Prevalence and predictors of smoking behavior among Samoans in three geographical regions.
Prevalence and predictors of smoking behavior among Samoans in three geographical regions.
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发表时间：
2005
影响因子：
3.2
通讯作者：
Shiraz I Mishra;K. Osann;P. Luce
中科院分区：
文献类型：
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作者：
Shiraz I Mishra;K. Osann;P. Luce
目的：提供萨摩亚人吸烟行为的综合数据。设计横断面，采用系统的随机抽样程序和面对面访谈。周边环境：美国属美属萨摩亚、夏威夷和加州洛杉矶。参与者1834名成年、非收容的萨摩亚人。干预。主要结局指标吸烟的流行程度和独立预测因素。大约四分之一（26.6%）的萨摩亚人目前吸烟，其中31.4%的男性和22.5%的女性目前吸烟。目前吸烟者较多的是美属萨摩亚（28.9%），其次是夏威夷（26.9%）和洛杉矶（24.1%，P< 0.001）。在每个地点，萨摩亚男性与女性相比，吸烟的可能性更大（P< 0.001），开始吸烟的时间更早（P< 0.05），吸烟的数量更多（P< 0.05）。样本的戒烟率非常低。吸烟的预测因素包括年轻、男性、已婚、受教育程度较低、收入较低和更适应文化。结论高吸烟率和低戒烟率表明，吸烟相关疾病将是萨摩亚人多年发病和死亡的重要原因。研究结果进一步强调了记录吸烟模式及其决定因素对亚群体的重要性，而不是像亚裔美国人和太平洋岛民这样的群体。如果萨摩亚人要实现2010年健康人烟草目标，就需要：1)根据社区预防服务工作队提出的建议，制定有针对性的提高烟草认识和戒烟方案；2)了解吸烟和戒烟行为的社会、文化和心理决定因素之间复杂的相互作用；3)制定政策，限制烟草的可得性和烟草的环境暴露，并加大戒烟力度。
OBJECTIVES Provide comprehensive data on smoking behavior among Samoans. DESIGN Cross-sectional, using systematic random sampling procedures, and in-person interviews. SETTING US Territory of American Samoa, Hawaii, and Los Angeles, California. PARTICIPANTS 1834 adult, non-institutionalized Samoans. INTERVENTION None. MAIN OUTCOME MEASURES Prevalence and independent predictors of smoking. RESULTS Approximately one fourth (26.6%) of Samoans were current smokers, with 31.4% of men and 22.5% of women currently smoking. More current smokers were found in American Samoa (28.9%), followed by Hawaii (26.9%) and Los Angeles (24.1%, P<.001). At each site, Samoan men compared with the women were significantly more likely to smoke (P<.001), initiate smoking earlier (P<.05), and smoke more cigarettes (P<.05). Cessation rates for the sample were very low. Predictors of smoking included being younger, male, married, less educated, with lower income, and more acculturated. CONCLUSION The high smoking and low cessation rates indicate that smoking-related diseases will be significant causes of morbidity and mortality for Samoans for many years. The findings further underscore the importance of documenting smoking patterns and their determinants for subgroups rather than aggregates such as Asian American and Pacific Islanders. If Samoans are to meet the Healthy People 2010 tobacco goals, there is a need to: 1) develop tailored tobacco awareness and cessation programs based on the recommendations made by the Taskforce on Community Preventive Services; 2) understand the complex interactions between social, cultural, and psychological determinants of smoking and cessation behaviors; and 3) develop policies to limit availability of tobacco, environmental exposure from tobacco, and increase cessation efforts.