Beliefs of Turkish and Moroccan immigrants in The Netherlands about smoking cessation: implications for prevention

Beliefs of Turkish and Moroccan immigrants in The Netherlands about smoking cessation: implications for prevention
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DOI:
10.1093/her/cyh026
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发表时间:
2005-12-01
影响因子:
2.4
通讯作者:
de Vries, H
de Vries, H
中科院分区:
医学4区
文献类型:
--
作者:
Nierkens, V;Stronks, K;de Vries, H

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吸烟是导致死亡和发病的一个非常重要的可预防的原因,在移民人群中也是如此。因此,戒烟干预措施需要考虑到这些群体。深入了解行为戒烟干预措施对非西方人群的适用性是必要的。我们研究的目的是利用I-Change模型深入了解荷兰土耳其和摩洛哥移民的戒烟信念。在这个模型中,意图和行为被认为是由三种(社会心理)因素决定的:态度、社会影响和自我效能预期。对土耳其和摩洛哥移民进行了面对面的结构化访谈。结果表明,与吸烟者相比,戒烟者认为吸烟的好处更少,而戒烟的好处更多。他们还认为鼓励吸烟的社会压力更小(例如,有人向他们提供香烟),并且能够戒烟的自我效能更高。I-Change模型解释了66%的观察方差。我们的结论是,社会认知理论中确定的基本因素在本研究中得到了重复。在制定戒烟干预措施时,结果表明,重要的是要包括特定种族的突出信仰,如宗教领袖的主观规范。
Tobacco smoking is a very important preventable cause of mortality and morbidity, and this is also the case in immigrant populations. Therefore, smoking cessation interventions need to take these groups into account. Insight into the applicability of behavioral smoking cessation interventions for non-Western populations is necessary. The objective of our study is to gain insight into the beliefs of smoking cessation in Turkish and Moroccan immigrants in The Netherlands using the I-Change Model. In this model, intention and behavior are supposed to be determined by three types of (psychosocial) factors: attitudes, social influences and self-efficacy expectations. Face-to-face structured interviews among Turkish and Moroccan immigrants were conducted. Results indicate that in contrast to smokers, ex-smokers perceived fewer advantages of smoking and more advantages of smoking cessation. They also perceived less social pressure that encourages smoking (e.g. by being offered cigarettes) and a high self-efficacy of being able to quit. The I-Change Model explained 66% of the observed variance. We conclude that the basic factors identified in social cognition theories were replicated in this study. When developing smoking cessation interventions, the results show that it is important to include ethnic-specific salient beliefs, such as the subjective norms of the religious leader.