benefit from cessation treatments that diminish NA or the urge to quell NA via smoking.

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Tobacco Withdrawal Amongst African American, Hispanic, and White Smokers

Cited by 21 publications

References 77 publications

Correlates of nicotine withdrawal severity in smokers during a smoke-free psychiatric hospitalization

Correlates of nicotine withdrawal severity in smokers during a smoke-free psychiatric hospitalization

A review of the effects of nicotine on social functioning.

Obsessive-compulsive symptoms and negative affect during tobacco withdrawal in a non-clinical sample of African American smokers

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