Pokhrel Pallav, Fagan Pebbles, Cassel Kevin, Trinidad Dennis R, Kaholokula Joseph Keawe'aimoku, Herzog Thaddeus A
Cancer Prevention & Control Program, University of Hawaii Cancer Center, University of Hawaii at Manoa, Honolulu, HI, USA.
Family Medicine & Public Health, University of California, San Diego, La Jolla, CA, USA.
Am J Community Psychol. 2016 Jun;57(3-4):353-65. doi: 10.1002/ajcp.12063.
Cigarette smoking may be one of the factors contributing to the high levels of cancer-related mortality experienced by certain Asian/Pacific Islander (A/PI) subgroups (e.g., Native Hawaiian). Given the collectivist cultural orientation attributed to A/PI groups, social strategies are recommended for substance abuse or smoking cessation treatment among A/PI. However, research examining how social network characteristics and social support relate to smoking across A/PI subgroups has been lacking. This study investigated the associations between social network characteristics (e.g., size, composition), perceived social support, and recent cigarette use across Native Hawaiian, Filipino, and East Asian (e.g., Japanese, Chinese) young adults (18-35 year old). Cross-sectional, self-report data were collected from N = 435 participants (M age = 25.6, SD = 8.3; 61% women). Ethnic differences were found in a number of pathways linking social network characteristics, perceived social support, and cigarette smoking. Larger network size was strongly associated with higher perceived social support and lower recent cigarette smoking among Native Hawaiians but not Filipinos or East Asians. Higher perceived social support was associated with lower recent smoking among East Asians and Filipinos but not Native Hawaiians. Implications are discussed with regard to smoking prevention and cessation among A/PI.
吸烟可能是导致某些亚太岛民(A/PI)亚群体(如夏威夷原住民)癌症相关死亡率居高不下的因素之一。鉴于A/PI群体具有集体主义文化倾向,建议采用社会策略来治疗A/PI群体中的药物滥用或戒烟问题。然而,目前缺乏关于A/PI亚群体中社会网络特征和社会支持与吸烟之间关系的研究。本研究调查了夏威夷原住民、菲律宾人和东亚人(如日本人、中国人)年轻成年人(18至35岁)的社会网络特征(如规模、构成)、感知到的社会支持与近期吸烟之间的关联。从N = 435名参与者(年龄中位数 = 25.6,标准差 = 8.3;61%为女性)收集了横断面自我报告数据。在连接社会网络特征、感知到的社会支持和吸烟的多个途径中发现了种族差异。在夏威夷原住民中,较大的网络规模与较高的感知社会支持和较低的近期吸烟率密切相关,但在菲律宾人和东亚人中并非如此。较高的感知社会支持与东亚人和菲律宾人较低的近期吸烟率相关,但与夏威夷原住民无关。文中讨论了这些发现对A/PI群体吸烟预防和戒烟的启示。