Centre for Population Health Sciences, University of Edinburgh, GP Section, 20 West Richmond Street, Edinburgh, EH8 9DX, UK.
Ethn Health. 2011 Dec;16(6):519-33. doi: 10.1080/13557858.2011.578734. Epub 2011 Jun 13.
To explore how male Bangladeshi smokers adapted to the English smoke-free legislation.
We draw on data derived from the Evaluation of Smoke-free England (ESME), a qualitative, longitudinal study conducted between 2007 and 2008 in two English metropolitan areas. Repeat interviews (n = 34) were conducted before and after the legislation with 15 male Bangladeshi panel informants and from two focus groups: one with Bangladeshi men and the other with Bangladeshi women.
Bangladeshi smokers who participated in this study had largely accommodated to the smoke-free legislation and most had reduced their consumption of cigarettes, albeit to a modest degree. However, at the same time some Bangladeshi smokers appeared to have increased their use of shisha, a popular alternative method of smoking tobacco in this community. Smoke-free legislation also had an impact on the social and cultural forces that shape smoking behaviour in this group. In particular, family homes continued to be a key space where tobacco is consumed, although the legislation may have helped to shift the balance in favour of forces that oppose smoking and against enduring cultural pro-smoking norms. Smoking in public was also less socially acceptable, especially in the vicinity of local mosques and at community events. In some older groups, however, smoking remains a deeply embedded social habit which can undermine smokers' efforts to quit.
For maximum impact, tobacco control interventions aimed at whole populations may need to be supplemented by culturally sensitive measures in local areas where there is a high concentration of Bangladeshi people. Similar considerations may apply to other minority communities with a high prevalence of smoking.
探索孟加拉国男性吸烟者如何适应英国的无烟立法。
我们借鉴了来自“英国无烟评估（ESME）”的数据，这是一项在 2007 年至 2008 年在两个英国大都市地区进行的定性、纵向研究。在立法前后，我们对 15 名孟加拉男性专题知情者和两个焦点小组进行了重复访谈：一个是孟加拉男性，另一个是孟加拉女性。
参与这项研究的孟加拉国吸烟者在很大程度上已经适应了无烟立法，而且大多数人已经减少了吸烟量，尽管只是适度减少。然而，与此同时，一些孟加拉国吸烟者似乎增加了对水烟的使用，这是该社区流行的另一种吸烟方式。无烟立法也对影响该群体吸烟行为的社会和文化力量产生了影响。特别是，家庭住宅仍然是一个主要的吸烟场所，尽管立法可能有助于支持反对吸烟和反对持久的文化吸烟规范的力量。在公共场所吸烟也不太被社会接受，尤其是在当地清真寺附近和社区活动中。然而，在一些年长的群体中，吸烟仍然是一种根深蒂固的社会习惯，可能会破坏吸烟者戒烟的努力。
为了产生最大影响，针对整个人口的烟草控制干预措施可能需要在有大量孟加拉人居住的地方补充文化敏感的措施。类似的考虑因素可能适用于其他吸烟率较高的少数民族社区。
