TY - JOUR
T1 - Potential for unintended consequences
T2 - The association between smoking and body mass index among public housing residents in Baltimore, MD
AU - Ellison-Barnes, Alejandra
AU - Pollack, Craig E.
AU - Levine, David
AU - Latkin, Carl
AU - Clark, Jeanne M.
AU - Gudzune, Kimberly A.
N1 - Funding Information:
The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Research reported in this manuscript was supported by grants from the National Institutes of Health (2T32DK06270716) and the National Heart, Lung, and Blood Institute (K23HL1166001), as well as small grants from the Johns Hopkins Osler Center for Clinical Excellence and the Johns Hopkins Urban Health Institute. AEB, CEP, and KAG conceived of the study. AEB conducted all analyses and drafted the manuscript. CEP, KAG, DL, CL, and JMC critically revised the manuscript. This work was presented as a poster at the Society for General Internal Medicine annual meeting. KAG is a paid consultant for the American Board of Obesity Medicine; there are no other conflicts to disclose.
Funding Information:
The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Research reported in this manuscript was supported by grants from the National Institutes of Health (2T32DK06270716) and the National Heart, Lung, and Blood Institute (K23HL1166001), as well as small grants from the Johns Hopkins Osler Center for Clinical Excellence and the Johns Hopkins Urban Health Institute. AEB, CEP, and KAG conceived of the study. AEB conducted all analyses and drafted the manuscript. CEP, KAG, DL, CL, and JMC critically revised the manuscript. This work was presented as a poster at the Society for General Internal Medicine annual meeting. KAG is a paid consultant for the American Board of Obesity Medicine; there are no other conflicts to disclose.
Publisher Copyright:
© 2020 The Authors
PY - 2020/6
Y1 - 2020/6
N2 - The U.S. Department of Housing and Urban Development (HUD) smokefree rule for public housing may prompt smokers to quit. Cessation, while desirable, can be associated with weight gain, and an excess burden of obesity already exists among public housing residents. Our objectives were to characterize the association between smoking and weight status prior to the policy implementation and to explore eating patterns. We conducted a cross-sectional analysis of survey data collected in 2014–2015 from randomly selected households in two public housing developments in Baltimore, MD. Our independent variable was self-reported smoking status, and dependent variables were measured body mass index (BMI) and uncontrolled/emotional eating scores. We used multivariable linear regression to examine the associations. Respondents included 266 heads of household with mean age 44.5 (SD 12.4). A majority (63.2%) were current smokers. Seventy-five percent were overweight or obese, with mean BMI 32.6 kg/m2 (SD 10.1). In the adjusted regression models, the mean BMI of smokers was significantly lower than that of former/never smokers (31.7 kg/m2 vs. 34.2 kg/m2), and the mean uncontrolled eating score of smokers was significantly higher (24.4 vs 18.7). These results suggest that the new HUD smokefree rule has the potential to promote further weight gain among smokers prompted to quit, highlighting the need to simultaneously consider these two prevalent risk factors in the setting of policy changes.
AB - The U.S. Department of Housing and Urban Development (HUD) smokefree rule for public housing may prompt smokers to quit. Cessation, while desirable, can be associated with weight gain, and an excess burden of obesity already exists among public housing residents. Our objectives were to characterize the association between smoking and weight status prior to the policy implementation and to explore eating patterns. We conducted a cross-sectional analysis of survey data collected in 2014–2015 from randomly selected households in two public housing developments in Baltimore, MD. Our independent variable was self-reported smoking status, and dependent variables were measured body mass index (BMI) and uncontrolled/emotional eating scores. We used multivariable linear regression to examine the associations. Respondents included 266 heads of household with mean age 44.5 (SD 12.4). A majority (63.2%) were current smokers. Seventy-five percent were overweight or obese, with mean BMI 32.6 kg/m2 (SD 10.1). In the adjusted regression models, the mean BMI of smokers was significantly lower than that of former/never smokers (31.7 kg/m2 vs. 34.2 kg/m2), and the mean uncontrolled eating score of smokers was significantly higher (24.4 vs 18.7). These results suggest that the new HUD smokefree rule has the potential to promote further weight gain among smokers prompted to quit, highlighting the need to simultaneously consider these two prevalent risk factors in the setting of policy changes.
KW - Obesity
KW - Policy
KW - Public housing
KW - Tobacco use cessation
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U2 - 10.1016/j.pmedr.2020.101081
DO - 10.1016/j.pmedr.2020.101081
M3 - Article
C2 - 32368434
AN - SCOPUS:85083668470
VL - 18
JO - Preventive Medicine Reports
JF - Preventive Medicine Reports
SN - 2211-3355
M1 - 101081
ER -