Most Latino smokers in California are low-frequency smokers.
Most Latino smokers in California are low-frequency smokers.
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DOI：
10.1111/j.1360-0443.2007.01961.x
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发表时间：
2007-10
期刊：
影响因子：
6
通讯作者：
Shu-Hong Zhu;Kim Pulvers;Yue-Lin Zhuang;L. Baezconde-Garbanati
中科院分区：
文献类型：
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作者：
Shu-Hong Zhu;Kim Pulvers;Yue-Lin Zhuang;L. Baezconde-Garbanati
目的：我们研究了加州拉丁美洲人的低频吸烟现象（非每日吸烟或每日吸烟</= 5支），并讨论了其对成瘾理论和人口烟草控制的影响。设计、设置和参与者数据收集于2001年和2003年通过加州健康访谈调查（CHIS），最大的一般健康调查在加州。本研究的重点是拉丁裔当前吸烟者（CHIS 2001年n = 1254; CHIS 2003年n = 946）。对报告非每日吸烟或每日吸烟</=5支的拉丁裔吸烟者进行鉴定，并将其分为一类：低频率吸烟者。按人口参数加权，加州70%以上的拉丁裔吸烟者被发现是低频率吸烟者[2001年为70.7%（CI = 67.2%，73.9%），2003年为70.8%（CI = 67.1%-74.2%）]。在两次调查中，这一高比例贯穿所有人口层面，表明这一现象的普遍性和可靠性。2001年，非每日吸烟者和每日少量吸烟者的比例分别为48.6%和22.1%，2003年为54.9%和15.9%。在这两项调查中，超过80%的非每日吸烟者在吸烟日消耗</= 5支香烟。大多数拉丁裔吸烟者是低频率吸烟者的事实需要一个新的理论框架-超越基于戒断的理论-来解释这种行为在人口水平上的流行。它还对作为加州拉丁裔人口烟草控制战略的减少危害方法提出了质疑。强调每支烟都可能造成伤害并鼓励完全戒烟的策略似乎更适合这类吸烟者。
AIMS We examine the phenomenon of low-frequency smoking (non-daily smoking or smoking </= 5 cigarettes daily) among California Latinos and address its implications for addiction theory and population tobacco control. DESIGN, SETTING AND PARTICIPANTS Data gathered in 2001 and 2003 through the California Health Interview Survey (CHIS), the largest general health survey in California. The present study focused on Latino current smokers (n = 1254 for CHIS 2001; n = 946 for CHIS 2003). MEASUREMENT Latino smokers reporting either non-daily smoking or smoking </=5 cigarettes daily were identified and grouped into one category: low-frequency smokers. FINDINGS Weighted by population parameters, more than 70% of Latino smokers in California were found to be low-frequency smokers [70.7% (CI = 67.2%, 73.9%) in 2001 and 70.8% (CI = 67.1%-74.2%) in 2003]. This high proportion cut across all demographic dimensions in both surveys, suggesting pervasiveness and reliability of this phenomenon. Proportions for non-daily smokers and low-rate daily smokers were 48.6% and 22.1% in 2001 and 54.9% and 15.9% in 2003. In both surveys, more than 80% of non-daily smokers consumed </= 5 cigarettes on their smoking days. CONCLUSIONS The fact that most Latino smokers are low-frequency smokers calls for a new theoretical framework--beyond withdrawal-based theories--to account for the prevalence of this behavior on the population level. It also calls into question the harm-reduction approach as a tobacco control strategy for California Latino populations. Strategies emphasizing that every cigarette can hurt, and encouraging complete cessation, seem more fitting for this group of smokers.