成人期开始吸烟者中戒烟的优势：是否能运用于黑人女性
2011/03/28
摘要
前言：成人期开始吸烟的人群，较青少年开始吸烟的人群，更容易戒烟。与白人女性相比，黑人女性更容易在成年期开始吸烟，而且也较白人女性戒烟难。诸多试验研究了成人期开始吸烟人群戒烟的优势是否也存在于黑人女性。本试验旨在白人和黑人女性中，研究开始吸烟的年龄层次对吸烟时间影响的种族差异。
方法：收集来自国家年轻妇女纵向调查的数据，该调查为一项全国性的队列研究，入选对象为2003年年龄为49～61岁的女性。共计1008名白人女性和271名黑人女性入选，均有吸烟史。生存分析用于阐述研究目的。
结果：戒烟的种族差异，在成人期开始吸烟的女性中最为明显。与青少年期开始吸烟者相比，白人年轻成人期吸烟者，其戒烟优势的风险增加31%（校正后风险比[HR]: 1.31, 95% CI: 1.04-1.65），而对于黑人成人期开始吸烟者，与青少年开始吸烟者相比，其戒烟优势无显著差异（校正后HR: 0.85, CI: 95% 0.55-1.30）。
结论：前期研究显示，成人期开始吸烟与较高的戒烟率相关，但该优势不存在于黑人女性。为减少女性在戒烟上的种族差异，目标应该针对成人女性，特别是年轻的黑人成人女性。
（林江涛 审校）
Nicotine Tob Res. 2011 Jan;13(1):15-21. Epub 2010 Nov 15.
Smoking cessation advantage among adult initiators: does it apply to black women?
Thompson AB, Moon-Howard J, Messeri PA.
Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, 30 College Avenue, New Brunswick, NJ 08901, USA. azurethompson@gmail.com.
Abstract
INTRODUCTION: Smokers who initiate as adults are more likely to quit than those who initiate as adolescents. Black women are more likely than White women to initiate smoking in adulthood and are less likely to quit. There is a paucity of research examining whether the smoking cessation advantage among adult initiators applies to Black women. The study objective is to examine race differences in the effect of developmental stage of smoking initiation on number of years until cessation among Black and White women.
METHODS: Data were extracted from the National Longitudinal Survey of Young Women, a national cohort of women between the ages of 49 and 61 years in 2003. The analytic sample comprised 1,008 White women and 271 Black women with a history of smoking. Survival analysis procedures were utilized to address the study objective.
RESULTS: Racial disparities in smoking cessation were most evident among women who initiated smoking as adults. White young adult initiators had a 31% increased hazard of smoking cessation advantage (adjusted hazards ratio [HR]: 1.31, 95% CI: 1.04-1.65) over adolescent initiators, whereas Black young adult initiators had no smoking cessation advantage (adjusted HR: 0.85, CI: 95% 0.55-1.30) over adolescent initiators.
Conclusions: Prior observations that smoking initiation in adlthood is associated with high rates of cesusation do not apply to black women. To contribute to the reduction of disparities in women’s cessation efforts to prevent initiation should target young adult women, particularly Black young adult women.
Nicotine Tob Res. 2011 Jan;13(1):15-21. Epub 2010 Nov 15.
前言：成人期开始吸烟的人群，较青少年开始吸烟的人群，更容易戒烟。与白人女性相比，黑人女性更容易在成年期开始吸烟，而且也较白人女性戒烟难。诸多试验研究了成人期开始吸烟人群戒烟的优势是否也存在于黑人女性。本试验旨在白人和黑人女性中，研究开始吸烟的年龄层次对吸烟时间影响的种族差异。
方法：收集来自国家年轻妇女纵向调查的数据，该调查为一项全国性的队列研究，入选对象为2003年年龄为49～61岁的女性。共计1008名白人女性和271名黑人女性入选，均有吸烟史。生存分析用于阐述研究目的。
结果：戒烟的种族差异，在成人期开始吸烟的女性中最为明显。与青少年期开始吸烟者相比，白人年轻成人期吸烟者，其戒烟优势的风险增加31%（校正后风险比[HR]: 1.31, 95% CI: 1.04-1.65），而对于黑人成人期开始吸烟者，与青少年开始吸烟者相比，其戒烟优势无显著差异（校正后HR: 0.85, CI: 95% 0.55-1.30）。
结论：前期研究显示，成人期开始吸烟与较高的戒烟率相关，但该优势不存在于黑人女性。为减少女性在戒烟上的种族差异，目标应该针对成人女性，特别是年轻的黑人成人女性。
（林江涛 审校）
Nicotine Tob Res. 2011 Jan;13(1):15-21. Epub 2010 Nov 15.
Smoking cessation advantage among adult initiators: does it apply to black women?
Thompson AB, Moon-Howard J, Messeri PA.
Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, 30 College Avenue, New Brunswick, NJ 08901, USA. azurethompson@gmail.com.
Abstract
INTRODUCTION: Smokers who initiate as adults are more likely to quit than those who initiate as adolescents. Black women are more likely than White women to initiate smoking in adulthood and are less likely to quit. There is a paucity of research examining whether the smoking cessation advantage among adult initiators applies to Black women. The study objective is to examine race differences in the effect of developmental stage of smoking initiation on number of years until cessation among Black and White women.
METHODS: Data were extracted from the National Longitudinal Survey of Young Women, a national cohort of women between the ages of 49 and 61 years in 2003. The analytic sample comprised 1,008 White women and 271 Black women with a history of smoking. Survival analysis procedures were utilized to address the study objective.
RESULTS: Racial disparities in smoking cessation were most evident among women who initiated smoking as adults. White young adult initiators had a 31% increased hazard of smoking cessation advantage (adjusted hazards ratio [HR]: 1.31, 95% CI: 1.04-1.65) over adolescent initiators, whereas Black young adult initiators had no smoking cessation advantage (adjusted HR: 0.85, CI: 95% 0.55-1.30) over adolescent initiators.
Conclusions: Prior observations that smoking initiation in adlthood is associated with high rates of cesusation do not apply to black women. To contribute to the reduction of disparities in women’s cessation efforts to prevent initiation should target young adult women, particularly Black young adult women.
Nicotine Tob Res. 2011 Jan;13(1):15-21. Epub 2010 Nov 15.
