Spigner Clarence, Yip Mei-Po, Huang Bu, Tu Shin Ping
Department of Health Services, University of Washington Box 359780 325 Ninth Avenue Seattle, WA 98104-2420, USA.
Asian Pac J Cancer Prev. 2007 Jul-Sep;8(3):429-35.
National surveys show a low prevalence of tobacco cigarette smoking within the Asian American/Pacific Islander population. However, smoking rates loom higher when data is disaggregated by ethnicity and gender. Nevertheless, few data are available on how smokers in this population quit smoking. The aim of this study was to collect first-hand perspectives from adult male Chinese and Vietnamese current and former smokers who were patients at a community clinic in Seattle, Washington, in order to understand the facilitators toward smoking cessation and the methods that they might use to quit smoking.
A telephone survey was administered to age-eligible male Chinese and Vietnamese clinic patients who were current or former smokers. A total of 196 Chinese and 198 Vietnamese (N=394) adult male current and former smokers were contacted from a pool culled from the clinic database.
Descriptive analysis using SPSS software revealed ethnicity-specific differences between current and former smokers regarding influences on smoking cessation behavior as well as uptake and endorsement of cessation methods. Family encouragement and physician recommendations were significant facilitators on the cessation process. Will power and self-determination were frequently mentioned by both Vietnamese and Chinese smokers as helpful methods to quit smoking. Vietnamese smokers were more resourceful than Chinese smokers in their use of smoking cessation methods.
Even with access to cessation classes at a health clinic, half of current smokers indicated that they had no intention to quit. Such attitudes underscore the need for promotion of effective smoking cessation programs as well as successful strategies for reaching smokers. These conclusions are particularly important for Chinese smokers, who were comparatively less resourceful in their use of smoking cessation methods. Future studies should explore integrating the concept of will power with current mainstream state-of-the-art smoking cessation programs.
全国性调查显示，亚裔美国人/太平洋岛民群体中吸烟率较低。然而，按种族和性别分类的数据显示吸烟率更高。尽管如此，关于该群体吸烟者如何戒烟的数据却很少。本研究的目的是收集华盛顿州西雅图一家社区诊所的成年华裔和越南裔男性现吸烟者和曾吸烟者的第一手观点，以了解戒烟的促进因素以及他们可能用于戒烟的方法。
对符合年龄条件的华裔和越南裔诊所男性患者（现吸烟者或曾吸烟者）进行电话调查。从诊所数据库中挑选出的样本中，共联系了196名华裔和198名越南裔（N = 394）成年男性现吸烟者和曾吸烟者。
使用SPSS软件进行的描述性分析显示，现吸烟者和曾吸烟者在戒烟行为的影响因素以及戒烟方法的采用和认可方面存在种族差异。家庭鼓励和医生建议是戒烟过程中的重要促进因素。越南裔和华裔吸烟者都经常提到意志力和自我决定是有助于戒烟的方法。越南裔吸烟者在使用戒烟方法方面比华裔吸烟者更有办法。
即使可以在健康诊所参加戒烟课程，仍有一半的现吸烟者表示他们无意戒烟。这种态度凸显了推广有效的戒烟计划以及接触吸烟者的成功策略的必要性。这些结论对华裔吸烟者尤为重要，他们在使用戒烟方法方面相对缺乏办法。未来的研究应探索将意志力概念与当前主流的先进戒烟计划相结合。
