对拉丁裔人群进行的一项符合文化背景的戒烟干预措施的评估。
Evaluation of a culturally appropriate smoking cessation intervention for Latinos.
作者信息
Woodruff S I, Talavera G A, Elder J P
机构信息
Graduate School of Public Health, San Diego State University, San Diego, California 92123, USA.
出版信息
Tob Control. 2002 Dec;11(4):361-7. doi: 10.1136/tc.11.4.361.
BACKGROUND
Many believe that smoking cessation programmes for Latinos should be tailored to the values and beliefs of the culture. However, randomised studies of culturally appropriate smoking cessation interventions with Latinos are rare.
METHODS
Latino smokers (n = 313) were randomised to an intervention condition or a comparison group. The intervention was a three month programme based on social cognitive constructs and delivered in the smoker's home by trained lay health advisors, or promotores. Comparison group participants were referred to the California Smoker's Helpline in Spanish. Predictors of abstinence among all participants also were examined.
RESULTS
About one week post-intervention, validated (carbon monoxide) past week abstinence rates were more than twice as high in the intervention group (20.5%) than in the comparison (8.7%) (p < or = 0.005). The pattern of results held for self reported abstinence, and after recoding dropouts to non-abstinence. The primary predictor of abstinence was number of cigarettes smoked per day at baseline, a common measure of addiction.
CONCLUSIONS
The culturally appropriate intervention facilitated abstinence in Latino smokers, at least in the short term. Strengths and weaknesses of the study are discussed.
背景
许多人认为，针对拉丁裔的戒烟项目应根据该文化的价值观和信仰进行调整。然而，针对拉丁裔开展的符合文化特点的戒烟干预措施的随机研究却很少见。
方法
将313名拉丁裔吸烟者随机分为干预组或对照组。干预措施是一个基于社会认知结构的为期三个月的项目，由经过培训的非专业健康顾问（即推广员）在吸烟者家中实施。对照组参与者被转介至西班牙语的加利福尼亚吸烟者帮助热线。同时还对所有参与者中的戒烟预测因素进行了研究。
结果
干预后约一周，经验证（一氧化碳法）的过去一周戒烟率在干预组（20.5%）比对照组（8.7%）高出两倍多（p≤0.005）。自我报告的戒烟情况以及将退出者重新编码为未戒烟者后的结果模式均保持如此。戒烟的主要预测因素是基线时每天吸烟的数量，这是一种常见的成瘾衡量指标。
结论
至少在短期内，这种符合文化特点的干预措施促进了拉丁裔吸烟者的戒烟。本文讨论了该研究的优缺点。
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