Shelter proximity and affect among homeless smokers making a quit attempt

Am J Health Behav. 2014 Mar;38(2):161-9. doi: 10.5993/AJHB.38.2.1.

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.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Affective Symptoms / epidemiology
  • Affective Symptoms / psychology*
  • Case-Control Studies
  • Cell Phone / statistics & numerical data
  • Female
  • Follow-Up Studies
  • Geographic Information Systems
  • Health Status Disparities
  • Housing*
  • Humans
  • Ill-Housed Persons / psychology*
  • Ill-Housed Persons / statistics & numerical data
  • Linear Models
  • Male
  • Middle Aged
  • Patient Compliance / statistics & numerical data
  • Program Evaluation
  • Smoking / adverse effects
  • Smoking / epidemiology
  • Smoking Cessation / methods
  • Smoking Cessation / psychology*
  • Social Class
  • Social Environment*
  • Surveys and Questionnaires
  • Texas / epidemiology
  • Tobacco Use Disorder / epidemiology
  • Tobacco Use Disorder / therapy