感知烟草和尼古丁产品的相对危害的种族和民族差异:一项实验性研究
Teresa DeAtley1,2, Matthew D Stone3, Andrea C Johnson4
1Department of Family and Preventive Medicine, University of Utah School of Medicine, University of Utah Health, Salt Lake City, Utah, USA.
BMJ public health
|November 20, 2025
概括
公众对烟草产品风险的误解,特别是在种族和民族少数群体中,加剧了健康差异. 纠正这些误解对于减少与烟草有关的伤害和促进健康公平至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康差距 研究 研究 研究 研究
- 控制烟草的控制方式
背景情况:
- 关于各种烟草和尼古丁产品的相对危害,公众普遍存在误解.
- 这些不准确的信念可能会加剧不同人群之间与烟草有关的现有健康差异.
- 了解这些看法对于为有效的烟草产品监管提供信息至关重要.
研究的目的:
- 为了调查18种不同烟草产品的危害感知如何在美国的种族和种族群体之间有所不同.
- 识别可能导致健康差异的特定误解.
- 为旨在减少与烟草有关的危害的监管战略提供信息.
主要方法:
- 在897名美国成年人进行的在线调查中,使用了离散选择实验 (最大差异概率任务).
- 参与者从18种烟草产品的风险连续中确定了最有害和最不有害的产品.
- 使用多项逻辑层次贝叶斯分析分析了危害感知得分,回归检查了种族/种族差异,控制吸烟状态,年龄和性别.
主要成果:
- 对可燃,无烟和不可燃烟草产品的危害感知与科学共识不一致.
- 在非西班牙裔 (NH) 黑人/非裔美国人和拉丁裔个人中,对像香烟这样的高使用量产品的危害感知很低.
- 在特定的种族/民族群体中,观察到电子烟和尼古丁替代疗法等低使用产品的高危害感.
结论:
- 烟草产品危害的重大误解存在于各种种族和种族群体.
- 这些发现凸显了解决和纠正误解的迫切需要,特别是在NH黑人/非洲裔美国人,拉丁裔,NH亚裔和NH土著或混合种族个人中.
- 纠正这些误解对于减轻与烟草有关的健康差异至关重要.
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