Identifying Cigarette Smoking Trajectories from Homelessness to Housing.
This study examines cigarette smoking trajectories from homelessness to housing and assesses demographic and clinical characteristics associated with multiple longitudinal smoking behavior patterns. Data were drawn from a longitudinal prospective cohort study of 421 adults experiencing homelessness...
| Published in: | International Journal of Mental Health & Addiction Vol. 22; no. 6; pp. 4107 - 4126 |
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| Main Authors: | , , , , |
| Format: | Article |
| Published: |
Springer Nature
Dec2024
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=181829891&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 181829891 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 15571874 46AW jtl: International Journal of Mental Health & Addiction issn: 15571874 maglogo: N pubinfo: dt: Dec2024 vid: 22 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 181829891 10.1007/s11469-023-01106-x ppf: 4107 ppct: 19 formats: fmt: – @attributes: type: T – @attributes: type: P size: 953KB tig: atl: Identifying Cigarette Smoking Trajectories from Homelessness to Housing. aug: au: Harris, Taylor Semborski, Sara Unger, Jennifer Chou, Chih-Ping Wenzel, Suzanne affil: https://ror.org/04thxh256 Department of Veteran's Affairs, Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), Los Angeles, CA, USA https://ror.org/03taz7m60 University of Southern California, Suzanne Dworak-Peck School of Social Work, Los Angeles, CA, USA https://ror.org/024mw5h28 Chaplin Hall, University of Chicago, Chicago, IL, USA https://ror.org/03taz7m60 University of Southern California, Keck School of Medicine, Department of Preventative Medicine, Los Angeles, CA, USA https://ror.org/03taz7m60 University of Southern California, Keck School of Medicine, Department of Population and Public Health Sciences, Los Angeles, CA, USA su: Mental health services Substance abuse Public health Bipolar disorder Smoking sug: subj: Mental health services Substance abuse Public health Bipolar disorder Smoking Residential Mental Health and Substance Abuse Facilities Psychiatric and Substance Abuse Hospitals Offices of Mental Health Practitioners (except Physicians) Health and Welfare Funds keyword: Cigarette smoking Homelessness Housing Latent class analysis Medical and Health Sciences Public Health and Health Services Mental health Tobacco Cigarette smoking Homelessness Housing Latent class analysis Medical and Health Sciences Public Health and Health Services Mental health Tobacco ab: This study examines cigarette smoking trajectories from homelessness to housing and assesses demographic and clinical characteristics associated with multiple longitudinal smoking behavior patterns. Data were drawn from a longitudinal prospective cohort study of 421 adults experiencing homelessness who entered permanent supportive housing (PSH). Four quantitative surveys (baseline [while homeless], 3-, 6-, and 12 months post-housing) gathered participants' smoking frequency used for Repeated Measure Latent Class Analysis (RMLCA), which identified subgroups that share longitudinal smoking behavior patterns. Baseline and time-varying demographic, mental health (e.g., schizophrenia), and substance use (e.g., cannabis use) measures were examined as correlates of class membership. RMLCA estimates supported a three-class model: (1) mixed-frequency decreasers (n = 71): who smoked at differing frequencies while demonstrating a significant decrease over time; (2) high-frequency maintainers (n = 194): participants who smoked daily/almost-daily and maintained this smoking rate across waves; and (3) low-frequency increasers (n = 56): participants who generally were non-smokers at baseline and significantly increased to monthly or weekly consumption longitudinally. Compared to Black and African American participants, Hispanic and Latino participants had greater odds of low-frequency increaser and mixed-frequency decreaser membership. Schizophrenia and bipolar disorder diagnoses increased odds of high-frequency maintainer membership compared to the two less-frequent-using subgroups. Cannabis use increased longitudinally and was associated with greater odds of high-frequency maintainer membership. This is the first study to find smoking changes from homelessness to housing. While encouraging that some residents reduce their smoking post-housing, many maintained high smoking rates. Cessation services that address mental health and co-occurring substance use within PSH are warranted. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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