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  • 标题:Ten-year changes in smoking among young adults: are racial differences explained by socioeconomic factors in the CARDIA study?
  • 本地全文:下载
  • 作者:C I Kiefe ; O D Williams ; C E Lewis
  • 期刊名称:American journal of public health
  • 印刷版ISSN:0090-0036
  • 出版年度:2001
  • 卷号:91
  • 期号:2
  • 页码:213-218
  • 语种:English
  • 出版社:American Public Health Association
  • 摘要:OBJECTIVES: This study investigated whether socioeconomic factors explain racial/ethnic differences in regular smoking initiation and cessation. METHODS: Data were derived from the CARDIA study, a cohort of 5115 healthy adults aged 18 to 30 years at baseline (1985-1986) and recruited from the populations of 4 US cities. Respondents were followed over 10 years. RESULTS: Among 3950 respondents reexamined in 1995-1996, 20% of Whites and 33% of African Americans were smokers, as compared with 25% and 32%, respectively, in 1985-1986. On average, African Americans were of lower socioeconomic status. Ten-year regular smoking initiation rates for African American women, White women, African American men, and White men were 7.1%, 3.5%, 13.2%, and 5.1%, respectively, and the corresponding cessation rates were 25%, 35.1%, 19.2%, and 31.3%. After adjustment for socioeconomic factors, most 95% confidence intervals of the odds ratios for regular smoking initiation and cessation in African Americans vs Whites included 1. CONCLUSIONS: Less beneficial 10-year changes in smoking were observed in African Americans, but socioeconomic factors explained most of the racial disparity.
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