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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Effectiveness of tobacco control among Chinese Americans: a comparative analysis of policy approaches versus community-based programs.
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Effectiveness of tobacco control among Chinese Americans: a comparative analysis of policy approaches versus community-based programs.

机译：华裔美国人烟草控制的有效性：政策方法与社区计划的比较分析。

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OBJECTIVE: To estimate the effectiveness of a tailored multicomponent community-based smoking cessation intervention among Chinese immigrants living in New York City, implemented within the context of state and city-wide tobacco control policy initiatives for the general population. METHODS: A pre-post-test quasi-experimental design with representative samples from Chinese populations living in two communities in New York City: Flushing, Queens, the intervention community and Sunset Park, Brooklyn, the comparison community. From November 2002 to August 2003 baseline interviews were conducted with 2537 adults aged 18-74. In early 2006, 1384 participants from the original cohort completed the follow-up interview. During the intervention period (October 2003 to September 2005), both communities were exposed to tobacco control public policy changes. However, only Flushing received additional linguistically and culturally-specific community-level tobacco control interventions. RESULTS: From 2002 to 2006 overall smoking prevalence among Chinese immigrants declined from 17.7% to 13.6%, a relative 23% decrease. After controlling for socio-demographic characteristics, there was an absolute 3.3% decrease in smoking prevalence attributed to policy changes with an additional absolute decline in prevalence of 2.8% in the intervention community relative to the control community. CONCLUSION: City-wide tobacco control policies are effective among high-risk urban communities, such as Chinese immigrants. In addition, community-based tailored tobacco control interventions may increase the reduction in smoking prevalence rates beyond that achieved from public policies.
机译：目的：评估针对居住在纽约市的中国移民的，基于社区的量身定制的，基于社区的戒烟干预措施的有效性，该干预措施是在针对全民的州和全市范围的烟草控制政策措施的背景下实施的。方法：一项预试验后的准实验设计，其样本来自居住在纽约市两个社区（干预社区皇后区法拉盛和比较社区布鲁克林日落公园）中的中国人口。从2002年11月到2003年8月，对2537名18-74岁的成年人进行了基线访谈。在2006年初，来自原始队列的1384名参与者完成了后续采访。在干预期间（2003年10月至2005年9月），两个社区都受到烟草控制公共政策变化的影响。但是，只有法拉盛接受了其他针对语言和文化的社区级烟草控制干预措施。结果：从2002年到2006年，中国移民的总体吸烟率从17.7％下降到13.6％，相对降低了23％。在控制了社会人口特征后，干预措施社区的吸烟率绝对下降了3.3％，干预社区的吸烟率绝对下降了2.8％。结论：全市范围的烟草控制政策在高风险的城市社区（例如中国移民）中是有效的。此外，基于社区的量身定制的烟草控制干预措施可能使吸烟率的降低幅度超过公共政策所能达到的水平。

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