Ma Grace X, Tan Yin, Fang Carolyn Y, Toubbeh Jamil I, Shive Steven E
Department of Public Health, Temple University, Philadelphia, PA 19122-0843, USA.
Prev Med. 2005 Aug;41(2):446-53. doi: 10.1016/j.ypmed.2004.11.022.
This study seeks to measure exposure to secondhand smoke and to evaluate potential differences in knowledge, attitudes, and tolerance of secondhand smoke among subgroups of Asian Americans in the Delaware Valley region of Pennsylvania and New Jersey.
A cross-sectional study was conducted among 1374 Asian Americans, which included Chinese, Koreans, Vietnamese, and Cambodians. The sample was selected by using a stratified-cluster proportional sampling technique. Study measures included demographic variables, smoking status, exposure to secondhand smoke, and knowledge, attitudes, and behavior regarding secondhand smoke. Data were analyzed using SPSS.
Involuntary exposure to secondhand smoke remains a common public health hazard among Asian Americans, with 38.3% reporting exposure at home and 40.3% at the worksite. Knowledge and tolerance differed significantly by ethnic groups, gender, education, and smoking status. Knowledge level had a significant effect on tolerance behavior.
Findings indicate an urgent need for a smoke-free policy at home, in the work place, and in public areas. Tobacco prevention/intervention and cessation programs for Asian Americans should emphasize the adverse health effects of secondhand smoke and promote a smoke-free environment. Further studies are needed to explore the unexplained differences in tolerance levels regarding secondhand smoke across ethnic groups.
本研究旨在测量二手烟暴露情况，并评估宾夕法尼亚州和新泽西州特拉华谷地区亚裔美国人亚组在二手烟知识、态度和耐受度方面的潜在差异。
对1374名亚裔美国人（包括华裔、韩裔、越南裔和柬埔寨裔）进行了一项横断面研究。样本采用分层整群比例抽样技术选取。研究指标包括人口统计学变量、吸烟状况、二手烟暴露情况以及关于二手烟的知识、态度和行为。数据使用SPSS进行分析。
在亚裔美国人中，非自愿接触二手烟仍是一种常见的公共卫生危害，38.3%的人报告在家中接触二手烟，40.3%的人报告在工作场所接触二手烟。知识和耐受度在种族、性别、教育程度和吸烟状况方面存在显著差异。知识水平对耐受行为有显著影响。
研究结果表明，迫切需要在家庭、工作场所和公共场所实施无烟政策。针对亚裔美国人的烟草预防/干预和戒烟项目应强调二手烟对健康的不利影响，并促进无烟环境。需要进一步研究来探讨不同种族在二手烟耐受水平方面无法解释的差异。
