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Article ; Online: Smoking Cessation Support in the Context of Other Social and Behavioral Needs in Community Health Centers.

Potter, Michael B / Tsoh, Janice Y / Lugtu, Kara / Parra, Jose / Bowyer, Vicky / Hessler, Danielle

Journal of the American Board of Family Medicine : JABFM

2024 Volume 37, Issue 1, Page(s) 84–94

Abstract: Background: Cigarette smoking rates remain disproportionately high among low income populations with unmet social and behavioral health needs. To address this problem, we sought to develop and evaluate the feasibility, acceptability, and preliminary ... ...

Abstract	Background: Cigarette smoking rates remain disproportionately high among low income populations with unmet social and behavioral health needs. To address this problem, we sought to develop and evaluate the feasibility, acceptability, and preliminary effectiveness of a novel smoking cessation program for community health centers that serve these populations. Methods: We implemented a randomized pilot trial of two smoking cessation programs in three county operated community health center (CHC) sites: (1) a systematic assessment of smoking habits and standard tools to assist with smoking cessation counseling ("Enhanced Standard Program" or ESP), and (2) another that added a structured assessment of social and behavioral barriers to smoking cessation, ("Connection to Health for Smokers" or CTHS). Clinical outcomes were evaluated between 10 to 16 weeks, supplemented with interviews of patient participants and health care team members. Results: 141 adults were randomized and 123 completed the intervention (61 in ESP, 62 in CTHS). At follow-up, over half of participants reported ≥1 quit attempts (59.7% ESP and 56.5% CTHS; adjusted Conclusion: Lessons learned from this pilot study may inform the development of effective smoking cessation programs for CHCs that combine elements of both interventions.
MeSH term(s)	Adult ; Humans ; Smoking Cessation/psychology ; Pilot Projects ; Counseling ; Poverty ; Community Health Centers
Language	English
Publishing date	2024-03-11
Publishing country	United States
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	2239939-2
ISSN	1558-7118 ; 1557-2625
ISSN (online)	1558-7118
ISSN	1557-2625
DOI	10.3122/jabfm.2023.230239R1
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Article: Tweeting about physical activity: can tweeting the walk help keeping the walk?

Tsoh, Janice Y

mHealth

2016 Volume 2, Page(s) 6

Abstract: Vickey and Breslin's research (published ... ...

Abstract	Vickey and Breslin's research (published on
Language	English
Publishing date	2016-03-02
Publishing country	China
Document type	Journal Article
ISSN	2306-9740
ISSN	2306-9740
DOI	10.3978/j.issn.2306-9740.2016.02.03
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Article ; Online: Trends in Racial Discrimination Experiences for Asian Americans During the COVID-19 Pandemic.

McGarity-Palmer, Rebecca / Saw, Anne / Tsoh, Janice Y / Yellow Horse, Aggie J

Journal of racial and ethnic health disparities

2023 Volume 11, Issue 1, Page(s) 168–183

Abstract: Background: Asian Americans (AAs) are experiencing increased rates of anti-Asian racism during COVID-19. Experiences of racism, whether personal or collective, constitute stress and psychosocial trauma that negatively impact mental and physical health.!# ...

Abstract	Background: Asian Americans (AAs) are experiencing increased rates of anti-Asian racism during COVID-19. Experiences of racism, whether personal or collective, constitute stress and psychosocial trauma that negatively impact mental and physical health. Objectives: Examine subgroup differences in rates of personal experience of discrimination and COVID-related collective racism and how each is associated with mental and physical health for AAs. Methods: Nationally representative data from the 2021 Asian American and Native Hawaiian/Pacific Islander COVID-19 Needs Assessment Project were used to estimate prevalence rates of discrimination and average COVID-related collective racism scores for AAs (unweighted N = 3478). We conducted logistic and linear regression models to examine subgroup differences by sociodemographic factors. We also conducted hierarchical logistic regression models to examine associations between racism and psychological distress and health decline. Results: Twenty-four percent of AAs (95% CI: 21.6, 25.6) reported experiencing discrimination during the first year of the COVID-19 pandemic. Subgroup analyses revealed that Chinese, younger adults, and AAs who completed the survey in an Asian language were significantly more likely to experience discrimination compared to their counterparts. For COVID-related collective racism, subgroup analyses revealed that Chinese, women, and adults ages 25-44 were more likely to report experiences of collective racism compared to their counterparts. Both discrimination and collective racism were independently associated with negative mental and physical health. Conclusion: Discrimination and COVID-related collective racism are associated with negative mental and physical health outcomes for AAs. Results point to vulnerable AA subgroups and the need for targeted public health efforts to address racism in the context of COVID-19.
MeSH term(s)	Adult ; Humans ; Female ; Racism/psychology ; Asian ; COVID-19 ; Pandemics ; Asian People
Language	English
Publishing date	2023-01-05
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
ZDB-ID	2760524-3
ISSN	2196-8837 ; 2197-3792
ISSN (online)	2196-8837
ISSN	2197-3792
DOI	10.1007/s40615-022-01508-y
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Article ; Online: Distinct patterns of cigarette smoking intensity and other substance use among women who experience housing instability.

Vijayaraghavan, Maya / Elser, Holly / Delucchi, Kevin / Tsoh, Janice Y / Lynch, Kara / Weiser, Sheri D / Riley, Elise D

Addictive behaviors

2024 Volume 156, Page(s) 108066

Abstract: Background: Recent insights into substance use cessation suggest that outcomes short of long-term abstinence are clinically meaningful and may offer more realistic incremental goals, particularly for highly vulnerable individuals. With the goal of ... ...

Abstract	Background: Recent insights into substance use cessation suggest that outcomes short of long-term abstinence are clinically meaningful and may offer more realistic incremental goals, particularly for highly vulnerable individuals. With the goal of informing tobacco treatment programs, we examined distinct patterns of cigarette smoking and their association with the ongoing use of other substances in women who experience housing instability. Methods: We recruited participants from a longitudinal study of women experiencing housing instability. Between June 2017 and January 2019, participants completed six monthly survey interviews regarding social conditions and the use of multiple substances. We examined associations between cigarette smoking intensity, including number of cigarettes smoked per day, heavy smoking, and an increase in number of cigarettes smoked from the previous 30-days, and other substance use in the past 7-days. Results: Of the 243 participants, 69 % were current smokers and 58 % were daily smokers. Number of cigarettes smoked per day (Adjusted odds ratio [AOR] 1.02, 95 % CI 1.00-1.03), heavy cigarette smoking, compared to none or light smoking (AOR 2.02, 95 % CI 1.46-2.79), and an increase in number of cigarettes smoked from the previous 30-days (AOR 1.06, 95 % CI 1.01-1.12) were all significantly associated with methamphetamine use in the past 7-days. Associations with other substance use were not as strong. Conclusions: In a sample of unstably housed women, where almost half used multiple substances, methamphetamine use was associated with higher cigarette smoking intensity. Our findings highlight a potential role for integrating tobacco and methamphetamine use treatment to reduce tobacco use among unstably housed women.
Language	English
Publishing date	2024-05-16
Publishing country	England
Document type	Journal Article
ZDB-ID	197618-7
ISSN	1873-6327 ; 0306-4603
ISSN (online)	1873-6327
ISSN	0306-4603
DOI	10.1016/j.addbeh.2024.108066
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Article ; Online: The Hidden Colors of Coronavirus: the Burden of Attributable COVID-19 Deaths.

Chu, Janet N / Tsoh, Janice Y / Ong, Elena / Ponce, Ninez A

Journal of general internal medicine

2021 Volume 36, Issue 5, Page(s) 1463–1465

MeSH term(s)	COVID-19/mortality ; Cause of Death ; Humans ; SARS-CoV-2
Language	English
Publishing date	2021-01-22
Publishing country	United States
Document type	Letter ; Research Support, N.I.H., Extramural
ZDB-ID	639008-0
ISSN	1525-1497 ; 0884-8734
ISSN (online)	1525-1497
ISSN	0884-8734
DOI	10.1007/s11606-020-06497-4
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Article ; Online: A Qualitative Investigation of the Experiences of Tobacco Use among U.S. Adults with Food Insecurity.

Kim-Mozeleski, Jin E / Shaw, Susan J / Yen, Irene H / Tsoh, Janice Y

International journal of environmental research and public health

2022 Volume 19, Issue 12

Abstract: Background: Low-income U.S. adults experiencing food insecurity have a disproportionately high prevalence of cigarette smoking, and quantitative studies suggest that food insecurity is a barrier to quitting. To guide effective tobacco control strategies, ...

Abstract	Background: Low-income U.S. adults experiencing food insecurity have a disproportionately high prevalence of cigarette smoking, and quantitative studies suggest that food insecurity is a barrier to quitting. To guide effective tobacco control strategies, this study aimed to understand the experiences, perceptions, and context of tobacco use and cessation among low-income populations experiencing food insecurity. Methods: We conducted in-depth, semi-structured interviews with 23 adults who were currently smoking cigarettes and were experiencing food insecurity, mostly living in rural settings. Participants were recruited through food-pantry-based needs assessment surveys and study flyers in community-based organizations. The interview guide explored participants' histories of smoking, the role and function of tobacco in their lives, their interest in and barriers to quitting, as well as lived experiences of food insecurity. We used reflexive thematic analysis to analyze transcribed interviews. Results: Within a broader context of structural challenges related to poverty and financial strain that shaped current smoking behavior and experiences with food insecurity, we identified the following five themes: smoking to ignore hunger or eat less; staying addicted to smoking in the midst of instability; smoking being prioritized in the midst of financial strain; life stressors and the difficulty of quitting smoking and staying quit; and childhood adversity at the intersection of food insecurity and tobacco use. Conclusion: The context of tobacco use among adults with food insecurity was highly complex. To effectively address tobacco-related disparities among those who are socially and economically disadvantaged, tobacco control efforts should consider relevant lived experiences and structural constraints intersecting smoking and food insecurity. Findings are applied to a conceptualization of clustering of conditions contributing to nicotine dependence, food insecurity, and stress.
MeSH term(s)	Adult ; Cigarette Smoking/epidemiology ; Food Insecurity ; Food Supply ; Humans ; Poverty ; Tobacco Products ; Tobacco Use/epidemiology
Language	English
Publishing date	2022-06-16
Publishing country	Switzerland
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph19127424
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Article ; Online: Food Insecurity Trajectories in the US During the First Year of the COVID-19 Pandemic.

Kim-Mozeleski, Jin E / Pike Moore, Stephanie N / Trapl, Erika S / Perzynski, Adam T / Tsoh, Janice Y / Gunzler, Douglas D

Preventing chronic disease

2023 Volume 20, Page(s) E03

Abstract: Introduction: The objective of this study was to characterize population-level trajectories in the probability of food insecurity in the US during the first year of the COVID-19 pandemic and to examine sociodemographic correlates associated with ... ...

Abstract	Introduction: The objective of this study was to characterize population-level trajectories in the probability of food insecurity in the US during the first year of the COVID-19 pandemic and to examine sociodemographic correlates associated with identified trajectories. Methods: We analyzed data from the Understanding America Study survey, a nationally representative panel (N = 7,944) that assessed food insecurity every 2 weeks from April 1, 2020, through March 16, 2021. We used latent class growth analysis to determine patterns (or classes) of pandemic-related food insecurity during a 1-year period. Results: We found 10 classes of trajectories of food insecurity, including 1 class of consistent food security (64.7%), 1 class of consistent food insecurity (3.4%), 5 classes of decreasing food insecurity (15.8%), 2 classes of increasing food insecurity (4.6%), and 1 class of stable but elevated food insecurity (11.6%). Relative to the class that remained food secure, other classes were younger, had a greater proportion of women, and tended to identify with a racial or ethnic minority group. Conclusion: We found heterogeneous longitudinal patterns in the development, resolution, or persistence of food insecurity during the first year of the COVID-19 pandemic. Experiences of food insecurity were highly variable across the US population, with one-third experiencing some form of food insecurity risk. Findings have implications for identifying population groups who are at increased risk of food insecurity and related health disparities beyond the first year of the pandemic.
MeSH term(s)	Humans ; Female ; COVID-19/epidemiology ; Pandemics ; Ethnicity ; Food Supply ; Minority Groups ; Food Insecurity
Language	English
Publishing date	2023-01-19
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	2135684-1
ISSN	1545-1151 ; 1545-1151
ISSN (online)	1545-1151
ISSN	1545-1151
DOI	10.5888/pcd20.220212
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Article ; Online: Recruiting and Retaining Chinese Elders in a Longitudinal Study: Lessons Learned.

Li, Wen-Wen / Tsoh, Janice Y

Journal of transcultural nursing : official journal of the Transcultural Nursing Society

2017 Volume 28, Issue 1, Page(s) 63–69

Abstract: Purpose: This article describes strategies for recruiting and retaining Chinese elders in a longitudinal research study related to hypertension management.: Design: Chinese participants were recruited for a pilot, longitudinal intervention study. The ...

Abstract	Purpose: This article describes strategies for recruiting and retaining Chinese elders in a longitudinal research study related to hypertension management. Design: Chinese participants were recruited for a pilot, longitudinal intervention study. The information presented represents observations on both the recruitment process and participant retention. Results: Recruiting via convenience sampling, offering frequent incentives, and having culturally competent research staff were important in this study with Chinese elders as participants. Among the various approaches used, the highest recruitment rate (50% [11/22]) was obtained from personal referrals with a retention rate of 91% (20/22) over a 6-month intervention period. Conclusion/practice implication: Personal referral is the best approach for recruiting Chinese elders in the study. In addition, frequent incentives and reminder calls are helpful in retaining participants.
MeSH term(s)	Aged ; Aged, 80 and over ; Asian Americans/psychology ; California ; Humans ; Hypertension/drug therapy ; Hypertension/ethnology ; Longitudinal Studies ; Patient Selection ; Referral and Consultation/standards
Language	English
Publishing date	2017-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	1291524-5
ISSN	1552-7832 ; 1043-6596
ISSN (online)	1552-7832
ISSN	1043-6596
DOI	10.1177/1043659615609405
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Article: Psychological distress and cigarette smoking among U.S. households by income: Considering the role of food insecurity.

Kim-Mozeleski, Jin E / Pandey, Rajshree / Tsoh, Janice Y

Preventive medicine reports

2019 Volume 16, Page(s) 100983

Abstract: Psychological distress and tobacco use are known to co-occur for many reasons, including vulnerabilities associated with socioeconomic disadvantage. Food insecurity-a stressful condition due to inconsistent food access-is linked with increased ... ...

Abstract	Psychological distress and tobacco use are known to co-occur for many reasons, including vulnerabilities associated with socioeconomic disadvantage. Food insecurity-a stressful condition due to inconsistent food access-is linked with increased psychological distress and is also an independent risk factor for smoking. We investigated the association between psychological distress and cigarette smoking, examining distress occurring with or without food insecurity, and variations in the associations by socioeconomic status. We analyzed data from the 2015 U.S. Panel Study of Income Dynamics (
Language	English
Publishing date	2019-08-30
Publishing country	United States
Document type	Journal Article
ZDB-ID	2785569-7
ISSN	2211-3355
ISSN	2211-3355
DOI	10.1016/j.pmedr.2019.100983
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Article ; Online: Asian American and Native Hawaiian and Pacific Islander Visibility and Data Equity: Insights From NIH RADx-UP.

Sabado-Liwag, Melanie D / Kwan, Patchareeya P / Okihiro, May / Sy, Angela / Tsoh, Janice Y / Juarez, Ruben / Choi, JiWon / Martorell, Chanchanit / McElfish, Pearl A

American journal of public health

2024 , Page(s) e1–e6

Language	English
Publishing date	2024-03-28
Publishing country	United States
Document type	Editorial
ZDB-ID	121100-6
ISSN	1541-0048 ; 0090-0036 ; 0002-9572
ISSN (online)	1541-0048
ISSN	0090-0036 ; 0002-9572
DOI	10.2105/AJPH.2024.307590
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