Adolescent receptivity to tobacco marketing by racial/ethnic groups in California.
Adolescent receptivity to tobacco marketing by racial/ethnic groups in California.
复制标题
加利福尼亚州青少年对不同种族/族裔群体烟草营销的接受程度。
DOI：
10.1016/j.amepre.2007.03.014
复制
发表时间：
2007
影响因子：
5.5
通讯作者：
Trinidad,DennisR
中科院分区：
文献类型：
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作者：
West,JoshuaH;Romero,RominaA;Trinidad,DennisR
背景以前的研究已经调查了不同种族/民族的烟草销售接受度，但还没有一项研究在吸烟持续不断的不同水平上这样做。识别可能或多或少接受行业营销的青少年群体，特别是在吸烟水平上，这提供了重要的信息，可能有助于集中努力消除吸烟差异。方法来自2002年加州烟草调查的5857名青少年(应答率为66.6%)，并于2006年进行了分析。对烟草营销接受度的一项指数衡量是基于广告召回和使用/拥有烟草促销物品的意愿。根据吸烟情况，受访者被归类为承诺从不吸烟者、易受影响的从不吸烟者或任何吸烟者。结果非洲裔美国人(优势比[OR]=0.77；95%可信区间[CI]=0.61-0.96)和亚洲/太平洋岛民(OR=0.80；95%CI=0.66-0.97)在控制了可能的混淆因素后，比非西班牙裔白人青少年更不容易接受烟草营销。对于从不吸烟的易感人群，非洲裔美国人(OR=0.67；95%CI=0.47~0.93)和亚洲/太平洋岛民(OR=0.72；95%CI=0.54~0.95)比非西班牙裔白人青少年更不容易接受烟草营销。结论非洲裔美国人和亚洲/太平洋岛民文化的某些特征可能对烟草营销的接受性具有保护作用，即使在那些从不吸烟的易感人群中也是如此。为其他种族/民族的青少年强调这一特点的预防战略可能有助于减少吸烟差距。
BACKGROUNDPrevious research has examined tobacco marketing receptivity across racial/ethnic groups but none has done so across the various levels of the smoking uptake continuum. Identifying adolescent groups that may be more or less receptive to industry marketing, particularly across the levels of smoking uptake, provides important information that may be useful in focusing efforts to eliminate smoking disparities.METHODSData came from 5857 adolescents (66.6% response rate) from the 2002 California Tobacco Survey and were analyzed in 2006. An index measure of receptivity to tobacco marketing was based on advertisement recall and willingness to use/own a tobacco promotional item. Respondents were classified along a smoking uptake continuum as committed never smokers, susceptible never smokers, or any smoking. Logistic regression models controlling for possible confounding variables were fit to test for the association between receptivity and race/ethnicity across levels of smoking uptake.RESULTSAfrican Americans (odds ratio [OR]=0.77; 95% confidence interval [CI]=0.61–0.96) and Asian/Pacific Islanders (OR=0.80; 95% CI=0.66–0.97) were less likely than non-Hispanic white adolescents to be receptive to tobacco marketing after controlling for possible confounders. For susceptible never smokers, African Americans (OR =0.67; 95% CI=0.47–0.93) and Asian/Pacific Islanders (OR=0.72; 95% CI=0.54–0.95) were less likely than non-Hispanic white adolescents to be receptive.CONCLUSIONSThere may be features of the African-American and Asian/Pacific Islander cultures that are protective against receptivity to tobacco marketing, even among those who are susceptible never smokers. Prevention strategies emphasizing such features for adolescents of other races/ethnicities may be beneficial in reducing smoking disparities.