Disentangling individual and neighborhood differences in the intention to quit smoking in Asian American male smokers.
Disentangling individual and neighborhood differences in the intention to quit smoking in Asian American male smokers.
复制标题
消除亚裔美国男性吸烟者戒烟意愿的个人和社区差异。
DOI：
10.1016/j.pmedr.2020.101064
复制
发表时间：
2020
影响因子：
2.8
通讯作者：
McPhee,StevenJ
中科院分区：
文献类型：
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作者：
Vyas,Priyanka;Tsoh,JaniceY;Gildengorin,Ginny;Stewart,SusanL;Yu,Edgar;Guan,Alice;Pham,Amber;Burke,NancyJ;McPhee,StevenJ
许多研究评估了与戒烟意图相关的个人因素。然而，很少有研究评估邻里和建筑环境如何也有助于个人层面的行为。我们使用了2015年8月至2017年11月居住在旧金山弗朗西斯科湾区的340名中国和越南男性每日吸烟者的基线数据，他们参加了一项生活方式干预试验。结果变量是30天内戒烟的意向。为了了解背景因素的作用，参与者的居住地址进行了地理编码，并计算了社区收入中位数，种族组成和烟草零售密度。个体水平分析表明，越南裔美国男性比华裔美国男性更有戒烟意愿（OR = 2.90 CI = 1.59，5.26）。然而，在模型中加入邻里水平因素后，没有观察到种族差异。社区家庭收入中位数（OR = 0.74，CI = 0.64，0.86）和烟草零售数量（OR = 0.79，CI = 0.67，0.94）与戒烟意愿呈负相关。在美国生活的时间是唯一与戒烟意图相关的个人因素。通过比较两个居住在异质社区的亚裔美国人群体，我们确定了与戒烟意愿相关的关键环境和政策驱动因素。未来的研究，旨在影响个人层面的行为，应考虑到邻里背景和建成环境的特点。
Numerous studies have assessed individual-level factors associated with intention to quit smoking. However, fewer studies have assessed how neighborhood and built environment also contribute towards individual-level behavior. We used baseline data of 340 Chinese and Vietnamese male daily smokers from August 2015 to November 2017 living in the San Francisco Bay Area, who enrolled in a lifestyle intervention trial. The outcome variable was intention to quit in 30 days. To understand the role of contextual factors participants’ residential addresses were geocoded, and neighborhood median income, ethnic composition, and tobacco retail density were computed. Individual level analysis suggested that Vietnamese American men had greater intention to quit smoking (OR = 2.90 CI = 1.59, 5.26) in comparison to Chinese Americans. However, after adding neighborhood level factors to the model, no ethnic group difference was observed. Neighborhood household median income (OR = 0.74, CI = 0.64, 0.86) and tobacco retail counts (OR = 0.79, CI = 0.67, 0.94) were negatively associated with intention to quit. Years lived in the U.S. was the only individual level factor associated with intention to quit. By comparing two Asian American groups that live in heterogeneous neighborhoods, we identify key environmental and policy drivers that are associated with quit intention. Future studies aimed at influencing individual-level behavior should take into consideration the neighborhood context and built environment characteristics.