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Related Experiment Video

Updated: Feb 25, 2026

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Acculturation, Depression, and Smoking Cessation: a trajectory pattern recognition approach.

Sun S Kim1, Hua Fang2,3,4, Kunsook Bernstein5

  • 1University of Massachusetts, Boston, Boston, MA 02125 USA.

Tobacco Induced Diseases
|July 28, 2017
PubMed
Summary

A culturally adapted smoking cessation intervention improved abstinence rates for Korean Americans, especially those with high depression and low biculturalism. This targeted approach is key for effective smoking cessation in this population.

Keywords:
AcculturationCulturally adaptive interventionDepressionFuzzy clusteringLongitudinalMIFuzzyMultiple imputationSmoking cessationTrajectory pattern recognition

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Area of Science:

  • Public Health
  • Behavioral Science
  • Addiction Medicine

Background:

  • Korean Americans exhibit high smoking prevalence.
  • Acculturation and depression are key factors in smoking cessation among this demographic.

Purpose of the Study:

  • To examine how acculturation and depression influence smoking cessation and abstinence in Korean Americans.
  • To identify distinct response patterns to smoking cessation interventions.

Main Methods:

  • Secondary data analysis of a smoking cessation study with 97 Korean American smokers.
  • Utilized a culturally adapted intervention and standard cognitive behavioral therapy.
  • Employed a non-parametric trajectory pattern recognition model (MI-Fuzzy).

Main Results:

  • Three response patterns identified: Culturally Adapted (CA), More Bicultural (MB), and Less Bicultural (LB).
  • The Less Bicultural (LB) group reported higher depression and significantly lower 12-month abstinence rates (1.03%) compared to CA (21.65%) and MB (5.15%) groups.
  • Depression did not directly impact abstinence but was highest in the lowest-abstinence group.

Conclusions:

  • Culturally adaptive interventions are crucial for Korean American smokers.
  • Targeting individuals with high depression and low biculturalism can enhance smoking cessation success.
  • Personalized interventions considering cultural factors and mental health are recommended.