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Association of Weight Perception, Race and Readiness to Quit Smoking amongst a Cohort of Workers

Published online by Cambridge University Press:  12 December 2016

Jenny J. Lin ,
Tracey A. Revenson ,
Alfred I. Neugut ,
Andrew Rundle ,
Sumit Mohan  and
Juan P. Wisnivesky
Jenny J. Lin*
Affiliation:
Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, NY
Tracey A. Revenson
Affiliation:
Department of Psychology, Hunter College and the Graduate Center, City University of New York, NY
Alfred I. Neugut
Affiliation:
Department of Epidemiology, Columbia University Mailman School of Public Health, NY
Andrew Rundle
Affiliation:
Department of Epidemiology, Columbia University Mailman School of Public Health, NY
Sumit Mohan
Affiliation:
Department of Epidemiology, Columbia University Mailman School of Public Health, NY Division of Nephrology, College of Physicians and Surgeons, Columbia University, NY
Juan P. Wisnivesky
Affiliation:
Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, NY Division of Pulmonary, Critical Care and Sleep Medicine, Icahn School of Medicine at Mount Sinai, NY
*
Address for correspondence: Jenny J. Lin, MD, MPH, Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1087, New York, NY10029. Email: jenny.lin@mssm.edu
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Abstract

Introduction: Weight concerns may inhibit smoking quit attempts and may be more influential amongst African-Americans who are more likely to be overweight.

Aims: To assess if weight perception is associated with readiness to quit and whether this relationship is modified by race.

Methods: We used data from a cohort of current smokers undergoing routine health examinations. Based on differences between ideal and measured BMI, participants’ weight perceptions were classified as within, somewhat above, or far above ideal weight. Logistic regression analysis was used to evaluate adjusted associations of weight perception and race with readiness to quit.

Results: Of 2,831 current smokers, 23% were obese and 38% overweight. Amongst white smokers, those who perceived being far above ideal weight were more likely to be ready to quit (OR: 1.45, 95% CI: 1.03–2.03), but this association was not observed for African-American smokers who perceived themselves to be somewhat or far above their ideal weight (OR: 0.35, 95% CI: 0.10–1.24 and OR: 0.36, 95% CI: 0.11–1.19, respectively).

Conclusions: Perception of being overweight is associated with increased readiness to quit amongst white but not African-American smokers. Smoking cessation programmes may need to culturally tailor interventions based on smokers’ weight perceptions.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 13 , Issue 1 , March 2018 , pp. 11 - 17
Copyright
Copyright © The Author(s) 2016 

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