Are Latinos really less likely to be smokers? Lessons from Oregon

Are Latinos really less likely to be smokers? Lessons from Oregon
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DOI:
10.1080/14622200500056259
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发表时间:
2005-04-01
影响因子:
4.7
通讯作者:
Pickle, KE
Pickle, KE
中科院分区:
医学2区
文献类型:
--
作者:
Maher, JE;Boysun, MJ;Pickle, KE

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我们的目标是确定与俄勒冈州拉丁裔成年人当前吸烟相关的因素。我们使用了 2000-2002 年俄勒冈州行为风险因素监测系统 (BRFSS) 中 1,356 名拉丁裔参与者的数据,以及 18,593 名非拉丁裔白人参与者的数据。 BRFSS 是一项随机数字拨号的横断面调查,对象是居住在俄勒冈州家庭中拥有电话的非机构化、讲英语或西班牙语的成年人。我们研究了拉丁美洲人当前吸烟与性别、年龄、教育和调查语言(文化适应的衡量标准)之间的关系,并使用了 0.05 的显着性水平。拉丁裔当前吸烟率(18.1%)显着低于非拉丁裔白人(20.8%)。拉丁裔男性吸烟的可能性明显高于拉丁裔女性(23.1% vs. 11.4%),一些证据表明,拉丁裔男性受教育程度较低与吸烟有关。用英语进行的调查与拉丁裔女性的吸烟率密切相关:用英语进行的调查的吸烟率为 20.5%,用西班牙语进行的调查的吸烟率为 3.3%。我们的结果表明,拉丁裔吸烟率较低是由于拉丁裔女性用西班牙语进行的调查所致。因此,烟草控制计划有必要按性别和文化程度检查当地拉丁裔吸烟率,以避免错误地得出拉丁裔风险降低的结论。尽管针对拉丁裔的计划应该加强对拉丁裔文化的保护,但降低美国主流文化中的吸烟率可能会减轻文化适应对吸烟行为的负面影响。
Our objective was to identify factors associated with current cigarette smoking among Latino adults in Oregon. We used data from 1,356 Latino participants and, for comparison, 18,593 non-Latino White participants in the 2000-2002 Oregon Behavioral Risk Factor Surveillance System (BRFSS). The BRFSS is a random-digit-dialed, cross-sectional survey of noninstitutionalized, English- or Spanish-speaking adults who live in Oregon households with a telephone. We examined relationships between current smoking and gender, age, education, and survey language (a measure of acculturation) among Latinos and used the .05 level of significance. The prevalence of current smoking was significantly lower among Latinos (18.1%) than non-Latino Whites (20.8%). Latino men were significantly more likely than Latina women to be smokers (23.1% vs. 11.4%), and some evidence indicated that less education was associated with smoking among Latino men. Taking the survey in English was strongly and significantly associated with smoking among Latina women: Smoking prevalence was 20.5% among those taking the survey in English and 3.3% for those taking it in Spanish. Our results suggest that the lower smoking prevalence among Latinos was driven by Latina women taking the survey in Spanish. Hence, it is essential for tobacco control programs to examine their local Latino smoking prevalence by gender and acculturation to avoid incorrectly concluding that Latinos are at decreased risk. Although programs for Latinos should reinforce protective aspects of Latino culture, decreasing the smoking prevalence in the U.S. mainstream culture might mitigate the negative impact of acculturation on smoking behaviors.