Shelter Proximity and Affect among Homeless Smokers Making a Quit Attempt
Abstract:Objectives: To explore the associations between shelter proximity and real-time affect during a specific smoking quit attempt among 22 homeless adults. Methods: Affect was measured via 485 smartphone-based Ecological Momentary Assessments randomly administered during the weeks immediately before and after the quit day, and proximity to the shelter was measured via GPS. Adjusted linear mixed model regressions examined associations between shelter proximity and affect. Results: Closer proximity to the shelter was associated with greater negative affect only during the post-quit attempt week (p = .008). All participants relapsed to smoking by one week post-quit attempt. Conclusions: Among homeless smokers trying to quit, the shelter may be associated with unexpected negative affect/stress. Potential intervention applications are suggested.
Document Type: Research Article
Affiliations: 1: Department of Educational Psychology, College of Education, University of Houston, Houston, Health Disparities Research at The University of Texas MD Anderson Cancer Center, Houston, TX, USA 2: Division of Health Promotion and Behavioral Sciences, University of Texas School of Public Health and The University of Texas Southwestern Harold C. Simmons Comprehensive Cancer, Dallas, TX, USA 3: Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA 4: Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA 5: Program in Health Disparities Research, University of Minnesota Medical School, Minneapolis, MN, USA 6: School of Social Work, University of Texas at Austin, Austin, TX, USA 7: Division of Health Promotion and Behavioral Sciences, University of Texas School of Public Health and The University of Texas Southwestern Harold C. Simmons Comprehensive Cancer, Dallas, TX, USA. reitzel_at_UH@comcast.net
Publication date: March 1, 2014
The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.
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