School of Public Health, University of Medicine and Dentistry of New Jersey, Piscataway, USA.
Am J Public Health. 2011 Oct;101(10):e4-e14. doi: 10.2105/AJPH.2011.300289. Epub 2011 Aug 18.
Adult cigarette smoking prevalence trends among African Americans (AAs) and Whites are similar. However, during the decline in youth smoking that occurred between the mid-1970s and the early 1990s, the drop in smoking rates among AA adolescents was more than double that among Whites. We examined the evidence for potential explanations for this phenomenon. On the basis of our findings, we propose that racial differences in parental attitudes, religious ties, negative perceptions and experiences of the health effects of smoking, worsening poverty, increased use of food stamps, and price sensitivity were major factors contributing to the more rapid decrease in and continued lower rates of smoking among AA youths.
美国非裔（AA）和白人的成年烟民比例呈相似的变化趋势。然而，在 20 世纪 70 年代中期至 90 年代初期，青少年吸烟率下降期间，AA 青少年的吸烟率下降幅度是白人的两倍多。我们研究了可能导致这一现象的原因。基于我们的研究结果，我们提出父母态度、宗教信仰、对吸烟危害的负面看法和经验、贫困加剧、食品券使用增加以及对价格的敏感性等方面的种族差异，是导致 AA 青少年吸烟率更快下降和持续下降的主要因素。
