Longitudinal Associations Between Changes in Cigarette Smoking and Alcohol Use, Eating Behavior, Perceived Stress, and Self-Rated Health in a Cohort of Low-Income Black Adults

Ann Behav Med. 2021 May 10:kaab029. doi: 10.1093/abm/kaab029. Online forward of print.


BACKGROUND: Black adults within the U.S. expertise vital well being disparities associated to tobacco use and weight problems. Conducting observational research of the associations between smoking and different well being behaviors and indicators amongst Black adults could contribute to the event of tailor-made interventions.

PURPOSE: We examined associations between change in cigarette smoking and alcohol use, physique mass index, consuming conduct, perceived stress, and self-rated well being in a cohort of Black adults who resided in low-income city neighborhoods and took part in an ongoing longitudinal examine.

METHODS: Interviews have been carried out in 2011, 2014, and 2018; members (N = 904) supplied a minimum of two waves of knowledge. We match linear and logistic mixed-effects fashions to guage how modifications in smoking standing from the earlier wave to the following wave have been associated to every end result at that subsequent wave.

RESULTS: Compared to repeated smoking (smoking at earlier and subsequent wave), repeated nonsmoking (nonsmoking at earlier and subsequent wave) was related to higher chance of current weight-reduction plan (OR = 1.59, 95% CI [1.13, 2.23], p = .007) and future intention (OR = 2.19, 95% CI [1.61, 2.98], p < .001) and self-efficacy (OR = 1.64, 95% CI [1.21, 2.23], p = .002) to eat low calorie meals, and higher odds of wonderful or superb self-rated well being (OR = 2.47, 95% CI [1.53, 3.99], p < .001). Transitioning from smoking to nonsmoking was related to higher self-efficacy to eat low calorie meals (OR = 1.89, 95% CI [1.1, 3.26], p = .021), and decrease perceived stress (β = -0.69, 95% CI [-1.34, -0.05], p = .036).

CONCLUSIONS: We discovered vital longitudinal associations between smoking conduct and consuming conduct, perceived stress, and self-rated well being. These findings have implications for the event of a number of conduct change applications and community-level interventions and insurance policies.

PMID:33970236 | DOI:10.1093/abm/kaab029

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