Offering acupuncture as an adjunct for tobacco cessation: a community clinic experience.
Offering acupuncture as an adjunct for tobacco cessation: a community clinic experience.
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DOI：
10.1177/1524839913485756
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发表时间：
2013-09
影响因子：
1.9
通讯作者：
Tong EK
中科院分区：
文献类型：
--
作者：
Chang E;Fung LC;Li CS;Lin TC;Tam L;Tang C;Tong EK
在亚裔美国人中，吸烟率的差异仍然很突出。医学多元化和文化定制可能会增强亚裔美国人参与戒烟援助。我们对2007年至2010年针对中国人群提供针灸、尼古丁替代疗法（NRT）和咨询的社区诊所戒烟计划进行了回顾性分析。大多数参与者使用针灸，其中约一半选择针灸和NRT，其次是超过40%的人只选择针灸;很少有人只选择NRT。针灸+ NRT组和单纯针灸组的6个月戒烟率相对较高（37.7%对28.9%）。在比较烟草从基线减少>50%与扩展的仅NRT组时，针刺+ NRT组的比值比高于仅针刺组，后者的比值比较低。我们对这个现实世界的社区计划进行评估，将针灸作为戒烟计划的文化辅助手段，表明针灸可能有助于美国华裔男性吸烟者参与提供咨询和NRT的戒烟计划。未来更大规模的研究应进一步评估针灸联合NRT对戒烟和减脂结局的疗效。
Disparities in smoking rates remain prominent within Asian Americans. Medical pluralism and cultural tailoring may enhance Asian Americans engaging with tobacco cessation assistance. We conducted a retrospective analysis of a community clinic’s smoking cessation program targeting a Chinese population that offered acupuncture, nicotine replacement therapy (NRT), and counseling from 2007 to 2010. Most participants used acupuncture, with about half choosing acupuncture and NRT, followed by more than 40% choosing acupuncture only; few chose NRT only. Tobacco cessation rates at 6 months were relatively high for the acupuncture + NRT group and only acupuncture group (37.7% vs. 28.9%). In comparing tobacco reduction >50% from baseline with an expanded only NRT group, the acupuncture + NRT group had a higher odds ratio than the only acupuncture group, which had a lower odds ratio. Our evaluation of this real-world community program offering acupuncture as a cultural adjunct to a tobacco cessation program suggests that acupuncture might help with engagement by Chinese American male smokers into a tobacco cessation program that offers counseling and NRT. Future larger studies should further evaluate the efficacy of offering acupuncture in combination with NRT on the outcomes of cessation and reduction.