New York City Department of Health and Mental Hygiene, 42-09 28th Street, WS 11-150, Long Island City, NY, 11101, USA.
J Community Health. 2019 Dec;44(6):1141-1149. doi: 10.1007/s10900-019-00695-w.
Cigarette smoking has declined among New York City (NYC) adults since 2002, but research has shown that NYC tobacco control policies may be less impactful among Asian communities, particularly Chinese. In order to better target this subgroup, we explored smoking and cessation behaviors among Chinese-speaking Asian smokers compared with English-speaking Asian smokers and all other smokers. We used combined 2015-2016 data from the NYC Community Health Survey (CHS), an annual dual landline/cellphone survey of about 9000 adults to analyze smoker demographics, and 2010-2012 and 2016 CHS samples to compare quit attempts, advice, and aids used among Asian smokers who took the survey in Chinese, Asian smokers who took the survey in English and all other smokers at two points in time. We used multivariable logistic regression to compare outcomes between groups. In 2015-2016, English-speaking Asians (11.2%, p = .004) and all other adults (13.6%, p = .029) were less likely to be current smokers compared with Chinese-speaking Asians (16.9%). In 2010-2012 there was no difference in odds of current smoking by race/interview language, while in 2016 the odds of smoking among English-speaking Asians and all other respondents were 51% and 32% lower, respectively, than Chinese-speaking Asians. Odds of NRT use did not differ in 2010-2012 but in 2016 odds of NRT use among all other smokers were 2.63 times higher than among Chinese-speaking Asian smokers. Results indicate the need for tailored smoking cessation programs towards Chinese-speaking Asian smokers to encourage NRT use, reduce cigarette consumption, and decrease disparities.
自 2002 年以来，纽约市（NYC）成年人的吸烟率有所下降，但研究表明，NYC 的烟草控制政策对亚裔社区的影响可能较小，尤其是对华人。为了更好地针对这一亚人群体，我们比较了讲中文的亚裔吸烟者与讲英文的亚裔吸烟者以及所有其他吸烟者的吸烟和戒烟行为。我们使用了 2015-2016 年纽约市社区健康调查（CHS）的合并数据，这是一项对大约 9000 名成年人进行的年度双线路/手机调查，以分析吸烟者的人口统计学特征，并比较了在 2010-2012 年和 2016 年 CHS 样本中，在接受中文调查的亚裔吸烟者、接受英文调查的亚裔吸烟者以及所有其他吸烟者中，尝试戒烟、接受建议和使用辅助工具的情况。我们使用多变量逻辑回归来比较组间的结果。在 2015-2016 年，讲英文的亚裔（11.2%，p=0.004）和所有其他成年人（13.6%，p=0.029）与讲中文的亚裔（16.9%）相比，现在吸烟的可能性较低。在 2010-2012 年，种族/访谈语言与现在吸烟的几率没有差异，而在 2016 年，讲英文的亚裔和所有其他受访者的吸烟几率分别比讲中文的亚裔低 51%和 32%。在 2010-2012 年，使用尼古丁替代疗法（NRT）的几率没有差异，但在 2016 年，所有其他吸烟者使用 NRT 的几率是讲中文的亚裔吸烟者的 2.63 倍。结果表明，需要为讲中文的亚裔吸烟者制定有针对性的戒烟计划，鼓励他们使用 NRT，减少吸烟量，并减少差异。
