Spence William, Zhu Lanyu
University of Glasgow, Glasgow, Scotland.
Tob Prev Cessat. 2017 Oct 20;3:127. doi: 10.18332/tpc/77942. eCollection 2017.
Health related needs and services are stratified by ethnicity in UK. The Chinese community is Scotland's second-largest minority ethnic group but a relatively under-researched one. This study aimed to explore the views and experiences of smoking cessation and related services among Chinese community members in Glasgow and to inform them about smoking cessation interventions.
This cross-sectional study was conducted in 2016 using a qualitative research method. Purposive sampling methods were used to recruit 15 Chinese community members in Glasgow. Semi-structured interviews were audio-recorded and data transcribed, translated, and thematically analysed.
Many factors influenced participants' smoking: concern for personal health, advice from medical professionals, expenditure, family pressure, tobacco-control policies, nicotine dependence, self-efficacy, and acculturation. Smoking initiation and relapse were influenced by interpersonal relations, emotional factors, Chinese social norms, and acculturation. Barriers reported to accessing and participating in cessation services included: excessive or inflexible working hours, low confidence in cessation services, language barriers, cultural barriers and unsuitability of cessation services for Chinese smokers. Employing community resources, improving language support, working with cultural values, and accommodating degrees of acculturation may improve services and their uptake.
Smoking-cessation services should consider the culture of this ethnic minority population to improve cessation uptake. Further investigation of this community's needs and expectations is needed to tailor smoking-cessation interventions for Chinese immigrants in Glasgow.
在英国,与健康相关的需求和服务按种族划分。华人群体是苏格兰第二大少数族裔群体,但相对而言研究较少。本研究旨在探讨格拉斯哥华人群体成员对戒烟及相关服务的看法和经历,并向他们介绍戒烟干预措施。
本横断面研究于2016年采用定性研究方法进行。采用目的抽样方法招募了15名格拉斯哥的华人群体成员。半结构化访谈进行了录音,数据进行了转录、翻译和主题分析。
许多因素影响参与者的吸烟行为:对个人健康的关注、医疗专业人员的建议、支出、家庭压力、烟草控制政策、尼古丁依赖、自我效能感和文化适应。吸烟的开始和复发受人际关系、情感因素、中国社会规范和文化适应的影响。报告的获得和参与戒烟服务的障碍包括:工作时间过长或不灵活、对戒烟服务信心不足、语言障碍、文化障碍以及戒烟服务对中国吸烟者不合适。利用社区资源、改善语言支持、结合文化价值观以及适应文化适应程度可能会改善服务及其接受度。
戒烟服务应考虑这一少数族裔群体的文化,以提高戒烟接受度。需要进一步调查该群体的需求和期望,以便为格拉斯哥的中国移民量身定制戒烟干预措施。