Berman Barbara A, Jones Loretta, Jones Felica, Jones Andrea, Pacheco Blanca Azucena, McCarthy William J
a Department of Health Policy and Management , UCLA Fielding School of Public Health , Los Angeles , California.
b Division of Community Engagement Healthy African American Families , Los Angeles , California.
J Ethn Subst Abuse. 2019 Jul-Sep;18(3):428-444. doi: 10.1080/15332640.2017.1404955. Epub 2017 Dec 19.
Research is needed to better understand barriers to smoking cessation and sustained abstinence among racial/ethnic minority polydrug users. We conducted community dialogue groups involving 49 clients in substance use treatment programs with predominantly ethnic minority clientele and individual dialogues/interviews with seven program providers (stakeholders). Most clients were African American, under 40 years old, women, current smokers, and high school graduates. Smoking cessation services in these programs were considered inadequate and community programs insufficiently culturally tailored and economically and geographically inaccessible. Participants discussed individual "willpower" and choice; agency tobacco-related programs and policies; the relationships between smoking, smoking cessation, and treatment goals; and steps needed to reshape agency services and policies to provide greater support for smoking cessation in this at-risk population.
需要开展研究，以更好地了解种族/族裔少数群体多药使用者戒烟和持续戒烟的障碍。我们组织了社区对话小组，参与对象为49名在主要服务少数族裔客户的物质使用治疗项目中的客户，以及与7名项目提供者（利益相关者）进行的个人对话/访谈。大多数客户是非裔美国人，年龄在40岁以下，为女性，目前吸烟，且是高中毕业生。这些项目中的戒烟服务被认为不足，社区项目在文化上缺乏针对性，在经济和地理上难以获得。参与者讨论了个人的“意志力”和选择；机构与烟草相关的项目和政策；吸烟、戒烟与治疗目标之间的关系；以及重塑机构服务和政策以在这一高危人群中为戒烟提供更多支持所需采取的步骤。
