Smoking and ETS: California Residents of Korean Descent

描述(由申请人提供)：本申请的目的是评估加州韩裔移民人口样本中烟草使用的变化及其决定因素。这项提案将评估2830名韩裔加州居民的吸烟行为和预测因素的纵向变化，这些居民在2001年4月至2002年10月期间完成的电话采访中提供了基线数据。吸烟状况的变化、环境烟草烟雾暴露的变化以及住宅烟草政策(规则)的存在和执行的变化，将在已经完成的基线后约45个月再进行一次电话访问，并在约27个月后进行第三次电话访问。这将对加州韩国移民的烟草使用变化提供大约四年的后续评估。将在基线和27个月招募和访谈1200名新的受访者，以评估我们最初基线研究结果的概括性，并复制烟草使用的短期变化和烟草使用变化的“决定因素”。该项目将探索当前控烟计划的认知、对美国社会的文化适应、对大众和人际媒体的接触，以及来自学习理论及其对“行为生态模型”的扩展的其他变量与戒烟、开始吸烟、家庭吸烟政策以及成人和儿童ETS暴露的变化之间的关联程度。将特别注意宣传戒烟和无烟家庭的反烟草媒体运动的影响。这项研究的结果将为完善韩国和其他移民人口的烟草控制理论和干预措施(包括社区范围的政策)提供信息。该应用程序还请求支持试点测试电话咨询干预措施，以促进成人和儿童ETS暴露的停止和减少，以便为后续提案估计效果大小。在这项试点中获得的数据将为临床服务对照试验的研究设计提供参考，这些临床服务可能通过电话在全州范围内提供给分布广泛的韩国人口。这些联合分析将为针对韩裔居民的烟草控制研究提供信息。在加利福尼亚州和美国，韩裔居民是一个日益壮大、服务不足的少数群体。它还将为分布在更大地理区域的其他亚洲和少数族裔人口提供干预措施的模式。

DESCRIPTION (provided by applicant): The purpose of this application is to assess change and determinants of change in tobacco use for a population-based sample of California Korean immigrants. This proposal will assess longitudinal change in tobacco behaviors and predictors among a sample of 2,830 California residents of Korean descent who provided baseline data during telephone interviews completed from April 2001 through October 2002. Change in smoking status, change in environmental tobacco smoke (ETS) exposure, and change in the presence of and enforcement of residential tobacco policies (rules) will be assessed by an additional telephone interview about 45 months after the already completed baseline and a third telephone interview about 27 months later. This will provide about a four-year follow-up assessment of change in tobacco use among California Korean immigrants. A new cohort of 1,200 respondents will be recruited and interviewed at baseline and 27 months to assess the generalizability of our original baseline study results and to replicate short-term changes in tobacco use and the "determinants" of change in tobacco use. The project will explore the degree to which perceptions of current tobacco control programs, acculturation to U.S. society, exposure to mass and interpersonal media, and other variables derived from learning theory and its extension to the "Behavioral Ecological Model" are associated with changes in smoking cessation, initiation, home smoking policies, and adults' and children's ETS exposure. Particular attention will be devoted to the influence of the anti-tobacco media campaigns promoting smoking cessation and smoke-free homes. Results from this study will inform refinement of theory and interventions (including community-wide policies) for tobacco control with Korean and other immigrant populations. This application also requests support to pilot test a telephone counseling intervention to promote cessation and reduction in adults and children's ETS exposure in order to estimate effect sizes for a subsequent proposal. Data obtained in this pilot will inform research design for controlled trials of clinical services that might be delivered state-wide by telephone to the widely distributed Korean population. The combined analyses will inform tobacco control research for residents of Korean descent, who are a growing and underserved minority group in California and the U.S. It also will provide a model for delivering interventions to other Asian and minority populations distributed across larger geographic areas.