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Drug Alcohol Rev. 2017 Nov;36(6):779-787. doi: 10.1111/dar.12557. Epub 2017 Apr 25.

Non-smoker assertive behaviour against smoke exposure: Chinese and Korean American non-smokers.

Author information

1
Department of Psychology, DePaul University, Chicago, USA.
2
Genetic Disease Screening Program, California Department of Public Health, Richmond, USA.
3
Department of Psychiatry, University of California, San Francisco, USA.
4
Department of Internal Medicine, University of California Davis, Sacramento, USA.

Abstract

INTRODUCTION AND AIMS:

Non-smokers' assertive behaviour towards smokers by asking them not to smoke is important in promoting smoke-free environments. Korean and Chinese Americans come from countries where most women are non-smokers and assertive behaviour may not be prevalent but may increase after migration because of social-ecological factors. This study assessed the extent to which Korean and Chinese American non-smokers ask someone not to smoke and associated factors.

DESIGN AND METHODS:

The 2003 California Chinese American and Korean American Tobacco Use Surveys were analysed. Multivariate logistic regression analyses examined factors related to non-smoker self-reports that they asked someone not to smoke within the past year.

RESULTS:

About 40% reported past-year assertive behaviour against smoking, with higher rates among Koreans than Chinese (60.4% vs. 34.5%), those living with smokers (63.5%), ever exposed with a smoke-free home rule (62.3%), recently exposed at work without a smoke-free work policy (67.6%) and regularly exposed at other locations (52.3%). In combined multivariate analyses of both ethnic groups, assertive behaviour was associated with individual factors (single vs. married; tobacco exposure knowledge), family factors (living with smokers, exposed at home despite a smoke-free rule), community factors (exposed at work with no smoke-free policy, exposed at other locations) and cultural factors (Korean vs. Chinese ethnicity; lower acculturation).

DISCUSSION AND CONCLUSIONS:

Chinese and Korean American non-smokers report assertive behaviour against smoking, which is associated with social-ecological factors. Results help identify target groups and strategies for future intervention, including the need to implement or enforce smoke-free environments and promote empowerment. [Saw A, Tang H, Tsoh JY, Chen MS Jr, Tong EK. Non-smoker assertive behaviour against smoke exposure: Chinese and Korean American non-smokers.

KEYWORDS:

Asian; assertive behaviour; smoke exposure; smoke-free policy; tobacco

PMID:
28439993
PMCID:
PMC5656557
[Available on 2018-11-01]
DOI:
10.1111/dar.12557
[Indexed for MEDLINE]

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