A Nationwide Analysis of US Racial/Ethnic Disparities in Smoking Behaviors, Smoking Cessation, and Cessation-Related Factors
A Nationwide Analysis of US Racial/Ethnic Disparities in Smoking Behaviors, Smoking Cessation, and Cessation-Related Factors
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DOI：
10.2105/ajph.2010.191668
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发表时间：
2011-04-01
影响因子：
12.7
通讯作者：
Messer, Karen
中科院分区：
文献类型：
--
作者：
Trinidad, Dennis R.;Perez-Stable, Eliseo J.;Messer, Karen
目标.我们使用全国代表性数据来检查美国成年人吸烟行为、戒烟以及与戒烟相关的因素的种族/民族差异。方法。我们分析了2003年烟草使用补充到当前人口调查中的20至64岁成年人的数据，并通过将调整后的logistic回归模型拟合到数据中来检查相关性。与非西班牙裔白人相比，非裔美国人、亚裔美国人/太平洋岛民和西班牙裔/拉丁美洲人吸烟的比例较小。报告长期戒烟的非洲裔美国人明显较少。种族/少数民族更可能是轻度和间歇性吸烟者，并且不太可能在醒来后30分钟内吸烟。调整后的模型显示，种族/少数民族不太可能从卫生专业人员那里得到戒烟的建议，但他们不太可能使用尼古丁替代疗法。戒烟的具体需求和理想计划重点可能因种族/民族而异，因此根据种族/民族定制的方法可能是最佳的。对于少数种族/民族吸烟者来说，传统的吸烟成瘾和戒烟过程的概念可能需要修改。(Am J公共卫生。2011;101：699-706. doi：10.2105/AJPH.2010。191668）
Objectives. We used nationally representative data to examine racial/ethnic disparities in smoking behaviors, smoking cessation, and factors associated with cessation among US adults.Methods. We analyzed data on adults aged 20 to 64 years from the 2003 Tobacco Use Supplement to the Current Population Survey, and we examined associations by fitting adjusted logistic regression models to the data.Results. Compared with non-Hispanic Whites, smaller proportions of African Americans, Asian Americans/Pacific Islanders, and Hispanics/Latinos had ever smoked. Significantly fewer African Americans reported long-term quitting. Racial/ethnic minorities were more likely to be light and intermittent smokers and less likely to smoke within 30 minutes of waking. Adjusted models revealed that racial/ethnic minorities were not less likely to receive advice from health professionals to quit smoking, but they were less likely to use nicotine replacement therapy.Conclusions. Specific needs and ideal program focuses for cessation may vary across racial/ethnic groups, such that approaches tailored by race/ethnicity might be optimal. Traditional conceptualizations of cigarette addiction and the quitting process may need to be revised for racial/ethnic minority smokers. (Am J Public Health. 2011;101:699-706. doi:10.2105/AJPH.2010. 191668)