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Acculturation and tobacco use among Chinese Americans

Donna Shelley¹, Marianne Fahs, Roberta Scheinmann

¹Center for Applied Public Health, Division of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York City, NY 10032, USA. drs26@columbia.edu

American Journal of Public Health

|February 5, 2004

Abstract

Objectives:

We examined the relationship between acculturation and tobacco use behaviors among Chinese Americans.

Methods:

Using a Chinese-language instrument based on validated questions from several national surveys, we conducted in-person, household-based interviews with 712 representative adults aged 18-74 years.

Results:

Observed smoking prevalence was 29% for men and 4% for women. Predictors of smoking cessation included being 35 years and older and having a high level of tobacco-related knowledge. Acculturation was positively associated with a history of never smoking, as was being younger than 35 years and having a high level of tobacco-related knowledge.

Conclusions:

Acculturation was positively associated with never smoking among men but not with smoking cessation. However, knowledge of tobacco-related health risks was associated with both. Results indicate a need for language-specific educational interventions.

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