Smoking Cessation Across Ethnic Groups in the US

美国各族裔群体的戒烟情况

基本信息

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
项目类别：
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

项目摘要

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）：与非西班牙裔白人相比，种族/族裔少数群体承受着与吸烟相关疾病不成比例的负担，并且成人吸烟率较高，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人群体。少数种族/族裔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种族/族裔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次数据分析。所有分析都将针对主要种族/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）及其亚群体（例如韩裔美国人、墨西哥裔西班牙裔等）进行，并按性别、年龄组、英语使用情况和教育水平。具体目标 1：在少数种族/族裔中，进行组间和组内分析，以更好地了解特定人群中轻度吸烟和间歇性吸烟的情况。 a) 概述种族/族裔群体的轻度吸烟和间歇性吸烟，特别是没有发表研究的特定亚群体，其中包括亚裔美国人（例如华裔美国人）和墨西哥裔西班牙裔/拉丁裔，以及各种非裔美国人b) 调查随着时间的推移，州级烟草控制政策对全国各地不同种族/族裔群体轻度吸烟和间歇性吸烟分布的影响。具体目标 2：研究表明，吸烟者可以按照戒烟连续体进行分类。我们将报告戒烟过程中不同种族/族裔群体的吸烟者的人口分布。 c) 假设：少数种族/族裔吸烟者在戒烟连续体中的分布将出现偏差，并且与非西班牙裔白人相比，他们在未来的戒烟成功率似乎更高。然而，这与实际较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/族裔的适用性，特别是对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、事先尝试戒烟、使用戒烟辅助工具（例如戒烟热线、尼古丁替代疗法）、医生的戒烟建议以及是否存在完全在家吸烟跨种族/族裔群体的禁令。然后我们将研究这些因素如何影响各群体的戒烟过程。公共卫生相关性：这项拟议研究的目的是调查少数种族/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，因为少数群体更有可能体重较轻且非西班牙裔。 - 每天吸烟的人。对戒烟过程的传统理解是基于重度吸烟者和日常吸烟者的人群，因此它可能不适用于少数种族/族裔群体。我们的研究结果可能会对如何为少数种族/族裔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

期刊论文数量（4）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

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：
发表时间：
2015-12
期刊：
影响因子：
0
作者：
Trinidad, Dennis R;Xie, Bin;Fagan, Pebbles;Pulvers, Kim;Romero, Devan R;Blanco, Lyzette;Sakuma, Kari
通讯作者：
Sakuma, Kari

Increases in light and intermittent smoking among Asian Americans and non-Hispanic Whites.

亚裔美国人和非西班牙裔白人的轻度和间歇性吸烟有所增加。

DOI：
发表时间：
2014-06
期刊：
影响因子：
0
作者：
Blanco, Lyzette;Nydegger, Liesl A;Sakuma, Kari;Tong, Elisa K;White, Martha M;Trinidad, Dennis R
通讯作者：
Trinidad, Dennis R

"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。