Regional and social disparities in cessation behavior and motivation to quit among U.S. adult current smokers, Tobacco Use Supplement to the U.S. Census Bureau's Current Population Survey 2014-15 and 2018-19.

IF 3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Frontiers in Public Health Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI:10.3389/fpubh.2024.1416096
Candon Johnson, Jose Martinez
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Abstract

Introduction: Variation in smoking cessation behaviors and motivators across the United States may contribute to health disparities. This study investigates regional differences over time in two key cessation motivators (quit interest and doctor's advice to quit) and two cessation behaviors (past-year quit attempts and recent successful cessation) across diverse demographic factors.

Methods: Data were analyzed from two releases of the Tobacco Use Supplement to the U.S. Census Bureau's Current Population Survey (TUS-CPS) for the years 2014-15 and 2018-19. The analysis included sex, age, race and ethnicity, education, marital status, employment status, and household income.

Results: Findings from 2018 to 2019 TUS-CPS revealed that quit interest was highest in the Northeast and lowest in the Midwest, while doctor's advice to quit was most prevalent in the Northeast and least in the West. Past-year quit attempts were most common in the Northeast and least in the South. Recent successful cessation (defined as quitting for 6 to 12 months) was highest in the Northeast and Midwest, with the South showing the lowest rates. Compared to the 2014-15 survey, 14 demographic groups (7 in the Midwest, 6 in the South, and 1 in the West) showed decreases in both quit interest and actions to quit. Notably, the Asian non-Hispanic group in the Northeast experienced a significant decrease in quit interest (-17.9%) but an increase in recent successful cessation (+369.2%).

Discussion: Overall, the study indicates that while quit interest was highest in the West, the South exhibited the lowest rates of quit attempts and successful cessation. Significant differences were also noted between age groups. These findings highlight the need for further research into cessation behaviors at more granular levels to inform policies aimed at reducing smoking-related health disparities among populations facing the greatest challenges in cessation.

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美国当前成年吸烟者戒烟行为和戒烟动机的地区和社会差异,美国人口普查局2014-15年和2018-19年当前人口调查烟草使用补充。
导言:美国各地戒烟行为和动机的差异可能会导致健康差异。本研究调查了不同地区在两个主要戒烟动机(戒烟兴趣和医生建议戒烟)和两种戒烟行为(过去一年的戒烟尝试和最近的成功戒烟)方面的差异:对美国人口普查局 2014-15 年和 2018-19 年两次发布的《美国当前人口调查烟草使用补充报告》(TUS-CPS)中的数据进行了分析。分析包括性别、年龄、种族和民族、教育程度、婚姻状况、就业状况和家庭收入:2018年至2019年TUS-CPS的调查结果显示,东北部地区的戒烟兴趣最高,中西部地区最低,而东北部地区医生建议戒烟的情况最普遍,西部地区最少。过去一年尝试戒烟的人数在东北部最多,在南部最少。最近成功戒烟(定义为戒烟6至12个月)的比例在东北部和中西部最高,南部最低。与 2014-15 年的调查相比,14 个人口群体(中西部 7 个、南部 6 个、西部 1 个)的戒烟兴趣和戒烟行动均有所下降。值得注意的是,东北部的亚裔非西班牙裔群体的戒烟兴趣显著下降(-17.9%),但近期成功戒烟的比例却有所上升(+369.2%):总之,研究表明,西部地区的戒烟兴趣最高,而南部地区的尝试戒烟率和成功戒烟率最低。不同年龄组之间也存在显著差异。这些发现突出表明,有必要在更细的层面上进一步研究戒烟行为,以便为旨在减少面临戒烟最大挑战的人群中与吸烟相关的健康差异的政策提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Public Health
Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.80
自引率
7.70%
发文量
4469
审稿时长
14 weeks
期刊介绍: Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.
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