Psychosocial Correlates of Perceived Stress and Depressive Symptoms among Help-Seeking Hispanic Smokers

Objectives: Research has demonstrated robust associations between perceived stress, depressive symptoms, and cigarette smoking. The extent to which these findings from the general population generalize to Hispanic smokers is unknown. The present study examined (a) correlates of perceived stress and depressive symptoms among help-seeking Hispanic smokers and (b) whether maladaptive coping and social support were related to stress and depressive symptoms. Design: Hispanic smokers (N=123) enrolled in an RCT completed demographic and smoking history, perceived stress, depressive symptoms, perceived social support, and maladaptive coping measures. Results: Bivariate associations indicated that perceived stress was positively correlated with depressive symptoms and maladaptive coping, and inversely related to perceived social support. These relationships were maintained in multiple regression analyses. Depressive symptoms were positively correlated with nicotine dependence, perceived stress, and maladaptive coping, and inversely related to education and perceived social support. Hierarchical regression analyses demonstrated independent associations between depressive symptoms and maladaptive coping, perceived stress, and education, but not perceived social support or nicotine dependence. Conclusions: These findings suggest that stress and depression among Hispanics are related to factors known to impact cessation. Recommendations for targeted interventions are discussed

Sociocultural Risk Factors for Elevated Perceived Stress among African American Smokers

Introduction: African Americans experience unique stressors that may inhibit smoking cessation and enhance relapse rates. Few studies, however, have focused on risk factors for perceived stress among treatment seekers. Because African Americans are less likely to quit compared to the larger community, understanding factors associated with perceived stress among smokers has the potential to improve intervention outcomes. This study examined psychosocial and cultural correlates of stress in a sample of African American participants in a randomized controlled trial. Methods: At baseline, participants reported demographic factors and completed assessments of smoking history, alcohol use, friend and household smoking, weight concerns, acculturation, depressive symptoms, and perceived stress (N = 325). Bivariate associations were examined, followed by multiple regression analyses to test independent relationships. The sample was comprised of mostly middle-aged males, with at least a high school education, who were single, and reported low household income. Participants were moderately nicotine dependent and smoked 18 cigarettes per day for 26 years. Results: Perceived stress was inversely associated with age (r = -.16, p = .004), education (r = -.11, p = .04), household income (r = -.11, p = .047), and positively associated with being male (r = .13, p = .02). Stress perceptions were positively related to cigarettes per day (r = .11, p = .049), nicotine dependence (r = .20, p = .001), drinking frequency (r = .15, p = .008), drinking intensity (r = .14, p=.02), and inversely related to smoking duration (r = -.12, p = .03). We found positive associations between perceived stress and household smokers (r = .18, p = .004), and friends who smoke (r = .15, p = .01). Perceived stress was also positively associated with post-cessation weight concern (r = .14, p = .01), a traditional African American cultural orientation; r = .12, p = .04), and depressive symptoms (r = .65, p Conclusion: These findings have important intervention implications. Many of the risk factors for distress among African American smokers are modifiable. Interventions should prioritize addressing depression, household smoking environment, and stress among younger smokers, in addition to managing other stress-enhancing concerns like alcohol use

Additive manufacturing of bulk refractory fiber within the Ta-Hf-C system for ultra high-temperature reinforced composite materials

This work discusses the production of ultra-high temperature material (UHTM) fibers that can be used to reinforce composite materials in extreme environments. Carbon-fiber-based, carbon-matrix composites are commonly used for many UHTM applications; however within an oxygen containing atmosphere, C-C composites are limited by oxidation well-below their ultimate sublimation temperatures. Hence, research is being carried out to create alternative materials, with very high melting points, but that have greater oxidation resistance. SiC-fiber reinforced composites offer one alternative, but are limited to temperatures below 1870K. Of the 12 binary compounds that have melting points above 3270K, Hafnium Carbide (4170K) and tantalum carbide (4150K) have the highest melting points. The ternary tantalum-hafnium-carbide system, which is derived from hot-isostatically-pressed HfC and TaC powders, has been shown to have a melting point in excess of 4260K. Obviously, these refractory materials are extremely hard to draw/extrude into wires or fibers. In this paper, we demonstrate the first-ever synthesis of Ta-Hf-C compounds in fiber form, where we have used hyperbaric laser chemical vapor deposition (HP-LCVD) to decompose gas-phase precursors. TaC, HfC, and TaxHfyCz fibers were grown from tantalum (V) chloride, hafnium (IV) bromide, and octadecane precursors within a heated glass chamber. Fine-grained and amorphous fibers were grown, depending on the precursor pressures and laser-induced temperatures. Several growth modes were observed, including kinetically-limited and mass-transport limited growth. This additive manufacturing approach holds promise for the bulk fabrication of fine-grained and glassy Ta-Hf-C chopped fiber for UHTM composites, and can be applied to many different material systems. An overview of the HP-LCVD process will be provided, as well as various implementations for producing bulk fiber and microstructures for metal-matrix and ceramic-matrix composites fabrication

Original investigatiOn efficacy of a DvD-Based smoking Cessation intervention for african americans

aBstraCt introduction: Previous research suggests that African American smokers may have improved outcomes if interventions are culturally specific. However, few interventions sufficiently address the unique needs of this population in a format with large reach potential. The purpose of this study was to test the efficacy of a newly developed digital video disc (DVD)-based cessation intervention targeting African Americans

Effects of a culturally specific tobacco cessation intervention among African American Quitline enrollees: a randomized controlled trial

Abstract Background African Americans suffer disproportionately from tobacco-related illness and have more difficulty quitting smoking than other racial/ethnic groups. Previous research indicates that African American treatment-seekers are high utilizers of tobacco quitlines, yet cessation rates via quitlines are lower relative to whites. The goal of the present study is to test the effectiveness of adding a culturally specific, video-based, adjunct to standard quitline care. It is hypothesized that the integration of an evidence-based intervention (Pathways to Freedom: Leading the Way to a Smoke-Free Community©; PTF) into quitline services will increase cessation and treatment engagement compared to control conditions, and that effects will be moderated by sociocultural factors (e.g., culturally specific intervention expectancies, acculturation, and ethnic identity). Methods This study is a 3-arm semi-pragmatic randomized controlled trial (RCT). Participants will be 1050 enrollees in the North Carolina State quitline (QuitlineNC) who self-identify as African American. Usual quitline care includes up to 4 proactive quit coaching calls, website access, and two-weeks of nicotine patch therapy. Eligible study participants will be randomized to receive (1) standard quitline services plus PTF (PTF); (2) quitline services plus a standard tobacco cessation DVD (attention control); or (3) quitline services alone (usual care). Assessments will be conducted at baseline, 3 and 6-months post-enrollment. The primary outcome will be biochemically verified 7 day ppa at 6-months. Generalized linear mixed models (GLMMs) and hierarchical logistic regression will be used to assess the effects of treatment group on cessation outcomes and to test potential moderators. Discussion This study will answer questions regarding the implementation and effectiveness of integrating a culturally specific video intervention into a real-world, population-level tobacco intervention. It will also aid our understanding of individual-difference variables that are associated with success. If an incremental benefit is found, this trial will have implications for increasing the responsiveness of tobacco quitlines for African Americans, reducing tobacco cessation disparities, and best practices for improving minority health. In addition, the PTF intervention has the potential for widespread disseminated through quitlines, which are available across the United States. Trial registration Clinicaltrials.gov NCT03064971 . Registered on February 22, 2017.https://deepblue.lib.umich.edu/bitstream/2027.42/140739/1/12889_2017_Article_5015.pd

Toward full integration of quantitative and qualitative methods in case study research: insights from investigating child welfare inequalities

Delineation of the full integration of quantitative and qualitative methods throughout all stages of multisite mixed methods case study projects remains a gap in the methodological literature. This article offers advances to the field of mixed methods by detailing the application and integration of mixed methods throughout all stages of one such project; a study of child welfare inequalities. By offering a critical discussion of site selection and the management of confirmatory, expansionary and discordant data, this article contributes to the limited body of mixed methods exemplars specific to this field. We propose that our mixed methods approach provided distinctive insights into a complex social problem, offering expanded understandings of the relationship between poverty, child abuse, and neglect

Social work, poverty, and child welfare interventions

** From Crossref via Jisc Publications Router.The relationship between children's material circumstances and child abuse and neglect raises a series of questions for policy, practice, and practitioners. Children and families in poverty are significantly more likely to be the subject of state intervention. This article, based on a unique mixed‐methods study of social work interventions and the influence of poverty, highlights a narrative from practitioners that argues that, as many poor families do not harm their children, it is stigmatizing to discuss a link between poverty and child abuse and neglect. The data reveal that poverty has become invisible in practice, in part justified by avoiding stigma but also because of a lack of up‐to‐date research knowledge and investment by some social workers in an “underclass” discourse. We argue, in light of the evidence that poverty is a contributory factor in the risk of harm, that it is vital that social work engages with the evidence and in critical reflection about intervening in the context of poverty. We identify the need for fresh approaches to the harms children and families face in order to support practices that engage confidently with the consequences of poverty and deprivation.NO DIVISION23pub5171pub

Differences in use of electronic nicotine delivery systems by smoking status and demographic characteristics among Australian young adults

Issue addressed: Electronic nicotine delivery systems (ENDS) continue to grow in popularity, particularly among young adults. Understanding by whom various ENDS are being used and why within this population segment can assist the development of appropriate interventions targeting those most vulnerable to use and inform policy decisions in this area. Accordingly, this study assessed the demographic characteristics associated with ENDS use among Australian young adults, and reasons for current e-cigarette use. Methods: An online survey was administered to 1116 Australians aged 18-25 years (59% female). Results: Smokers were more likely than non-smokers to report (a) ever use of ENDS (67% vs 28%), (b) ever use of an e-cigarette (64% vs 24%), e-cigar (17% vs 8%) or e-hookah (15% vs 8%) and (c) current use of e-cigarettes (19% vs 6%). Male smokers were more likely than female smokers to be current e-cigarette users. The most common reason for current e-cigarette use was enjoyment. Conclusions: Young male adults appear to be particularly vulnerable to becoming regular e-cigarette users. This demographic group may need to be a primary focus of prevention and intervention efforts. Contrary to popular belief, smoking cessation was not a primary reason for e-cigarette use. So what?: Greater efforts are needed to educate young adults on the harms associated with ENDS use, especially if use is being driven by the perception that they are a harmless means of amusement. Maintaining existing regulations limiting the accessibility of these products is crucial to ensuring widespread use is minimised

Decreased Levels of Soluble CD44 in a High-Risk Population following a Smoking Cessation Program

Tobacco is a risk factor of head and neck cancer (HNC) and smoking cessation alone may reduce HNC risk by 70%. Soluble CD44 (solCD44), a cell surface receptor linked to cell proliferation and migration, and total protein (TP) levels can detect early HNC. This study aims to determine whether salivary solCD44 and TP levels in oral rinses change following a smoking cessation program. 150 smokers provided oral rinse samples at baseline and at a 12-month follow-up after participation in a smoking cessation program. Assays to measure levels of solCD44, TP, and cotinine, a metabolite used as a biomarker of tobacco exposure, were completed. A paired-samples t-test was used to determine whether there was a statistically significant ( \u3c 0.05) mean difference in biomarker levels before and after the program. Baseline and at 12-month follow-up data were available for 88 subjects, 21 of whom quit smoking entirely. Mean levels of solCD44 significantly decreased by 0.412 ng/mL from baseline to the 12-month follow-up, = 0.010. There was no significant difference in mean TP levels, = 0.975. Mean cotinine levels decreased significantly by 74.7 ng/mL, = 0.035. This is the first work demonstrating an association between smoking cessation and decreased solCD44 levels in oral rinses. Decreased expression of the tumorigenic CD44 may be one mechanism by which smoking cessation lowers cancer risk