Misperceptions of Nicotine Replacement Therapy Within Racially and Ethnically Diverse Smokers
Misperceptions of Nicotine Replacement Therapy Within Racially and Ethnically Diverse Smokers
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DOI：
10.1016/s0027-9684(15)30444-2
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发表时间：
2011-09-01
影响因子：
3.3
通讯作者：
Alberg, Anthony J.
中科院分区：
文献类型：
--
作者：
Carpenter, Matthew J.;Ford, Marvella E.;Alberg, Anthony J.
对戒烟的循证治疗，包括尼古丁替代疗法(NRT)的使用不足，很普遍，特别是在少数族裔吸烟者中。本文调查了不同种族和民族的吸烟者之间对NRT的看法。在非洲裔美国人、欧洲裔美国人和西班牙裔吸烟者(N=70)的同质群体中举行了9个焦点小组。具体主题包括对以下方面的看法：(A)NRT的工作机制；(B)NRT的发展和监管(即临床试验的目的和方法、食品和药物管理局的监督等)；(C)有效性；(D)安全性；(E)总体成本效益。在所有人群中，普遍缺乏对NRT的影响及其疗效的了解，对NRT的作用机制只有一般的了解。所有组都表达了对NRT安全性的担忧，特别是对成瘾潜力和可能与其他药物相互作用的担忧。尤其是在非裔美国人吸烟者中，他们对制药业和政府的监督存在强烈的怀疑，这与关于NRT有太多未知因素的共识不谋而合。在西班牙裔吸烟者中，对NRT的怀疑较少，但对个人戒烟责任的文化信念强烈。结果突显了对NRT的持久误解，这可能会破坏NRT的使用。需要更多关于NRT的教育，不仅关于它的有效性和安全性，而且关于它的发展和监管。卫生保健专业人员，其中许多人被视为可靠的健康信息来源，在促进更广泛地使用经过验证的戒烟策略方面发挥着特别重要的作用。
Underuse of evidence-based treatment for smoking cessation, including use of nicotine replacement therapy (NRT), is widespread, particularly among minority smokers. This paper examines perceptions of NRT among and between racially and ethnically diverse groups of smokers. Nine focus groups were held among homogenous groups of African American, European American, and Hispanic smokers (N = 70). Specific themes included perceptions of: (a) the mechanism by which NRT works; (b) NRT development and regulation (ie, purpose and methods of clinical trials, Food and Drug Administration oversight, etc); (c) efficacy; (d) safety; and (e) overall cost effectiveness. Across all groups, there was a general lack of knowledge of NRT effects and its efficacy, with only moderate knowledge of the mechanism by which NRT works. Concerns about NRT safety were expressed in all groups, with particular apprehension about addictive potential and possible interactions with other medications. Among African American smokers in particular, there was strong suspicion of pharmaceutical industry and government oversight, which coincided with the consensus view that there are too many unknowns about NRT. Among Hispanic smokers, there was less suspicion of NRT but a strong cultural belief in personal responsibility for smoking cessation. Results highlight enduring misperceptions about NRT that likely undermine usage. More education about NRT is needed, not only about its efficacy and safety, but also with regard to its development and regulation. Health care professionals, many of whom are viewed as trustworthy sources of health information, have a particularly important role to promote wider use of proven cessation strategies.