Centre for Population Health Sciences, The University of Edinburgh, Edinburgh, UK.
Prev Med. 2013 Dec;57(6):765-75. doi: 10.1016/j.ypmed.2013.09.014. Epub 2013 Sep 27.
Existing smoking cessation interventions tend to be under utilized by ethnic minority groups. We sought to identify smoking cessation interventions that have been adapted to meet the needs of African-, Chinese- and South Asian-origin populations, to increase understanding of the approaches used to promote behavior change, to assess their acceptability to the target populations, and to evaluate their effectiveness.
Two reviewers independently searched for, identified, critically appraised and extracted data from studies identified from 11 databases (January 1950-April 2013). Study quality was assessed using validated instruments (EPHPP and STROBE). Adaptations were independently coded using an established typology, and findings descriptively summarized and thematically synthesized.
23 studies described interventions adapted for African-Americans, and five for Chinese-origin populations. No intervention adapted for South-Asian populations was identified. Six studies directly compared a culturally adapted versus a non-adapted intervention. Adapted interventions were more acceptable to ethnic minority groups, but this did not translate into improvements in smoking cessation outcomes.
Given the evidence of greater acceptability of adapted interventions, it may be ethically preferable to use these. There is, however, no clear evidence of the effectiveness of adapted interventions in promoting smoking cessation in ethnic minority groups.
现有的戒烟干预措施往往未被少数民族充分利用。我们旨在确定已经为满足非裔、华裔和南亚裔人群的需求而改编的戒烟干预措施，以增进对促进行为改变所采用方法的了解，评估这些方法对目标人群的可接受性，并评估其有效性。
两位评审员独立从 11 个数据库（1950 年 1 月至 2013 年 4 月）中搜索、确定、批判性评价和提取研究数据。使用经过验证的工具（EPHPP 和 STROBE）评估研究质量。改编内容由既定的分类法独立编码，并进行描述性总结和主题综合。
23 项研究描述了为非裔美国人改编的干预措施，5 项研究描述了为华裔人群改编的干预措施。没有发现为南亚裔人群改编的干预措施。6 项研究直接比较了文化适应性干预措施与非适应性干预措施。适应少数民族群体的干预措施更受欢迎，但这并没有转化为戒烟效果的改善。
鉴于改编干预措施更受欢迎的证据，使用这些干预措施可能在伦理上更可取。然而，目前没有明确的证据表明改编干预措施在促进少数民族群体戒烟方面的有效性。
