Department of Psychiatry, University of California, San Francisco, CA, USA.
Addict Behav. 2011 Apr;36(4):294-301. doi: 10.1016/j.addbeh.2010.11.009. Epub 2010 Nov 27.
Smoking prevalence among Vietnamese American males remains higher than the U.S. general population. This study examined the associations of individual and family factors with quit intention among Vietnamese male smokers in California to guide intervention development to reduce their smoking prevalence. Data for Vietnamese male current smokers (n=234) in the 2008 California Vietnamese Adult Tobacco Use Survey (N=1101 males) were analyzed to describe quit intention and previous quit attempts. One-third of Vietnamese male smokers (33%) had no intention to quit at any time, 36% intended to quit soon (in the next 30 days), and 31% intended to quit later (beyond the next 30 days). Half (51.7%) of the sample was in "precontemplation," indicating no intention to quit within 6 months. Many (71%) had made a serious quit attempt in the past year, but 68% of those who tried to quit used no cessation assistance. Multivariate logistic regression adjusting for age, depression, smoking intensity, nicotine dependence, health knowledge, children in the household and home smoking ban revealed that having smoking-related family conflicts and a quit attempt in the past year with or without assistance were independently associated with an intention to quit either in the next 30 days or later. Higher education was associated with no intention to quit. Findings underscore the importance of designing strategic interventions that meet the needs of smokers at both individual and family levels to promote quit intention and to facilitate successful quitting in this population.
越南裔美国男性的吸烟率仍然高于美国总人口。本研究调查了个人和家庭因素与加利福尼亚州越南裔男性吸烟者戒烟意愿的关系，旨在为降低该人群吸烟率提供干预措施的发展方向。对 2008 年加利福尼亚州越南裔成人烟草使用调查中（n=1101 名男性）当前吸烟的越南裔男性（n=234）的数据进行了分析，以描述戒烟意愿和之前的戒烟尝试。三分之一的越南裔男性吸烟者（33%）没有在任何时候戒烟的意愿，36%打算在接下来的 30 天内戒烟，31%打算在 30 天之后戒烟。该样本中有一半（51.7%）处于“未考虑”阶段，表明在未来 6 个月内没有戒烟的意愿。许多人（71%）在过去一年中曾有过认真的戒烟尝试，但其中 68%的人在尝试戒烟时没有使用任何戒烟辅助措施。调整年龄、抑郁、吸烟强度、尼古丁依赖、健康知识、家中有孩子和家中禁烟令等因素的多变量逻辑回归显示，过去一年中与吸烟有关的家庭冲突以及有无帮助的戒烟尝试与未来 30 天内或之后有戒烟意愿独立相关。受教育程度较高与无戒烟意愿相关。研究结果强调了设计满足个体和家庭层面吸烟者需求的战略干预措施的重要性，以促进该人群的戒烟意愿并促进成功戒烟。
