Skip to main content

Advertisement

Log in

Association Between Anxiety and Smoking in a Sample of Urban Black Men

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

Background Anxiety and smoking associations have been examined previously, but not in high risk populations of smokers, such as black males, who bear an excess burden of smoking-related illnesses. Methods This study assessed the relation between self-reported smoking status and anxiety using data collected by structured telephone interviews with a sample of 430 black, middle-aged males participating in an ongoing cancer prevention trial. Results There was a significant association between anxiety caseness and smoking (p = .006), with more probable cases among current smokers. A priori t-tests showed that current smokers had greater anxiety than former and nonsmokers (p’s = 0.02). Among current smokers, greater anxiety was associated with heavier smoking (p = .008), an association not present among former smokers. Discussion This study could guide future experimental studies examining smoking-anxiety associations and inform intervention strategies addressing anxiety in underserved nicotine dependent populations with high tobacco-related risks.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Morissette SB, Tull MT, Gulliver SB, Kamholz BW, Zimering RT. Anxiety, anxiety disorders, tobacco use, and nicotine: a critical review of interrelationships. Psychol Bull. 2007;133(2):245–72.

    Article  PubMed  Google Scholar 

  2. United States Department of Health and Human Services. The health consequences of smoking: a report of the Surgeon General. U.S. Department of Health and Human Services, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2004. http://www.surgeongeneral.gov/library/smokingconsequences/. Accessed May 20, 2008.

  3. Ahluwalia JS, Dang KS, Choi WS, Harris KJ. Smoking behaviors and regular source of health care among African Americans. Prev Med. 2002;34(3):393–6.

    Article  PubMed  Google Scholar 

  4. Cooper R, Rotimi C. Hypertension in blacks. Am J Hypertens. 1997;10(7 Pt 1):804–12.

    Article  PubMed  CAS  Google Scholar 

  5. Carter JS, Pugh JA, Monterrosa A. Non-insulin-dependent diabetes mellitus in minorities in the United States. Ann Intern Med. 1996;125(3):221–32.

    PubMed  CAS  Google Scholar 

  6. Hodgson DC, Zhang W, Zaslavsky AM, Fuchs CS, Wright WE, Ayanian JZ. Relation of hospital volume to colostomy rates and survival for patients with rectal cancer. J Natl Cancer Inst. 2003;95(10):708–16.

    Article  PubMed  Google Scholar 

  7. Centers for Disease Control and Prevention. The burden of chronic diseases and their risk factors: National and State perspectives, 2004. http://www.cdc.gov/nccdphp/burdenbook2004. Accessed December 10, 2007.

  8. American Cancer Society. Cancer facts and figures for African Americans, 2007–2008. http://www.cancer.org/downloads/STT/CAFF2005AACorrPWSecured.pdf. Accessed March 1, 2007.

  9. Centers for Disease Control and Prevention. Early release of selected estimates based on data from the January–September 2007. National Health Interview Survey. 2008:49–54. http://www.cdc.gov/nchs/data/nhis/earlyrelease/200803_08.pdf. Accessed May 20, 2008.

  10. Kabat GC, Morabia A, Wynder EL. Comparison of smoking habits of blacks and whites in a case–control study. Am J Public Health. 1991;81(11):1483–6.

    Article  PubMed  CAS  Google Scholar 

  11. Bennett GG, Wolin KY, Okechukwu CA, et al. Nativity and cigarette smoking among lower income blacks: results from the healthy directions study. J Immigr Minor Health. 2008;10(4):305–11.

    Article  PubMed  Google Scholar 

  12. Lwegaba A. Excess healthcare cost associated with a low smoking prevalence, Barbados. West Indian Med J. 2004;53(1):12–6.

    PubMed  CAS  Google Scholar 

  13. Klonoff EA, Landrine H. Acculturation and cigarette smoking among African Americans: replication and implications for prevention and cessation programs. J Behav Med. 1999;22(2):195–204.

    Article  PubMed  CAS  Google Scholar 

  14. Clark PI, Gautam S, Gerson LW. Effect of menthol cigarettes on biochemical markers of smoke exposure among black and white smokers. Chest. 1996;110(5):1194–8.

    Article  PubMed  CAS  Google Scholar 

  15. Giovino GA, Schooley MW, Zhu BP, et al. Surveillance for selected tobacco-use behaviors – United States, 1900–1994. MMWR Surveill Summ. 1994;43(3):1–43.

    CAS  Google Scholar 

  16. Kabat GC, Hebert JR. Use of mentholated cigarettes and lung cancer risk. Cancer Res. 1991;51(24):6510–3.

    PubMed  CAS  Google Scholar 

  17. Okuyemi KS, Ebersole-Robinson M, Nazir N, Ahluwalia JS. African-American menthol and nonmenthol smokers: differences in smoking and cessation experiences. J Natl Med Assoc. 2004;96(9):1208–11.

    PubMed  Google Scholar 

  18. Okuyemi KS, Richter KP, Ahluwalia JS, Mosier MC, Nazir N, Resnicow K. Smoking reduction practices among African American smokers. Nicotine Tob Res. 2002;4 Suppl 2:S167–73.

    Article  PubMed  Google Scholar 

  19. Perez-Stable EJ, Herrera B, Jacob P 3rd, Benowitz NL. Nicotine metabolism and intake in black and white smokers. JAMA. 1998;280(2):152–6.

    Article  PubMed  CAS  Google Scholar 

  20. Wagenknecht LE, Cutter GR, Haley NJ, et al. Racial differences in serum cotinine levels among smokers in the Coronary Artery Risk Development in (Young) Adults study. Am J Public Health. 1990;80(9):1053–6.

    Article  PubMed  CAS  Google Scholar 

  21. Benowitz NL. Clinical pharmacology of nicotine: implications for understanding, preventing, and treating tobacco addiction. Clin Pharmacol Ther. 2008;83(4):531–41.

    Article  PubMed  CAS  Google Scholar 

  22. Mwenifumbo JC, Sellers EM, Tyndale RF. Nicotine metabolism and CYP2A6 activity in a population of black African descent: impact of gender and light smoking. Drug Alcohol Depend. 2007;89(1):24–33.

    Article  PubMed  CAS  Google Scholar 

  23. Fiore MC, Novotny TE, Pierce JP, Hatziandreu EJ, Patel KM, Davis RM. Trends in cigarette smoking in the United States. The changing influence of gender and race. JAMA. 1989;261(1):49–55.

    Article  PubMed  CAS  Google Scholar 

  24. Trinidad DR, Gilpin EA, White MM, Pierce JP. Why does adult African-American smoking prevalence in California remain higher than for non-Hispanic whites. Ethn Dis. 2005;15(3):505–11.

    PubMed  Google Scholar 

  25. Centers for Disease Control and Prevention. Smoking cessation during previous year among adults – United States, 1990 and 1991. MMWR. 1998;42(26):504–7.

    Google Scholar 

  26. Brandon TH, Tiffany ST, Obremski KM, Baker TB. Postcessation cigarette use: the process of relapse. Addict Behav. 1990;15(2):105–14.

    Article  PubMed  CAS  Google Scholar 

  27. Shiffman S. Relapse following smoking cessation: a situational analysis. J Consult Clin Psychol. 1982;50(1):71–86.

    Article  PubMed  CAS  Google Scholar 

  28. New York City Department of City Planning. The Newest New Yorkers 2000: Immigrant New York in the New Millennium Briefing Booklet, 2004. http://www.nyc.gov/html/dcp/pdf/census/nny_briefing_booklet.pdf. Accessed May 20, 2008.

  29. Willis G. Cognitive interviewing and questionnaire design: a training manual. In: Office of Research and Methodology, U.S. Department of Health and Human Services, 1994. http://www.nida.nih.gov/pdf/monographs/monograph167/416-438_Willis.pdf. Accessed June 30, 2008.

  30. McLaughlin GH. SMOG grading – a new readability formula. J Read. 1969;22:639–46.

    Google Scholar 

  31. Weinrich SP, Boyd M, Herman J. Tool adaptation to reduce health disparities. In: Stromborg M, Olsen S, editors. Instruments for clinical health-care research. Boston, MA: Jones and Bartlett Publishers; 2003. p. 20–32.

    Google Scholar 

  32. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361–70.

    Article  PubMed  CAS  Google Scholar 

  33. Carlson LE, Bultz BD. Cancer distress screening. Needs, models, and methods. J Psychosom Res. 2003;55(5):403–9.

    Article  PubMed  Google Scholar 

  34. Sellick SM, Edwardson AD. Screening new cancer patients for psychological distress using the hospital anxiety and depression scale. Psychooncology. 2007;16(6):534–42.

    Article  PubMed  Google Scholar 

  35. Hatziandreu EJ, Pierce JP, Fiore MC, Grise V, Novotny TE, Davis RM. The reliability of self-reported cigarette consumption in the United States. Am J Public Health. 1989;79(8):1020–3.

    Article  PubMed  CAS  Google Scholar 

  36. Grant BF. About 26% of people in the U.S. have an anxiety, mood, impulse control, or substance disorder. Evid Based Ment Health. 2006;9(1):27.

    Article  PubMed  Google Scholar 

  37. Collins BN, Brandon TH. Effects of extinction context and retrieval cues on alcohol cue reactivity among nonalcoholic drinkers. J Consult Clin Psychol. 2002;70(2):390–7.

    Article  PubMed  Google Scholar 

  38. Conklin CA. Environments as cues to smoke: implications for human extinction-based research and treatment. Exp Clin Psychopharmacol. 2006;14(1):12–9.

    Article  PubMed  Google Scholar 

  39. Lee JH, Kwon H, Choi J, Yang BH. Cue-exposure therapy to decrease alcohol craving in virtual environment. Cyberpsychol Behav. 2007;10(5):617–23.

    Article  PubMed  Google Scholar 

  40. Marissen MA, Franken IH, Blanken P, van den Brink W, Hendriks VM. Cue exposure therapy for the treatment of opiate addiction: results of a randomized controlled clinical trial. Psychother Psychosom. 2007;76(2):97–105.

    Article  PubMed  Google Scholar 

  41. Thewissen R, Snijders SJ, Havermans RC, van den Hout M, Jansen A. Renewal of cue-elicited urge to smoke: implications for cue exposure treatment. Behav Res Ther. 2006;44(10):1441–9.

    Article  PubMed  Google Scholar 

  42. West R, Hajek P. What happens to anxiety levels on giving up smoking? Am J Psychiatry. 1997;154(11):1589–92.

    PubMed  CAS  Google Scholar 

  43. Okuyemi KS, Powell JN, Savage CR, et al. Enhanced cue-elicited brain activation in African American compared with Caucasian smokers: an fMRI study. Addict Biol. 2006;11(1):97–106.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported by grant from the National Institutes of Health (CA104223) to Stephen J. Lepore, Ph.D. The authors thank Uma Nair, MA for her assistance in preparing references for this paper.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Bradley N. Collins.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Collins, B.N., Lepore, S.J. Association Between Anxiety and Smoking in a Sample of Urban Black Men. J Immigrant Minority Health 11, 29–34 (2009). https://doi.org/10.1007/s10903-008-9164-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-008-9164-0

Keywords

Navigation