Effects of nativity, age at migration, and acculturation on smoking among adult Houston residents of Mexican descent

Effects of nativity, age at migration, and acculturation on smoking among adult Houston residents of Mexican descent
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DOI:
10.2105/ajph.2004.055319
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发表时间:
2005-06-01
影响因子:
12.7
通讯作者:
Bondy, ML
Bondy, ML
中科院分区:
医学2区
文献类型:
--
作者:
Wilkinson, AV;Spitz, MR;Bondy, ML

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目标.我们调查了美国和墨西哥出生的吸烟者之间吸烟行为的差异,并研究了美国文化对吸烟开始的影响。参与者是5030名墨西哥裔成年人,他们参加了德克萨斯州休斯顿正在进行的基于人群的队列研究。报告目前吸烟的男性多于女性;美国出生的女性吸烟率高于墨西哥出生的女性。美国出生的男性吸烟率高于西班牙裔和非西班牙裔白人的早期公布的吸烟率,但与非洲裔美国人的吸烟率相似。墨西哥出生的妇女目前的吸烟率低于西班牙裔、非西班牙裔白人和非洲裔美国人的吸烟率。年龄较大、男性、文化适应程度较高、高中以上学历以及居住在中位年龄较高的人口普查区,可预测美国出生的参与者的吸烟史。在墨西哥出生的参与者中,年龄较大,男性性别,较高的文化适应水平,以及移民年龄较小预测吸烟史。针对墨西哥人后裔的吸烟干预措施应根据性别、出生地和文化适应程度量身定制,并应针对所有年龄段,而不仅仅是年轻人。
Objectives. We investigated differences in smoking behaviors between US-and Mexican-born ever smokers and examined the influence of US culture on smoking initiation.Methods. Participants were 5030 adults of Mexican descent enrolled in an ongoing population-based cohort in Houston, Tex.Results. More men than women reported current smoking; rates among US-born women were higher than those among Mexican-born women. Smoking rates among US-born men were higher than earlier published rates among Hispanics and non-Hispanic Whites but similar to rates among African Americans. Current smoking rates among Mexican-born women were lower than published rates for Hispanics, non-Hispanic Whites, and African Americans. Older age, male gender, a higher level of acculturation, more than a high school education, and residing in a census tract with a higher median age predicted history of smoking among US-born participants. Among Mexican-born participants, older age, male gender, a higher level of acculturation, and younger age at migration predicted history of smoking.Conclusions. Smoking interventions for people of Mexican descent should be tailored according to gender, nativity, and acculturation level and should target all ages, not just young people.