Scheuermann Taneisha S, Nollen Nicole L, Luo Xianghua, Cox Lisa Sanderson, Ahluwalia Jasjit S
Department of Preventive Medicine and Public Health, University of Kansas Medical School , Kansas City , KS , USA.
Division of Biostatistics, School of Public Health, University of Minnesota , Minneapolis , MN , USA.
Ethn Health. 2019 Nov;24(8):855-873. doi: 10.1080/13557858.2017.1390549. Epub 2017 Oct 16.
Ethnic and racial differences in smoking patterns and behaviors have been well documented and most African American and Latino smokers are nondaily or light smokers. However, differences within smoking levels are understudied. Our primary aim was to determine whether there are racial and ethnic differences among African American, Latino, and White nondaily, light daily, and moderate to heavy daily smokers on (1) perceived health risk reduction, (2) intentions to quit, and (3) past year quit attempts. Smokers were recruited through an online research panel for a cross-sectional survey ( = 2376). Sampling quotas were used to obtain equal numbers of African American, Latino, and White nondaily and daily smokers. African American (59.6%) and Latino (54%) nondaily smokers were more likely than White nondaily smokers (45%) to currently limit their cigarettes per day (cpd) as a perceived health risk reduction strategy (< 0.05). African American nondaily smokers were more likely than Latino and White nondaily smokers ( < 0.05) to limit their smoking in the past year as a perceived health risk reduction strategy (range: 0 'never' to 5 'always'; Means = 3.2, 2.9, 3.0, standard deviations [SD] = 1.1, 1.1, 1.2, respectively). African American nondaily smokers (15%) were more likely than either Latinos (7.8%) or Whites (8.5%) to intend to quit in the next 30 days (< 0.01). African American (61.6%) and Latino (60.3%) nondaily smokers were more likely than Whites (49%) to have made a quit attempt in the past year (< 0.01). Fewer racial and ethnic differences were found among daily smokers. Racial and ethnic group differences were more pronounced among nondaily smokers compared to light daily smoker and moderate to heavy daily smokers. Smoking level is an important consideration in understanding racial and ethnic variation in perceived health risk reduction and cessation-related behaviors.
吸烟模式和行为中的种族差异已有充分记录,大多数非裔美国人和拉丁裔吸烟者并非每日吸烟或为轻度吸烟者。然而,吸烟水平内部的差异研究较少。我们的主要目的是确定在非每日吸烟者、轻度每日吸烟者以及中度至重度每日吸烟者中,非裔美国人、拉丁裔和白人在以下方面是否存在种族和民族差异:(1)感知到的健康风险降低程度;(2)戒烟意愿;(3)过去一年的戒烟尝试情况。通过在线研究小组招募吸烟者进行横断面调查(n = 2376)。采用抽样配额以获取数量相等的非裔美国人、拉丁裔和白人非每日吸烟者及每日吸烟者。作为一种感知到的降低健康风险策略,非裔美国人(59.6%)和拉丁裔(54%)的非每日吸烟者比白人非每日吸烟者(45%)更有可能目前限制每日吸烟量(<0.05)。作为一种感知到的降低健康风险策略,非裔美国人非每日吸烟者比拉丁裔和白人非每日吸烟者更有可能在过去一年限制吸烟(范围:0“从不”至5“总是”;均值分别为3.2、2.9、3.0,标准差[SD]分别为1.1、1.1、1.2)(<0.05)。非裔美国人非每日吸烟者(15%)比拉丁裔(7.8%)或白人(8.5%)更有可能打算在未来30天内戒烟(<0.01)。非裔美国人(61.6%)和拉丁裔(60.3%)的非每日吸烟者比白人(49%)更有可能在过去一年尝试戒烟(<0.01)。在每日吸烟者中发现的种族和民族差异较少。与轻度每日吸烟者和中度至重度每日吸烟者相比,非每日吸烟者中的种族和民族群体差异更为明显。吸烟水平是理解感知到的健康风险降低和戒烟相关行为中的种族和民族差异的一个重要考虑因素。