ARAB AMERICAN YOUTH: TOBACCO USE AND INTERVENTION

阿拉伯裔美国青年：烟草使用和干预

• 批准号: 6636984
• 负责人: Virginia Hill Rice
• 金额: $ 35.3万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-05-01 至 2005-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6636984
• 关键词: Arabs; adolescence (12-20); behavioral /social science research tag; clinical research; culture; human subject; immigrant; medically underserved population; peer group; self concept; smoking cessation; stress; substance abuse related behavior; tobacco abuse; tobacco abuse prevention

DESCRIPTION (Adapted from the Applicant's Abstract): Research studies have shown cigarette-smoking rates in middle-eastern adolescents to range from 33 to 58 percent. The aims of this community-based, theory-driven research are (a) to examine cultural, personal, social, and environmental forces operating in at risk for habitual tobacco use Arab American youths and (b) to test the effects of a cessation intervention on smoking behavior at three, six, and twelve months post intervention. Cigarette smoking is the chief avoidable cause of death and disease in the United States and in Michigan. In 1996, 25.9 percent of the Michigan adult population smoked cigarettes; Michigan has the 10th highest smoking rate in the nation (Michigan Critical Health Indicators, 1996). Direct medical care costs attributable to smoking were nearly $940 million in 1994. Contributing to tobacco use statistics in Michigan is a rapidly growing Arab American immigrant population. The highest concentration of Arab Americans, with an estimated population of 300,000, live in Michigan; more than 36 percent were born outside the United States. Pilot data showed a 25 percent smoking rate in Arab American youths ages 14-18. Arab Americans are one of the fastest growing cultural minorities in the U.S. and the health consequences of continued tobacco use in this population in terms of human suffering from tobacco-related illnesses and health care dollars is potentially very high. The setting for this study is the Arab Community Center for Economic and Social Services (ACCESS) Teen Health Center which services almost 2500 youth (visits each year). The majority of the people the clinic serves are poor, under-educated, live in extended families of 3-5 adults, are immigrants, and speak Arabic as a first language. A total of 2900 adolescents over 13 years will be asked to provide information on demographic and cultural variables, self-esteem, stress, family and peer tobacco use, intention to use tobacco, history of tobacco use, initial stage of change, and perceived health over three years. Youths with the highest risk for habitual tobacco use will be randomly assigned to Project Toward No Tobacco Use (Project TNT) intervention or Wait List Control. Further information will be obtained on stress, self-efficacy, barrier to cessation, and social support. A sample size of N=450 will be sought to test the study hypotheses. Project TNT was designed to target the primary causes of tobacco use among adolescents and has been shown to be effective in diverse cultural groups. It will be delivered in a small group basis by a bilingual health educator. An Arab American physician will provide the health education content. Follow up data will be collected at Sessions 1 & 4 and at 3, 6, and 12 months post-intervention. The hierarchical linear model, ordinal logistic regression and paired t-tests will be used to analyze the data.

描述（改编自申请人的摘要）：研究表明 研究表明，中东青少年的吸烟率在 33 至 58%。这项以社区为基础、理论驱动的研究的目的是 (a) 检查在以下地方运作的文化、个人、社会和环境力量 阿拉伯裔美国青年习惯性吸烟的风险以及 (b) 测试效果 对三岁、六岁和十二岁吸烟行为的戒烟干预 干预后几个月。吸烟是可避免的主要原因 美国和密歇根州的死亡和疾病。 1996年，25.9% 的密歇根成年人吸烟；密歇根州排名第十 全国吸烟率最高（密歇根州关键健康指标，1996 年）。 吸烟造成的直接医疗费用近 9.4 亿美元 1994. 密歇根州对烟草使用统计数据的贡献正在迅速增长 阿拉伯裔美国移民人口。阿拉伯人最集中的地方 居住在密歇根州的美国人估计有 30 万；多于 36% 出生在美国境外。试点数据显示 25% 14-18 岁阿拉伯裔美国青少年的吸烟率。阿拉伯裔美国人是其中之一 美国增长最快的文化少数群体及其对健康的影响 就人类遭受的痛苦而言，该人群中持续使用烟草 与烟草有关的疾病和医疗保健费用可能非常高。这 这项研究的背景是阿拉伯社区经济和社会中心 服务 (ACCESS) 青少年健康中心为近 2500 名青少年提供服务（访问 每年）。诊所服务的大多数人都是穷人， 受教育程度低、生活在 3-5 名成年人的大家庭中、是移民，并且 以阿拉伯语为第一语言。 13岁以上青少年共计2900名 将被要求提供有关人口和文化变量的信息， 自尊、压力、家人和同伴吸烟、吸烟意图、 烟草使用史、变化的初始阶段以及对健康状况的感知 三年。习惯性吸烟风险最高的青少年将 随机分配至“无烟项目”（TNT 项目）干预组 或等候名单控制。将获得有关压力的更多信息， 自我效能、戒烟障碍和社会支持。样本量 N=450 将寻求检验研究假设。 TNT 项目旨在瞄准 青少年使用烟草的主要原因，并已被证明是 在不同文化群体中有效。将以小组形式交付 以双语健康教育者为基础。一名阿拉伯裔美国医生将提供 健康教育内容。后续数据将在第 1 节和第 1 节中收集 4 以及干预后 3、6 和 12 个月。分层线性模型， 将使用序数逻辑回归和配对 t 检验来分析 数据。