Trigg Joshua, McEntee Alice, Kostadinov Victoria, Hines Sonia, Fairweather A Kate, Guillaumier Ashleigh, Fischer Jane, Bonevski Billie, Smith James A, Wilson Carlene, Otieno Lavender, Bowden Jacqueline
Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
National Centre for Education and Training on Addiction, Flinders University, Adelaide, South Australia, Australia.
BMJ Public Health. 2025 Aug 31;3(2):e002956. doi: 10.1136/bmjph-2025-002956. eCollection 2025.
There are large and growing communities of Chinese, Vietnamese and Arab populations within many high-income countries, including Australia. These populations experience disproportionately higher rates of tobacco smoking. Cessation strategies are required that acknowledge the cultural factors shaping smoking behaviours. This review aimed to synthesise the evidence for smoking cessation interventions among Chinese, Vietnamese and Arab people, including outcomes and cultural considerations.
Scoping review.
We searched five electronic databases for peer-reviewed literature (CINAHL (Cumulative Index to Nursing and Allied Health Literature), Cochrane Library, PsycINFO, PubMed and Scopus). Relevant grey literature was sourced from research and health organisations, and community cultural organisations.
English-language studies of tobacco cessation interventions with Chinese-speaking, Vietnamese-speaking or Arabic-speaking participants conducted in Australia, the USA, Canada, the UK or New Zealand between 2013 and 2025.
Two reviewers independently screened for eligible studies and, if included, assessed risk of bias using Joanna Briggs Institute critical appraisal tools.
We identified 23 studies describing 15 intervention types, with written resources most highly featured. Promising category evidence was found for nine intervention types with Chinese people (written information, education sessions, visual information, counselling, involving others, providing nicotine replacement therapy, intervention branded merchandise, mobile messaging and telephone follow-up), as well as counselling with Arab people, and telephone follow-up with Vietnamese people. A variety of cultural considerations were addressed in the interventions, most commonly language barriers as well as the use of co-design and community participation.
Smoking cessation interventions with Chinese people were strongly supported, with less evidence for interventions with Vietnamese and Arabic people. Education-focused interventions were particularly effective, addressing low baseline knowledge underpinning smoking. Language barriers to smoking cessation were addressed through primary language supports. Further research is needed on effective smoking cessation intervention types with Arab and Vietnamese people.
在包括澳大利亚在内的许多高收入国家，华裔、越南裔和阿拉伯裔人口众多且不断增长。这些人群吸烟率极高。需要制定戒烟策略，承认塑造吸烟行为的文化因素。本综述旨在综合有关华裔、越南裔和阿拉伯裔人群戒烟干预措施的证据，包括结果和文化考量。
范围综述。
我们在五个电子数据库中搜索了同行评审文献（护理学与健康相关文献累积索引数据库、考科蓝图书馆、心理学文摘数据库、医学期刊数据库和Scopus数据库）。相关灰色文献来自研究机构、卫生组织以及社区文化组织。
2013年至2025年间在澳大利亚、美国、加拿大、英国或新西兰进行的、针对讲中文、越南语或阿拉伯语参与者的戒烟干预措施的英文研究。
两名评审员独立筛选符合条件的研究，若被纳入，则使用乔安娜·布里格斯循证卫生保健中心的批判性评价工具评估偏倚风险。
我们确定了23项研究，描述了15种干预类型，其中书面资料最为常见。对于九种针对华裔人群的干预类型（书面信息、教育课程、视觉信息、咨询、让他人参与、提供尼古丁替代疗法、干预品牌商品、移动信息和电话随访）、针对阿拉伯人群的咨询以及针对越南人群的电话随访，发现了有前景的类别证据。干预措施中考虑了各种文化因素，最常见的是语言障碍以及共同设计和社区参与的运用。
针对华裔人群的戒烟干预措施得到有力支持，针对越南裔和阿拉伯裔人群的干预措施证据较少。以教育为重点的干预措施特别有效，解决了吸烟背后的低基线知识问题。通过主要语言支持解决了戒烟的语言障碍。需要对针对阿拉伯裔和越南裔人群的有效戒烟干预类型进行进一步研究。
