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一项针对西班牙语裔/拉丁裔吸烟者的戒烟自助干预措施的随机对照试验:研究设计和基线特征。

A randomized controlled trial of a smoking cessation self-help intervention for Spanish-speaking Hispanic/Latinx smokers: Study design and baseline characteristics.

机构信息

H. Lee Moffitt Cancer Center, Tampa, FL, USA.

H. Lee Moffitt Cancer Center, Tampa, FL, USA; University of South Florida, USA.

出版信息

Contemp Clin Trials. 2019 Oct;85:105836. doi: 10.1016/j.cct.2019.105836. Epub 2019 Aug 29.

Abstract

Although the current smoking prevalence among Hispanics/Latinxs (10%) is lower than in non-Hispanic whites (15%), higher prevalence is observed among certain subgroups (e.g., Puerto Rican males, 19%). Hispanic/Latinx smokers face unique challenges such as lower awareness and acceptability of nicotine replacement aids, lower prevalence of using counseling or medication, and receiving less advice to quit by their health care providers. Despite these barriers to smoking cessation, few interventions specifically targeted to Hispanic/Latinx smokers have been developed and evaluated. This paper summarizes the design, methods, analysis plan, and sample baseline characteristics of an ongoing randomized controlled trial to assess the efficacy of a Spanish-language self-help smoking cessation intervention among Hispanics/Latinxs. Current smokers who prefer health education materials in Spanish were randomized to one of two conditions. The usual care group received a standard smoking cessation booklet developed by the National Cancer Institute. The intervention group received 10 booklets, 9 pamphlets and a booklet for family and friends mailed monthly over 18 months. All participants complete self-report surveys every 6 months over 2 years. Smoking abstinence is biochemically verified at 12- and 24-month follow-up. A total of 2387 smokers were screened, 2056 were eligible and 1417 were enrolled in the study. The primary outcome is self-reported 7-day point prevalence abstinence. If the intervention is deemed efficacious, it has potential to have a large public health impact with respect to reducing smoking rates and smoking related morbidity and mortality among a large underserved minority population.

摘要

尽管西班牙裔/拉丁裔(10%)目前的吸烟率低于非西班牙裔白人(15%),但某些亚群(例如波多黎各男性,19%)的吸烟率更高。西班牙裔/拉丁裔吸烟者面临着独特的挑战,例如对尼古丁替代辅助工具的认识和接受度较低、咨询或药物使用的比例较低,以及他们的医疗保健提供者提供的戒烟建议较少。尽管存在这些戒烟障碍,但很少有专门针对西班牙裔/拉丁裔吸烟者的干预措施得到开发和评估。本文总结了一项正在进行的随机对照试验的设计、方法、分析计划和样本基线特征,以评估西班牙语自助戒烟干预措施在西班牙裔/拉丁裔中的疗效。喜欢西班牙语健康教育材料的当前吸烟者被随机分配到两种条件之一。常规护理组收到了由美国国家癌症研究所开发的标准戒烟小册子。干预组每月收到 10 本小册子、9 份小册子和 1 份针对家人和朋友的小册子,共 18 个月。所有参与者在 2 年内每 6 个月完成一次自我报告调查。在 12 个月和 24 个月的随访中通过生物化学验证吸烟是否戒除。共筛查了 2387 名吸烟者,2056 名符合条件,1417 名入组研究。主要结局是自我报告的 7 天点患病率戒烟。如果干预措施被认为有效,它有可能对减少吸烟率和降低大量服务不足的少数族裔人群的吸烟相关发病率和死亡率产生重大的公共卫生影响。

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