Smoking Cessation Across Ethnic Groups in the US

美国各族裔群体的戒烟情况

• 批准号: 8208084
• 负责人: DENNIS Ryan TRINIDAD
• 金额: $ 7.03万
• 依托单位: CLAREMONT GRADUATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-01-01 至 2012-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8208084
• 关键词: Address; Adult; Affect; African American; Asian Americans; Basic Biobehavioral Research; Behavioral; California; Cancer Control; Chinese American; Consumption; Country; Data Analyses; Data Set; Disease; Educational Background; Educational Status; English Language; Ethnic group; Exhibits; Future; Gender; General Population; Geographic Locations; Goals; Health; Hispanics; Home environment; Korean American; Latino; Lead; Light; Mexican; Minority; Minority Groups; Modality; Native Americans; Not Hispanic or Latino; Physicians; Population; Population Distributions; Prevalence; Process; Publishing; Race; Recommendation; Reporting; Research; Sex Characteristics; Smoker; Smoking; Subgroup; Surveys; Testing; Time; Tobacco; Tobacco Control Research; Tobacco Use Cessation; Tobacco use; Ursidae Family; Withholding Treatment; age group; base; behavior change; cancer health disparity; cancer prevention; design; experience; health disparity; nicotine replacement; population based; population survey; programs; public health relevance; public policy on tobacco; quitline; racial and ethnic; research study; smoking cessation; socioeconomics; success

DESCRIPTION (provided by applicant): Racial/ethnic minorities bear a disproportionate burden of smoking-related diseases and exhibit higher rates of adult smoking and lower rates of quitting compared to Non-Hispanic Whites. Conceptualizations of smoking cessation have been based on Non-Hispanic White populations that are heavy or daily smokers. Racial/ethnic minority groups are more likely to be light and intermittent smokers, thus our understanding of smoking cessation should be examined for their applicability to such populations. Results from this project will have implications for the design and focus of smoking cessation programs for racial/ethnic minority groups. We propose a secondary data analysis of the Tobacco Use Supplements to the Current Population Survey and the California Tobacco Surveys. All analyses will be conducted for major racial/ethnic groups (African Americans, Asian Americans, Hispanics/Latinos, Native Americans and Non-Hispanic Whites) and their subgroups (e.g., Korean Americans, Hispanics of Mexican descent, etc.), and by gender, age group, English language use, and educational level. Specific Aim 1: Among racial/ethnic minorities, conduct between-group and within-group analyses to better understand light and intermittent smoking in specific population segments. a) Provide an overview of light and intermittent smoking for racial/ethnic groups, especially specific subgroups that do not have published research, which includes Asian Americans (e.g., Chinese Americans) and Hispanics/Latinos of Mexican descent, and for African Americans in various geographic regions of the U.S. b) Investigate the effects of state-level tobacco control policy on the distribution of light and intermittent smoking around the country over time for various racial/ethnic groups. Specific Aim 2: Research has shown that smokers can be categorized along a quitting continuum. We will report on the population distribution of smokers from different racial/ethnic groups along the quitting continuum. c) Hypothesis: The distribution of racial/ethnic minority smokers along the quitting continuum will be skewed and appear as if they will experience greater quitting success in the future compared to Non-Hispanic Whites. However, this will not be associated with actual higher rates of successful cessation. Such results would suggest that conceptualizations of the quitting process among minorities need to be reassessed. Specific Aim 3: Evaluate the applicability of smoking cessation treatment modalities to racial/ethnic minorities, particularly among those who are light and intermittent smokers. d) We will evaluate the prevalence of previously identified predictors of cessation, such as reducing consumption, making prior quit attempts, use of cessation aids (e.g., quitlines, nicotine replacement therapy), physician advice to quit, and the presence of complete home smoking bans across racial/ethnic groups. We will then examine how these factors affect the smoking cessation process across groups. PUBLIC HEALTH RELEVANCE: The goal of this proposed study is to examine the process of quitting smoking among racial/ethnic minority groups to better understand why their quitting rates are lower than Non-Hispanic Whites given that minority groups are more likely to be lighter and non-daily smokers. The traditional understanding of the quitting process has been based on populations that were heavy and daily smokers so it might not be applicable to racial/ethnic minority groups. Our findings can have implications for how smoking cessation programs are designed for racial/ethnic minorities and lead to a reduction of disparities in smoking and smoking-related diseases.

描述（由申请人提供）：种族/少数民族承担着与吸烟有关的疾病的不成比例的负担，与非西班牙裔白人相比，成年人吸烟率较高，戒烟率较低。戒烟的概念是基于重度吸烟者或每日吸烟者的非西班牙裔白色人群。种族/少数民族群体更有可能是轻度和间歇性吸烟者，因此我们对戒烟的理解应该检查其对这些人群的适用性。该项目的结果将对少数民族/种族群体戒烟计划的设计和重点产生影响。 我们建议对当前人口调查和加州烟草调查的烟草使用补充进行二级数据分析。所有分析将针对主要种族/族裔群体（非裔美国人、亚裔美国人、西班牙裔/拉丁裔、美洲原住民和非西班牙裔白人）及其亚组（例如，韩裔美国人、墨西哥裔西班牙人等），按性别、年龄组、英语使用情况和教育程度分类。具体目标1：在种族/少数民族中，进行组间和组内分析，以更好地了解特定人群中轻度和间歇性吸烟的情况。a）概述种族/族裔群体轻度和间歇性吸烟的情况，特别是没有发表研究的特定亚组，包括亚裔美国人（例如，华裔美国人）和墨西哥裔西班牙裔/拉丁裔美国人，以及美国不同地理区域的非裔美国人。B）调查州一级烟草控制政策对不同种族/民族人群轻度和间歇性吸烟分布的影响。具体目标2：研究表明，吸烟者可以分为沿着戒烟连续体。我们将报告不同种族/民族吸烟者的人口分布情况，沿着戒烟连续体。（三）假设：少数种族/族裔吸烟者的分布沿着戒烟连续体将是倾斜的，似乎他们将在未来经历更大的戒烟成功相比，非西班牙裔白人。然而，这与实际更高的成功戒烟率无关。这些结果表明，需要重新评估少数群体戒烟过程的概念。具体目标3：评估戒烟治疗方式对少数种族/民族的适用性，特别是那些轻度和间歇性吸烟者。d）我们将评估先前确定的戒烟预测因素的流行率，例如减少消费，进行先前的戒烟尝试，使用戒烟辅助工具（例如，戒烟热线、尼古丁替代疗法）、医生建议戒烟，以及在种族/民族群体中完全禁止家庭吸烟。然后，我们将研究这些因素如何影响各组的戒烟过程。 公共卫生关系：这项拟议研究的目标是检查少数族裔群体的戒烟过程，以更好地了解为什么他们的戒烟率低于非西班牙裔白人，因为少数族裔群体更有可能是较轻且不每天吸烟的人。对戒烟过程的传统理解是基于重度和每日吸烟者的人群，因此可能不适用于种族/少数民族群体。我们的研究结果可能会对如何为少数民族设计戒烟计划产生影响，并导致减少吸烟和吸烟相关疾病的差异。

项目成果

Site-Specific Labeling of Proteins with Near-IR Heptamethine Cyanine Dyes.

• DOI: 10.3390/molecules23112900
• 发表时间: 2018-11-07
• 期刊: Molecules (Basel, Switzerland)
• 作者: Lin CM;Usama SM;Burgess K
• 通讯作者: Burgess K

Disparities in the Population Distribution of African American and Non-Hispanic White Smokers Along the Quitting Continuum.

戒烟连续体中非裔美国人和非西班牙裔白人吸烟者的人口分布差异。

• DOI: 10.1177/1090198115577376
• 发表时间: 2015
• 期刊: Health education & behavior : the official publication of the Society for Public Health Education
• 作者: Trinidad,DennisR;Xie,Bin;Fagan,Pebbles;Pulvers,Kim;Romero,DevanR;Blanco,Lyzette;Sakuma,Kari-LynK
• 通讯作者: Sakuma,Kari-LynK

"Smoker's Paradox" in Patients Treated for Severe Injuries: Lower Risk of Mortality After Trauma Observed in Current Smokers.

接受严重损伤治疗的患者的“吸烟者悖论”：在当前吸烟者中观察到的创伤后死亡风险较低。

• DOI: 10.1093/ntr/ntv027
• 发表时间: 2015
• 期刊: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
• 作者: Bell,TeresaM;Bayt,DemetriaR;Zarzaur,BenL
• 通讯作者: Zarzaur,BenL