Views on smoking cessation methods in ethnic minority communities: A qualitative investigation

Views on smoking cessation methods in ethnic minority communities: A qualitative investigation
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DOI:
10.1016/j.ypmed.2006.11.002
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发表时间:
2007-03-01
影响因子:
5.1
通讯作者:
Joseph, Anne M.
Joseph, Anne M.
中科院分区:
医学2区
文献类型:
--
作者:
Fu, Steven S.;Burgess, Diana;Joseph, Anne M.

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Objective.这种定性分析的目的是增加我们对少数吸烟者的经验和对指南推荐的戒烟治疗的信念的理解。2005年,我们对来自明尼阿波利斯/圣保罗四个少数族裔社区的现任和前任吸烟者进行了16个焦点小组(N=95)。焦点小组分别进行了美国印第安人,越南,苗族和非洲裔美国人。参与者报告说,他们很少有咨询的经验,对寻求医生帮助的看法也不一。非裔美国人和美洲印第安人的参与者表达了对医生的不信任和负面经历。苗族和越南吸烟者积极看待医生,但不认为他们作为一个重要的资源,以帮助戒烟,特别是对越南人来说,精神控制和自决的文化价值被视为最重要的戒烟。在所有组中,药物治疗很少使用,参与者对药物治疗的益处了解较少。个人信仰、对医生的看法和缺乏知识是少数民族吸烟者使用烟草治疗的重要决定因素。为了提高少数吸烟者对循证戒烟治疗的利用率,需要采取有效的策略,从可信的来源提供有关治疗的准确信息。爱思唯尔公司出版
Objective. The purpose of this qualitative analysis is to increase our understanding of minority smokers' experiences and beliefs about guideline-recommended smoking cessation treatments.Methods. We conducted sixteen focus groups (N=95) among current and former smokers from four ethnic minority communities in Minneapolis/St. Paul in 2005. Focus groups were conducted separately for American Indians, Vietnamese, Hmong and African Americans.Results. Participants reported little experience with counseling and views on seeking help from physicians were mixed. African American and American Indian participants expressed feelings of mistrust and negative experiences with doctors. Hmong and Vietnamese smokers viewed doctors positively but did not regard them as an important resource to help with quitting, and especially for Vietnamese, the cultural value of mental control and self-determination was seen as most important to quit smoking. Across all the groups, pharmacotherapy was rarely utilized and participants had low knowledge and poor understanding of the benefits of pharmacotherapy.Conclusions. Personal beliefs, views toward doctors, and lack of knowledge are important determinants of the use of tobacco treatments among ethnic minority smokers. In order to increase minority smokers' utilization of evidence-based tobacco cessation treatments, effective strategies are needed to deliver accurate information about treatment from trusted sources. Published by Elsevier Inc.