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- Title
Non-smoker assertive behaviour against smoke exposure: Chinese and Korean American non-smokers.
- Authors
Saw, Anne; Tang, Hao; Tsoh, Janice Y.; Chen, Moon S.; Tong, Elisa K.
- Abstract
<bold>Introduction and Aims: </bold>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.<bold>Design and Methods: </bold>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.<bold>Results: </bold>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).<bold>Discussion and Conclusions: </bold>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.
- Subjects
ASSERTIVENESS (Psychology); SMOKING; SMOKING laws; TOBACCO use; CHINESE Americans; KOREAN Americans
- Publication
Drug & Alcohol Review, 2017, Vol 36, Issue 6, p779
- ISSN
0959-5236
- Publication type
journal article
- DOI
10.1111/dar.12557