Cultural Perspectives on Tobacco Use and Cessation Among Chinese American Immigrants: A Community-Engaged Qualitative Study

Cultural Perspectives on Tobacco Use and Cessation Among Chinese American Immigrants: A Community-Engaged Qualitative Study
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DOI:
10.1177/1043659618817583
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发表时间:
2019-07-01
影响因子:
2.1
通讯作者:
Zuo, Sai
Zuo, Sai
中科院分区:
医学4区
文献类型:
--
作者:
Katigbak, Carina;Maglalang, Dale Dagar;Zuo, Sai

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简介:烟草使用是少数民族死亡的一个可预防的原因。华裔美国人的吸烟率很高,并且没有充分利用循证戒烟疗法。社区成员对烟草使用和戒烟的看法可能有助于弥合治疗差距,并确保戒烟方法符合文化价值观。方法:采用焦点小组研究方法,探讨影响50名中国移民吸烟和戒烟的文化因素。通过专题分析确定了新出现的专题。结果如下:三个新出现的主题是:(a)烟草使用受华裔美国移民的社会生态环境的影响,(B)自律决定戒烟的能力,(c)复杂的家庭动态影响戒烟。讨论:在文化视角下制定的戒烟方法可能有助于弥合治疗差距。利用社区广泛使用的软技术等创新可以扩大健康促进活动和治疗的范围。
Introduction: Tobacco use is a preventable cause of death among ethnic minorities. Chinese Americans have high smoking rates and underutilize evidence-based cessation therapies. Community members' perspectives on tobacco use and cessation may help bridge treatment gaps and ensure that cessation approaches are aligned with cultural values. Methods: Focus group methods were used to explore cultural factors influencing tobacco use and cessation among 50 Chinese immigrants. Emerging themes were identified using thematic analysis. Results: The three emerging themes are (a) tobacco use is influenced by Chinese American immigrants' socioecological environment, (b) self-discipline determines the ability to quit, and (c) complex family dynamics influence quitting. Discussion: Cessation approaches framed within cultural perspectives may help bridge treatment gaps. Innovations such as leveraging soft technologies that are widely used in the community may extend the reach of health promotion campaigns and treatments.