Kim Sun S, Kim Seong-Ho, Fang Hua, Kwon Simona, Shelley Donna, Ziedonis Douglas
Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA, USA,
J Immigr Minor Health. 2015 Aug;17(4):1120-9. doi: 10.1007/s10903-014-0045-4.
Korean men and women have the highest current smoking rates across all Asian ethnic subgroups in the United States. This is a 2-arm randomized controlled study of a culturally adapted smoking cessation intervention. The experimental condition received eight weekly 40-min individualized counseling sessions that incorporated Korean-specific cultural elements, whereas the control condition received eight weekly 10-min individualized counseling sessions that were not culturally adapted. All participants also received nicotine patches for 8 weeks. One-hundred nine Korean immigrants (91 men and 18 women) participated in the study. The rate of biochemically verified 12-month prolonged abstinence was significantly higher for the experimental condition than the control condition (38.2 vs. 11.1 %, χ (2) = 10.7, p < 0.01). Perceived family norm significantly mediated the effect of cessation intervention on abstinence. Smoking cessation intervention for Korean Americans should be culturally adapted and involve family members to produce a long-term treatment effect.
在美国所有亚洲族裔亚群体中，韩裔男性和女性目前的吸烟率最高。这是一项对经过文化调适的戒烟干预措施进行的双臂随机对照研究。实验组接受了为期八周、每周一次、每次40分钟的个性化咨询，其中融入了韩裔特有的文化元素，而对照组接受了为期八周、每周一次、每次10分钟的个性化咨询，这些咨询未进行文化调适。所有参与者还接受了为期8周的尼古丁贴片治疗。109名韩裔移民（91名男性和18名女性）参与了该研究。实验组经生化验证的12个月持续戒烟率显著高于对照组（38.2%对11.1%，χ(2)=10.7，p<0.01）。感知到的家庭规范显著介导了戒烟干预对戒烟的影响。针对韩裔美国人的戒烟干预应进行文化调适，并让家庭成员参与，以产生长期治疗效果。
