Effectiveness of a free nicotine patch program among Ch*

描述(由申请人提供)：目前的建议是申请烟草控制研究指导科学家奖(K01)。申请者是一名拥有公共卫生硕士学位的医生。这项提议旨在通过一段时间的指导活动和在强有力的准实验研究设计的背景下发展新的方法技能，作为跨学科烟草控制研究的独立调查员职业生涯的桥梁。该提案的框架是NCI资助的纽约市华人健康研究；这是一项基于人群的纵向研究，调查了居住在纽约市两个社区的2537名华裔美国人的代表性样本。这项研究正在调查这些移民群体中的烟草使用行为和其他健康指标。基线调查于2003年完成，后续调查将于2005年5月进行。中国健康研究的时间表与K01奖项和纽约市卫生部基于人群的免费尼古丁贴片计划的实施时间表不谋而合。所提出的研究计划利用了这一自然实验以及在中国研究的纵向准实验设计中修改问卷和开发新的假设和分析模型的机会。该提案的主要目的是评估免费尼古丁计划对这一少数民族移民人口使用药物治疗和戒烟率的人群和个人水平的影响。此外，我还将研究参与尼古丁替代疗法的华裔美国人的用药和戒烟决定因素，包括行为、认知、社会和文化因素。

DESCRIPTION (provided by applicant): The current proposal is an application for a mentored scientist award in tobacco control research (K01). The applicant is a physician with a master's degree in public health. This proposal intends to serve as a bridge to an independent investigator career in transdisciplinary tobacco control research through a period of mentored activities and the development of new methodological skills within the context of a strong quasiexperimental research design. The framework for the proposal is the NCI funded NYC Chinese Health Study; a population based longitudinal study with a representative sample of 2537 Chinese Americans living in two communities in NYC. The study is examining tobacco use behaviors and other health indicators among this immigrant population. The baseline survey was completed in 2003 with the follow-up survey to be implemented in May 2005. The timetable of the Chinese Health study coincides with the timetable of the K01 award and implementation of a NYC Department of Health population-based free nicotine patch program. The proposed research plan takes advantage of this natural experiment and the opportunity for questionnaire modification and development of new hypotheses and analytic models within the longitudinal quasi-experimental design of the Chinese study. The principle aim of the proposal is to estimate the population and individual-level impact of a free nicotine program on the use of pharmacotherapy and cessation rates in this minority immigrant population. In addition I will examine determinants of medication use and cessation among Chinese Americans who participate in nicotine replacement therapy, including behavioral, cognitive, social, and cultural factors.