Department of Public Health, California State University, Los Angeles, Los Angeles, CA, United States of America.
Department of Public Health, California State University, Los Angeles, Los Angeles, CA, United States of America.
Prog Cardiovasc Dis. 2022 Mar-Apr;71:27-36. doi: 10.1016/j.pcad.2022.04.009. Epub 2022 Apr 29.
Over the past six decades, the United States has significantly improved tobacco-related health outcomes through mass efforts in policies, research, and behavioral and clinical interventions. Disparities persist, however, among communities of color who continue to suffer disproportionate rates of cardiovascular disease and other tobacco-related morbidity and mortality. In this review, we synthesize and discuss the tobacco use lifecycle across the lifespan, with special attention paid to socioecological determinants of tobacco-use behavior among Blacks and Latinos. This review summarizes the permeability of tobacco use and tobacco-related determinants across multiple levels of influence, from the individual to the societal, and highlights gaps in the tobacco control and prevention landscape. Given its continued evolution and impact on socially disadvantaged communities, we conclude with recommendations for improving current tobacco research and treatment and prevention efforts.
在过去的六十年里，美国通过在政策、研究以及行为和临床干预方面的大力努力，显著改善了与烟草相关的健康结果。然而，在继续遭受心血管疾病和其他与烟草相关的发病率和死亡率不成比例的有色人种社区中，差异仍然存在。在这篇综述中，我们综合讨论了整个生命周期中的烟草使用生命周期，特别关注黑人和拉丁裔人群中烟草使用行为的社会生态决定因素。这篇综述总结了烟草使用及其相关决定因素在多个影响层次上的渗透性，从个人到社会，并强调了烟草控制和预防领域的差距。鉴于它的持续演变及其对社会弱势群体的影响，我们最后提出了改进当前烟草研究、治疗和预防工作的建议。
