Smoking Across Adolescence and Adulthood with Cardiovascular Risk among American Indian Peoples.
Thursday, September 15, 2022
Posted by: Natalia Gromov
Clawson
AH, Cole AB, Ruppe NM, et al.
Smoking Across Adolescence
and Adulthood with Cardiovascular Risk among American Indian Peoples.
[published online ahead of print, 2022 Sep 1]. Health Psychol.
2022;10.1037/hea0001227. doi:10.1037/hea0001227
Objective. American
Indian peoples (AIs) have high smoking rates and cardiovascular risk factor
burden. The present study aimed to (a) investigate latent smoking classes
across adolescence and adulthood, (b) investigate adolescent predictors of
smoking classes, and (c) assess how smoking class is related to adult
cardiovascular risk in a sample of AIs.
Method. A
sample of AIs (N =
338) from the National Adolescent to Adult Health Study self-reported on
smoking across four assessment waves (W1: 7th-12th grade; W2: 8th-12th grade;
W3: ages 18-26; W4: ages 24-32). The socioecological framework for addressing
tobacco-related disparities was used to identify potential adolescent (W1) risk
and resource factors. C-reactive protein, blood pressure, and lipids were
collected at W4. Growth mixture modeling and regressions were used.
Results. Six
smoking classes were identified: light
smoking (36%), nonsmoking (23%), escalating, adult daily smoking (13%), chronic heavy smoking (12%), escalating, young adult daily smoking (9%),
and reducing smoking (7%).
Risk factors for being in the chronic
heavy smoking class included peer smoking and older age at W1.
Compared with the chronic
heavy smoking class, AIs in the reducing smoking class
lived in in more impoverished neighborhoods during adolescence. Relative to
several classes with less smoking, being in the chronic heavy smoking class
was associated with higher C-reactive protein and less favorable lipid levels.
W1 social support was a resource factor for adult diastolic blood pressure and
some lipids.
Conclusions. Socioecologically
informed tobacco interventions have the potential to reduce smoking and
cardiovascular risk among AIs, and bolstering social support may be important.
(PsycInfo Database Record (c) 2022 APA, all rights reserved).
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