Smoking attitudes and practices among low-income African-Americans: Qualitative assessment of contributing factors

Smoking attitudes and practices among low-income African-Americans: Qualitative assessment of contributing factors
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DOI:
10.4278/0890-1171-17.4.240
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发表时间:
2003-03-01
影响因子:
2.7
通讯作者:
Scarinci, IC
Scarinci, IC
中科院分区:
医学4区
文献类型:
--
作者:
Beech, BM;Scarinci, IC

文献摘要

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目的.研究表明,非裔美国青少年比白色青年吸烟的可能性更小。国家数据表明,这种模式在青春期后期和成年早期发生变化。具体而言,与其他种族/族裔群体相比,非洲裔美国成年人的吸烟率相对较高。本研究的目的是定性研究与吸烟的态度和做法之间的低收入非洲裔美国年轻人的社会文化因素。横断面定性研究。路易斯安那州新奥尔良市和田纳西州孟菲斯市的高中、两年制大学、住房开发和贸易学校。118名18至35岁的低收入非裔美国人(65名男性和53名女性)。测量/程序。对目标人群进行了14个重点小组的调查。在1小时的会议中,为每位参与者提供了非货币奖励。大多数焦点小组主持人是受过焦点小组主持培训的非洲裔美国女性。参与者是通过传单和项目联络员在每个实地地点招募的。根据PEN-3模型对焦点小组的主题进行了分类,包括:作为第一次吸烟经验的父母点燃香烟,吸烟的减压益处,使用香烟延长大麻的感觉,以及对吸烟的保护因素,如尊重父母的规则。结果表明,有特定的背景和家庭因素,可以有助于吸烟的开始,维持和低收入的非洲裔美国年轻人之间的戒烟。本研究的局限性包括探索性质。焦点小组和相对较小的样本量。进一步的研究是必要的,以定量研究这些因素对吸烟模式在这一人群中的作用。
Purpose. Studies have shown that African-American adolescents are less likely to smoke cigarettes than white youth. National data suggest that this pattern changes in late adolescence and early adulthood. Specifically, African-American adults have a relatively high smoking prevalence rate when compared with other racial/ethnic groups. The purpose of this study was to qualitatively examine the sociocultural factors associated with smoking attitudes and practices among low-income African-American young adults.Design. Cross-sectional qualitative study.Settings. High schools, 2-year colleges, housing developments, and trade schools in New Orleans, Louisiana, and Memphis, Tennessee.Subjects. One hundred eighteen low-income African Americans between 18 and 35 years of age (65 men and 53 women).Measure/Procedure. Fourteen focus groups were conducted with the target Population. Nonmonetary incentives were provided, for each participant in the 1-hour sessions. The majority of focus group moderators were African-American females trained in focus group moderation. Participants were recruited through flyers and project liaisons at each field location.Results. Themes elicited from the focus groups were classified according to the PEN-3 model, and they included: lighting cigarettes for parents as a first experience with cigarettes, perceived stress relief benefits of smoking, use of cigarettes to extend the sensation of marijuana, and protective factors against smoking such as respect for parental rules.Conclusion. The results indicate that there are specific contextual and familial factors that can contribute to smoking initiation, maintenance, and cessation among low-income African-American young adults. Limitations of this study include the exploratory nature. of focus groups and the relatively small sample size. Further studies are necessary to quantitatively examine the role of these factors on smoking patterns in this population.