Differences between Latino and non-Latino White smokers in cognitive and behavioral characteristics relevant to smoking cessation

Differences between Latino and non-Latino White smokers in cognitive and behavioral characteristics relevant to smoking cessation
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DOI:
10.1016/j.addbeh.2004.08.017
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发表时间:
2005-05-01
影响因子:
4.4
通讯作者:
Azam, M
Azam, M
中科院分区:
医学2区
文献类型:
--
作者:
Bock, BC;Niaura, RS;Azam, M

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成年吸烟者在三家城市医院的初级保健诊所进行常规保健访问时被招募,并接受了简短的干预和尼古丁替代疗法。分析比较了双文化(BC: n=60)或较少文化适应(LA: n=138)拉丁裔和非拉丁裔白人(NL: n=417)参与者。拉丁裔组与非拉丁裔组在吸烟率和尼古丁依赖方面均有显著差异。然而,BC和NL受试者在戒烟的感知益处、吸烟的感知风险和吸烟的负面影响方面与LA受试者存在显著差异。LA受试者的戒烟率高于BC组或NL组。回归分析显示,尼古丁依赖和戒烟信心预示着第6个月的戒烟,而文化适应似乎调节了戒烟与戒烟信心和尼古丁依赖之间的关系。这些结果为通过卫生保健提供系统对吸烟进行简短干预的可行性提供了支持。研究结果还表明,以前在混血或非拉丁裔人群中显示的预测成功戒烟的特征可能并不同样预测不同人群的戒烟。(c) 2004 Elsevier Ltd.版权所有。
Adult smokers were recruited during routine health care visits at primary care clinics located in three urban hospitals and were given a brief intervention and nicotine replacement therapy. Analyses compared bicultural (BC: n=60) or less acculturated (LA: n=138) Latinos and non-Latino White (NL: n=417) participants. Both Latino groups were significantly different from NL subjects in smoking rate and nicotine dependence. However, BC and NL subjects differed significantly from LA subjects in perceived benefits of quitting, perceived risk from smoking, and negative affect smoking. LA subjects had higher cessation rates than either BC or NL groups. Regression analyses showed that nicotine dependence and confidence in quitting predicted cessation at month 6, and acculturation appeared to moderate the relationship between smoking cessation and both confidence in quitting and nicotine dependence. These results provide support for the viability of brief interventions for smoking provided through health care delivery systems. Results also suggest that characteristics previously shown to be predictive of successful cessation in mixed or non-Latino populations may not be equally predictive of cessation across members of diverse populations. (c) 2004 Elsevier Ltd. All rights reserved.