Disparities in Cessation Behaviors Between Hispanic and Non-Hispanic White Adult Cigarette Smokers in the United States, 2000-2015
Disparities in Cessation Behaviors Between Hispanic and Non-Hispanic White Adult Cigarette Smokers in the United States, 2000-2015
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DOI：
10.5888/pcd17.190279
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发表时间：
2020-01-01
影响因子：
5.5
通讯作者：
Garrett, Bridgette
中科院分区：
文献类型：
--
作者：
Babb, Stephen;Malarcher, Ann;Garrett, Bridgette
西班牙裔成年人占美国成年吸烟者的比例越来越大，吸烟是西班牙裔成年人疾病和死亡的主要可预防原因。以前没有研究比较西班牙裔成年人和非西班牙裔白色成年人戒烟行为的趋势。我们研究了2000- 2015年西班牙裔和非西班牙裔白色成年吸烟者戒烟行为的趋势。方法使用来自国家健康访谈调查的自我报告数据，我们比较了西班牙裔和非西班牙裔白色成年吸烟者戒烟尝试、接受健康专业人员戒烟建议和使用戒烟治疗（咨询和/或药物）的趋势。我们还评估了4个西班牙裔亚组中的这些行为。我们在2018-2019年进行了分析。结果在2000-2015年期间，非西班牙裔白色和西班牙裔吸烟者的上一年戒烟尝试增加，这些群体之间没有显著差异。接受戒烟建议的非西班牙裔白色成年人显着增加，但西班牙裔成年人没有显着增加。非西班牙裔白色和西班牙裔成年人中的戒烟治疗使用增加。在整个2000-2015年期间，西班牙裔成年人接受戒烟建议和使用戒烟治疗的流行率低于非西班牙裔白色成年人。在2015年，西班牙裔比非西班牙裔白色吸烟者的比例更高访问了医疗保健提供者没有收到的建议quit.ConclusionHispanic成年吸烟者不太可能收到的建议戒烟，并使用证明戒烟治疗比非西班牙裔白色吸烟者，这种模式持续随着时间的推移。针对供应商和西班牙裔社区的文化能力教育举措可以帮助消除这种明显和持续的差距。
IntroductionHispanic adults make up a growing share of US adult smokers, and smoking is a major preventable cause of disease and death among Hispanic adults. No previous study has compared trends in smoking cessation behaviors among Hispanic adults and non-Hispanic white adults over time. We examined trends in cessation behaviors among Hispanic and non-Hispanic white adult cigarette smokers during 2000-2015.MethodsUsing self-reported data from the National Health Interview Survey, we compared trends in quit attempts, receipt of advice to quit from a health professional, and use of cessation treatment (counseling and/or medication) among Hispanic and non-Hispanic white adult smokers. We also assessed these behaviors among 4 Hispanic subgroups. We conducted analyses in 2018-2019.ResultsPast-year quit attempts increased during 2000-2015 among both non-Hispanic white and Hispanic smokers, with no significant differences between these groups. Receiving advice to quit increased significantly among non-Hispanic white adults but did not increase significantly among Hispanic adults. Cessation treatment use increased among both non-Hispanic white and Hispanic adults. Throughout 2000-2015, the prevalence of receiving advice to quit and using cessation treatments was lower among Hispanic adults than non-Hispanic white adults. In 2015, a higher proportion of Hispanic than non-Hispanic white smokers visited a health care provider without receiving advice to quit.ConclusionHispanic adult smokers are less likely to receive advice to quit and to use proven cessation treatments than non-Hispanic white smokers, and this pattern persisted over time. Culturally competent educational initiatives directed at both providers and Hispanic communities could help eliminate this marked and persistent disparity.