Racial/Ethnic Disparities in Consistent Reporting of Smoking-Related Behaviors.
Racial/Ethnic Disparities in Consistent Reporting of Smoking-Related Behaviors.
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DOI：
10.4172/2324-9005.1000147
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
Crockett LJ
中科院分区：
文献类型：
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作者：
Soulakova JN;Huang H;Crockett LJ
本研究评估了种族/族裔对曾经吸烟史、戒烟后时间以及开始经常吸烟年龄的不一致报告发生率的影响。我们使用了当前人口调查的烟草使用补充数据，该数据来自一项重测可靠性研究，并考虑了三个种族/族裔亚群：西班牙裔、非西班牙裔 (NH) 黑人和 NH 白人。对戒烟后时间和开始经常吸烟的年龄的高度不一致的报告的初步探索表明，这些报告中的大多数对应于 NH 白人。但差异极大的报告所占比例很小（小于0.8%），这些报告并未纳入主要分析。单变量分析显示，与西班牙裔和新罕布什尔州黑人相比，对于每项吸烟指标，新罕布什尔州白人的报告往往最为一致。然而，唯一具有统计意义的结果是，与新罕布什尔州白人相比，西班牙裔美国人更可能报告他们开始定期吸烟的年龄不一致。调整其他因素的分析证实了这一发现，即西班牙裔人提供的关于经常吸烟的年龄报告不一致的可能性是新罕布什尔州白人的 1.8 倍。此外，这些分析表明，种族/族裔对不一致报告发生率的影响可能取决于其他因素，例如年龄和就业状况。例如，失业的新罕布什尔州黑人放弃吸烟的可能性是失业的新罕布什尔州白人的 1.9 倍。西班牙裔和新罕布什尔州黑人报告的一致性较低，凸显了开发新的调查设计和研究策略的重要性，以发现少数种族/族裔之间报告中相对较小的差异。激励少数种族/族裔参与全国调查的额外努力不仅有助于增加这些亚群体在研究样本中的代表性，而且有助于提高整体数据质量。
This study assessed the effect of race/ethnicity on the prevalence of inconsistent reports regarding ever smoking, time since smoking cessation, and age of initiating regular smoking. We used the Tobacco Use Supplement to the Current Population Survey data, which came from a test-retest reliability study, and considered three racial/ethnic subpopulations, Hispanics, Non-Hispanic (NH) Blacks and NH Whites. Initial exploration of highly disagreeing reports of time since smoking cessation and age of onset of regular smoking initiation indicated that the majority of these reports corresponded to NH Whites. However, the proportion of the extremely discrepant reports was very small (less than 0.8%), and these reports were not included in the main analyses. Univariate analyses revealed that for each smoking measure, NH Whites tended to report most consistently when compared to Hispanics and NH Blacks. However, the only statistically significant result was that Hispanics were more likely to report their regular smoking initiation age inconsistently than were NH Whites. Analyses that adjusted for other factors confirmed this finding, i.e., Hispanics were 1.8 times more likely to provide inconsistent reports of their age of onset of regular smoking than were NH Whites. Furthermore, these analyses showed that the impact of race/ethnicity on the prevalence of inconsistent reporting may depend on other factors, e.g., age and employment status. For example, non-employed NH Blacks were 1.9 times more likely to recant ever smoking than were non-employed NH Whites. The lower consistency in reports by Hispanics and NH Blacks underscores the importance of developing new survey design and research strategies for detecting relatively small differences in reporting among the racial/ethnic minorities. Additional efforts to motivate racial/ethnic minorities to participate in national surveys may not only help increase representation of these subpopulations in study samples but also help improve overall data quality.