Ethnic Differences in Smoking Rate, Nicotine Dependence, and Cessation-Related Variables Among Adult Smokers in Hawaii
Ethnic Differences in Smoking Rate, Nicotine Dependence, and Cessation-Related Variables Among Adult Smokers in Hawaii
复制标题
DOI：
10.1007/s10900-012-9558-8
复制
发表时间：
2012-12-01
影响因子：
5.9
通讯作者：
Pokhrel, Pallav
中科院分区：
文献类型：
--
作者：
Herzog, Thaddeus A.;Pokhrel, Pallav
本研究在夏威夷的多种族吸烟者样本中测试了关于每日吸烟率、尼古丁依赖、戒烟动机、戒烟方法（如咨询）和戒烟产品（如尼古丁贴片）的知识和过去使用方面的种族差异的假设。先前的研究表明，夏威夷原住民、菲律宾人、日本人和夏威夷高加索人的吸烟率存在显著差异。然而，没有研究调查了代表这些民族的吸烟者在依赖和戒烟相关知识和实践方面的差异。参与者是通过报纸广告招募的，作为一个更大的戒烟干预研究的一部分。符合条件的参与者（N = 919； M年龄= 45.6,SD = 12.7； 48%为女性）通过邮件和电话提供自我报告资料。参与者包括271名自认为是夏威夷原住民的人、63名菲律宾人、316名高加索人、145名“东亚人”（如日本人、中国人）和124名“其他”（如西班牙裔、非裔美国人）。在控制年龄、性别、收入、教育和婚姻状况的情况下，两两比较表明，与东亚人相比，夏威夷土著吸烟者报告的每日吸烟率和尼古丁依赖程度明显更高。夏威夷土著吸烟者报告的戒烟动机明显低于白种人。此外，菲律宾和夏威夷土著吸烟者对戒烟方法和产品的了解较少，使用这些方法和产品的频率也低于高加索人。研究结果表明，夏威夷和菲律宾土著吸烟者在接受戒烟相关建议方面可能得不到充分的服务，并且可能缺乏获得戒烟产品和服务的充分途径。此外，为夏威夷土著吸烟者量身定制的戒烟干预措施可以从动机增强成分中受益。
This study tests hypotheses concerning ethnic disparities in daily cigarette smoking rates, nicotine dependence, cessation motivation, and knowledge and past use of cessation methods (e.g., counseling) and products (e.g., nicotine patch) in a multiethnic sample of smokers in Hawaii. Previous research has revealed significant differences in smoking prevalence among Native Hawaiians, Filipinos, Japanese, and Caucasians in Hawaii. However, no study has examined differences in dependence and cessation-related knowledge and practices among smokers representing these ethnic groups. Participants were recruited through newspaper advertisement as part of a larger smoking cessation intervention study. Participants (N = 919; M age = 45.6, SD = 12.7; 48 % women) eligible to participate provided self-report data through mail and telephone. Participants included 271 self-identified Native Hawaiians, 63 Filipinos, 316 Caucasians, 145 "East Asians" (e.g., Japanese, Chinese), and 124 "other" (e.g., Hispanic, African-American). Pair-wise comparisons of means, controlling for age, gender, income, education, and marital status, indicated that Native Hawaiian smokers reported significantly higher daily smoking rates and higher levels of nicotine dependence compared to East Asians. Native Hawaiian smokers reported significantly lower motivation to quit smoking than Caucasians. Further, Filipino and Native Hawaiian smokers reported lesser knowledge of cessation methods and products, and less frequent use of these methods and products than Caucasians. The results suggest that Native Hawaiian and Filipino smokers could be underserved with regard to receiving cessation-related advice, and may lack adequate access to smoking cessation products and services. In addition, cessation interventions tailored for Native Hawaiian smokers could benefit from a motivational enhancement component.