Glanz Karen, Maskarinec Gertraud, Carlin Linda
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30322.
Ann Behav Med. 2005 Jun;29(3):192-9. doi: 10.1207/s15324796abm2903_5.
Prevention of youth smoking has great potential to improve the health of Americans. There is limited information about correlates of tobacco use among adolescents from ethnic minority groups, especially Asians, Pacific Islanders, and Native Hawaiians.
This article examines the relationships among ethnicity, sense of coherence (SOC), and tobacco use.
We conducted a baseline survey of a cluster randomized tobacco prevention trial in public middle schools in Hawaii with a multiethnic sample of 3,438 seventh-grade students.
Ethnic differences in smoking prevalence were very large, with high smoking rates among Native Hawaiian/Pacific Islander, White, and Filipino students and with low rates among Japanese and Chinese students. Higher SOC scores predicted significantly lower risk of having ever smoked and of smoking in the past 30 days. SOC was most strongly related to ever smoking among Filipino, Hawaiian/Pacific Islander, and White students; Japanese students experienced the strongest protective effect from SOC for past-month smoking.
The results suggest that SOC is strongly associated with tobacco use among this age group. It will be important to examine whether SOC can be improved by an intervention program and whether increases in SOC are associated with reduced smoking.
预防青少年吸烟对于改善美国人的健康状况具有巨大潜力。关于少数族裔青少年，尤其是亚裔、太平洋岛民和夏威夷原住民的烟草使用相关因素的信息有限。
本文探讨种族、连贯感（SOC）与烟草使用之间的关系。
我们在夏威夷的公立中学对一项整群随机烟草预防试验进行了基线调查，样本为3438名七年级学生，涵盖多个种族。
吸烟率的种族差异非常大，夏威夷原住民/太平洋岛民、白人和菲律宾学生的吸烟率较高，而日本和中国学生的吸烟率较低。较高的SOC得分预示着曾经吸烟和在过去30天内吸烟的风险显著降低。SOC与菲律宾、夏威夷/太平洋岛民和白人学生的曾经吸烟情况关联最为紧密；对于过去一个月的吸烟情况，SOC对日本学生的保护作用最强。
结果表明，SOC与该年龄组的烟草使用密切相关。研究SOC是否可以通过干预计划得到改善以及SOC的提高是否与吸烟减少相关将具有重要意义。
