Smoking Social Norms Among Spanish-Speaking Mexican-Origin Persons Who Smoke

In the United States, smoking rates increase with greater acculturation among Mexican-origin women, but not among men. Conversely, greater acculturation is associated with higher likelihood of quitting among Mexican-origin men who smoke, but not among women who smoke. Long-standing speculation is that adoption of smoking social norms in the U.S. that are less restrictive for women and more restrictive for men compared to smoking social norms in Mexico may account for these patterns. However, it is unknown whether persons who smoke actually perceive such differential norms. The current study characterized smoking social norms in the U.S. and Mexico among Spanish-speaking Mexican-origin persons who smoke. Two hundred and ninety Mexican-origin persons who smoke were surveyed on descriptive and injunctive norms for men and women in the U.S. and Mexico. Estimated means for smoking social norms in the U.S. and Mexico were compared separately among men and women. Among men, mean descriptive and injunctive norms in Mexico were significantly higher than those for the U.S. Among women, neither mean descriptive nor injunctive norms were significantly different between the U.S. and Mexico. Mexican-origin women who smoke perceive smoking among women as equally common and similarly unacceptable in the U.S. and Mexico. Findings do not support speculation that differential social norms may explain the acculturation-smoking relationship among Mexican-origin women. Mexican-origin men who smoke perceive smoking among men both less common and less acceptable in the U.S. compared to Mexico. Social norms should be investigated as a mechanism of the acculturation-cessation relationship among Mexican-origin men. Understanding direct and indirect influences of social norms on cessation among Mexican-origin men stands to inform tailoring of interventions

Major Depression in Postpartum Women during the COVID-19 Pandemic: Can Social Support Buffer Psychosocial Risks and Substance Use?

Rates of mood disorders and substance use increased during the COVID-19 pandemic for postpartum women. The present study’s aims were to: (1) examine the prevalence of major depressive disorder (MDD) in postpartum women during the COVID-19 pandemic, and (2) evaluate whether social support can buffer the associations between MDD, psychosocial factors (perceived stress, generalized anxiety, and intimate partner violence) and substance use (alcohol and drug use). A nationwide survey included 593 postpartum mothers (within 12 months from birth). Participants were assessed for a provisional diagnosis of MDD, and provided responses on validated instruments measuring stress, intimate partner violence, suicidal ideation, generalized anxiety, social support, and substance use. A hierarchical logistic regression model assessed the association of psychosocial factors and substance use with MDD. The final model shows that social support attenuates the association of MDD with perceived stress, alcohol use, and drug use, but does not buffer the relationship of MDD with anxiety or intimate partner violence. Social support was shown to significantly attenuate the effects of stress, alcohol use, and drug use on MDD, suggesting that the presence of a strong, supportive social network should be an area of increased focus for public health and healthcare professionals when caring for postpartum women