Disparities in Adult Cigarette Smoking - United States, 2002-2005 and 2010-2013

Disparities in Adult Cigarette Smoking - United States, 2002-2005 and 2010-2013
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DOI:
10.15585/mmwr.mm6530a1
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发表时间:
2016-08-05
影响因子:
33.9
通讯作者:
Caraballo, Ralph S.
Caraballo, Ralph S.
中科院分区:
医学1区
文献类型:
--
作者:
Martell, Brandi N.;Garrett, Bridgette E.;Caraballo, Ralph S.

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关于这个话题我们已经知道了什么?虽然自1964年以来吸烟人数大幅下降,但不同种族/族裔人口之间的烟草使用差异各不相同。对美国成年人吸烟率和烟草使用的估计通常仅限于种族/民族人口类别。本报告补充了什么?从2002-2005年到2010-2013年,一些种族/族裔人口的吸烟率下降。此外,即使在确实经历了下降的群体中,吸烟的相对变化也因种族/民族人口而异。亚洲人和西班牙裔人亚组之间和亚组内成人吸烟率存在很大差异,韩国人和波多黎各人报告其各自种族/族裔人口中吸烟率最高。这些研究结果表明,在大多数种族/族裔群体中,男性吸烟率高于女性,这对公共卫生实践有何影响?不同种族/民族人群之间的吸烟率存在差异,一些种族/民族人群的吸烟率高得不成比例,并且组内差异很大。烟草干预措施,包括提高烟草产品价格,加上循证戒烟服务、全面无烟政策、媒体宣传和在临床环境中推广戒烟治疗,是降低烟草使用和烟草相关疾病和死亡总体流行率的有效战略。
What is already known about this topic?Although cigarette smoking has substantially declined since 1964, disparities in tobacco use varies among racial/ethnic populations. Estimates of U.S. adult cigarette smoking prevalence and tobacco use are usually limited to aggregate racial/ethnic population categories.What is added by this report?From the period 2002-2005 to the period 2010-2013, declines in cigarette smoking occurred among some racial/ethnic populations. Moreover, the relative change in smoking even among groups that did experience a decline varied across racial/ethnic populations. Substantial disparities in adult cigarette smoking prevalence exist among and within Asian and Hispanic subgroups, with Koreans and Puerto Ricans reporting the highest cigarette smoking prevalences within their respective racial/ethnic population. These findings indicate disproportionately higher smoking prevalence among men compared with women within most racial/ethnic groups.What are the implications for public health practice?Disparities in smoking prevalence exist among racial/ethnic populations, and several racial/ethnic populations have disproportionately higher prevalences of smoking and wide within-group variations. Proven interventions, including increasing the price of tobacco products coupled with evidence-based cessation services, comprehensive smoke-free policies, media campaigns, and promotion of cessation treatment in clinical settings, are effective strategies in reducing the overall prevalence of tobacco use and tobacco-related disease and death.