University of Alabama at Birmingham School of Medicine, Division of Otolaryngology, Birmingham, Alabama, USA.
Otolaryngol Head Neck Surg. 2011 Aug;145(2):259-63. doi: 10.1177/0194599811404968. Epub 2011 Apr 26.
Tobacco-related disease is a primary source of mortality for African American men. Recent studies suggest that alternative tobacco products may have supplanted cigarettes as the most common products used by young African Americans. Effective cessation strategies require community-specific prevalence data. This project measures the prevalence of 9 tobacco products among young African American men in rural Alabama.
Principles of community-based participatory research were used to design a verbally administered tobacco product survey to measure the prevalence and behavioral factors influencing use.
Black Belt counties of rural Alabama.
African American men aged 19 to 30 years were recruited from the target counties. Participants were stratified by income and education level. Prevalence rates for 9 products were determined, and logistic regression analysis was performed.
A total of 415 participants completed surveys. Cigarettes were the most common product ever (54%) and currently (39.9%) used. Participants who attended school for more than 12 years or attended religious services were less likely to use cigarettes. Marijuana and blunts were used next most commonly. Only 35 respondents (8.9%) currently used mini-cigars. Other products, bidis/kreteks, smokeless tobacco, and pipes were used uncommonly in this sample.
Cigarettes remain the dominant tobacco product used by young African American men in rural Alabama. Cigarette prevalence far exceeds that measured statewide for African American men of the same age. Alternative products were not commonly used in this study population. Effective community-based intervention must target cigarette initiation and cessation in this vulnerable population.
烟草相关疾病是导致非裔美国男性死亡的主要原因。最近的研究表明，替代烟草产品可能已经取代香烟，成为年轻非裔美国人最常使用的产品。有效的戒烟策略需要针对特定社区的流行数据。本项目旨在衡量阿拉巴马州农村地区年轻非裔美国男性使用 9 种烟草产品的流行情况。
本研究采用基于社区的参与性研究原则，设计了一份口头烟草产品调查，以衡量使用情况及其行为因素的流行率。
阿拉巴马州的黑带县。
从目标县招募年龄在 19 至 30 岁之间的非裔美国男性。参与者根据收入和教育水平进行分层。确定了 9 种产品的流行率，并进行了逻辑回归分析。
共有 415 名参与者完成了调查。香烟是最常使用的产品（54%），目前使用的比例为 39.9%。接受超过 12 年教育或参加宗教服务的参与者使用香烟的可能性较小。大麻和水烟也被广泛使用。目前只有 35 名受访者（8.9%）使用迷你雪茄。其他产品，如比迪烟/kreteks、无烟烟草和烟斗，在本研究样本中使用较少。
香烟仍然是阿拉巴马州农村地区年轻非裔美国男性使用的主要烟草产品。香烟的流行率远远超过了该州同年龄段非裔美国男性的测量值。在本研究人群中，替代产品的使用并不普遍。有效的基于社区的干预措施必须针对这一脆弱人群中的香烟使用开始和戒烟进行。
