a Health Outcomes and Behavior, Moffitt Cancer Center , Tampa , FL , USA.
b Corona LLC , Southborough , MA , USA.
Ethn Health. 2019 Oct;24(7):841-853. doi: 10.1080/13557858.2017.1373074. Epub 2017 Sep 1.
Smoking-related illnesses are the leading cause of death among Latinos, and within this ethnic group, Mexican Americans are the largest subgroup in the U.S. Understanding the factors associated with successful smoking cessation could inform interventions for this population. Although socioeconomic status (SES) is a powerful predictor of cessation outcomes in the general U.S. population, it has generally been a poor predictor of quitting smoking among Latinos. Within a sample of Spanish-speaking Mexican Americans ( = 199), this study examined a broad array of objective and subjective indicators of SES (i.e. income, education, employment, subjective social status, financial strain, insurance status) as predictors of smoking cessation. Data for the current study came from a longitudinal cohort study examining the pathways linking the social determinants of health with smoking cessation. Generalized estimating equation modeling examined the association of each predictor variable with smoking abstinence across quit day, and the 3 and 26-weeks post-quit time points. Results indicated that both low financial strain and insurance status predicted an increased likelihood of abstinence when controlling for covariates in the intention-to-treat analyses ( = .02 and = .01, respectively). However, these models only approached significance in the multiple imputation analyses (all s > .05). Other indicators of SES (i.e. income, education, employment) that have been predictive of cessation in other populations were not predictive of abstinence in this sample. These findings suggest that SES may indeed influence smoking cessation among Spanish-speaking Mexican Americans similarly to its influence in other populations, but that capturing the construct of SES may require assessing a broader range of SES indicators. Specifically, low financial strain and having insurance predicted a greater likelihood of achieving smoking abstinence, whereas other indicators of SES (i.e. income, education) were not predictive.
与吸烟有关的疾病是拉丁裔人群的主要死因，在这个族裔群体中，墨西哥裔美国人是美国最大的亚群。了解与成功戒烟相关的因素可以为该人群的干预措施提供信息。尽管社会经济地位（SES）是美国一般人群戒烟结果的有力预测因素，但它通常不能很好地预测拉丁裔人群的戒烟情况。在一个讲西班牙语的墨西哥裔美国人样本中（ = 199），本研究检查了一系列广泛的 SES 的客观和主观指标（即收入、教育、就业、主观社会地位、经济压力、保险状况）作为戒烟的预测因素。 本研究的数据来自一项纵向队列研究，该研究检查了将健康的社会决定因素与戒烟联系起来的途径。广义估计方程模型检查了每个预测变量与戒烟日、戒烟后 3 周和 26 周时的戒烟率之间的关联。 结果表明，在控制意向治疗分析中的协变量时，低经济压力和保险状况均预示着更高的戒烟可能性（ = .02 和 = .01）。然而，这些模型在多重插补分析中仅接近显著性（所有 s > .05）。SES 的其他指标（即收入、教育、就业）在其他人群中预测了戒烟，但在该样本中并未预测到戒烟。 这些发现表明，SES 可能确实会像在其他人群中那样影响讲西班牙语的墨西哥裔美国人的戒烟，但要捕捉 SES 的结构，可能需要评估更广泛的 SES 指标。具体来说，低经济压力和有保险预测戒烟的可能性更大，而 SES 的其他指标（即收入、教育）则没有预测作用。
