Smoking Patterns within a Primary Care Sample of Resettled Bosnian Refugees
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The interconnections among smoking status, severity of nicotine related physical dependence (NRPD), posttraumatic stress disorder (PTSD)-related physiological arousal and subjective health were explored within a sample of 66 resettled Bosnian refugees seeking primary healthcare services. Fifty-nine percent (n = 39/66) of the participants reported that they were current smokers and 44% (n = 29/66) indicated that they had smoked prior to the war. Both pre-war smoking and PTSD arousal independently predicted current smoking. In addition, total PTSD arousal and individual symptoms of sleep difficulties, irritability, concentration, and hypervigilance were significantly and positively associated with NRPD. Severity of PTSD arousal and age uniquely predicted NRPD. While poorer subjective health was significantly associated with positive current smoking status, neither poorer subjective health nor severity of PTSD arousal was significantly associated with interest in quitting/reducing smoking. Findings were discussed within the context of culture and stressor-related issues.
KeywordsRefugees Tobacco smoking Posttraumatic stress disorder Health
Terri L. Weaver and Aida Čajdrić, Department of Psychology, Saint Louis University. Correspondence can be directed to Terri L. Weaver, Ph.D., Saint Louis University, Department of Psychology, 221 North Grand Blvd., Saint Louis, Missouri, 63103, E-mail: firstname.lastname@example.org. Erik R. Jackson, Ph.D. is now at the Department of Rehabilitation Medicine at the University of Washington School of Medicine. This work was supported in part by an internal grant from Saint Louis University awarded to Terri L. Weaver, Ph.D., principal investigator. Portions of this paper were presented at the 36th annual meeting of the Association for the Advancement of Behavior Therapy, Reno, Nevada.
We would like to thank Jasmina Mandzukic for her assistance with assessment translations and conducting interviews and Patrick McCarthy for assistance with research assistant recruitment.
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