Royce J M, Hymowitz N, Corbett K, Hartwell T D, Orlandi M A
Division of Health Promotion Research, American Health Foundation, New York, NY 10017.
Am J Public Health. 1993 Feb;83(2):220-6. doi: 10.2105/ajph.83.2.220.
This study was undertaken to explore smoking patterns and attitudes that influence smoking cessation and relapse among African Americans.
Baseline data from eight Community Intervention Trial for Smoking Cessation (COMMIT) sites were analyzed.
Compared with Whites, African Americans who smoke less than 25 cigarettes per day were 1.6 times more likely to smoke within 10 minutes of awakening (a behavioral indicator of nicotine dependence), adjusting for education, age, and gender (OR = 1.2 for heavier smokers). African Americans reported a stronger desire to quit smoking and reported serious quit attempts in the past year. African Americans favored tobacco restrictions (they were 1.8 times more likely than Whites to view smoking as a serious community problem, 1.7 times more likely to favor restrictions on cigarette vending machines, and 2.1 times more likely to prohibit smoking in their car). African Americans were lighter/moderate, menthol smokers.
African Americans find smoking socially unacceptable and are strongly motivated to quit, but their "wake-up" smoking may indicate high nicotine dependence, making abstinence difficult even for lighter smokers.
本研究旨在探讨影响非裔美国人戒烟及复吸的吸烟模式和态度。
对来自八个戒烟社区干预试验（COMMIT）地点的基线数据进行分析。
与白人相比，每天吸烟少于25支的非裔美国人在醒来后10分钟内吸烟的可能性（尼古丁依赖的行为指标）高1.6倍，在对教育程度、年龄和性别进行调整后（重度吸烟者的比值比为1.2）。非裔美国人表示有更强的戒烟意愿，并报告在过去一年中有认真的戒烟尝试。非裔美国人支持烟草限制措施（他们认为吸烟是严重社区问题的可能性比白人高1.8倍，支持限制香烟自动售货机的可能性高1.7倍，禁止在车内吸烟的可能性高2.1倍）。非裔美国人是轻度/中度薄荷醇吸烟者。
非裔美国人认为吸烟在社会上是不可接受的，并有强烈的戒烟动机，但他们“醒来就吸烟”可能表明尼古丁依赖性高，即使是轻度吸烟者也难以戒烟。
