Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD 20742, USA.
J Natl Med Assoc. 2011 May;103(5):423-31. doi: 10.1016/s0027-9684(15)30339-4.
Previous studies have found that Latinos who smoke are less likely than non-Latino white smokers to use pharmaceutical aids such as nicotine replacement therapies or to receive physician advice to stop smoking. This qualitative study further explored barriers and facilitators to smoking cessation among Latino adults in Maryland.
Five Spanish-language focus groups were conducted in September 2008 in Maryland with Latino current smoker and ex-smoker men and women (n = 55). Participants were recruited through flyers, information sheets, and site visits at community health clinics and Latino events, and were predominately of Central American origin.
Personal health concerns were the main reason to quit smoking; impact on children and family health and role model pressure were frequently mentioned. Barriers to quit smoking included environmental temptation and social factors, emotional pressure, addiction, and habitual behavior. Respondents mostly relied on themselves for cessation, with little use of cessation products or other medications, or awareness of available services.
Social influence serves both as a strong motivation for Latinos to quit smoking and as a source of temptation to continue smoking. Favored by both current smokers and ex-smokers, lay health promoters are effective agents to reach Latinos with smoking cessation interventions. In addition, the low use of cessation services could be improved by increasing awareness and availability of Spanish-language cessation services.
先前的研究发现，与非拉丁裔白种烟民相比，吸烟的拉丁裔人群使用尼古丁替代疗法等药物辅助戒烟或接受医生戒烟建议的可能性较低。本项定性研究进一步探讨了马里兰州拉丁裔成年人戒烟的障碍和促进因素。
2008 年 9 月，在马里兰州，通过传单、信息表和社区健康诊所及拉丁裔活动场所的实地考察，对当前吸烟者和戒烟的拉丁裔成年男性和女性（n = 55）进行了 5 次西班牙语焦点小组讨论。参与者主要来自中美洲。
个人健康问题是戒烟的主要原因；对儿童和家庭健康的影响以及榜样的压力经常被提及。戒烟的障碍包括环境诱惑和社会因素、情绪压力、成瘾和习惯性行为。受访者主要依靠自己戒烟，很少使用戒烟产品或其他药物，也不知道有哪些可用的服务。
社会影响既是拉丁裔人戒烟的强大动机，也是继续吸烟的诱惑来源。非专业健康促进者受到当前吸烟者和戒烟者的青睐，是向拉丁裔人提供戒烟干预的有效手段。此外，通过提高对西班牙语戒烟服务的认识和可及性，可以改善戒烟服务的低利用率。
