Cultural Perspectives on Tobacco Use and Cessation Among Chinese American Immigrants: A Community-Engaged Qualitative Study

Introduction: Tobacco use is a preventable cause of death among ethnic minorities. Chinese Americans have high smoking rates and underutilize evidence-based cessation therapies. Community members’ perspectives on tobacco use and cessation may help bridge treatment gaps and ensure that cessation appr...

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Bibliographic Details
Published in:Journal of transcultural nursing 2019-07, Vol.30 (4), p.350-358
Main Authors: Katigbak, Carina, Maglalang, Dale Dagar, Chao, Ying-Yu, Au, Helen, Liang, Winnie, Zuo, Sai
Format: Article
Language:English
Subjects:
Asian Americans
Asian culture
Chinese Americans
Community
Health behavior
Noncitizens
Nursing
Qualitative research
Smoking
Substance use disorder
Tobacco
Transcultural nursing
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Summary:Introduction: Tobacco use is a preventable cause of death among ethnic minorities. Chinese Americans have high smoking rates and underutilize evidence-based cessation therapies. Community members’ perspectives on tobacco use and cessation may help bridge treatment gaps and ensure that cessation approaches are aligned with cultural values. Methods: Focus group methods were used to explore cultural factors influencing tobacco use and cessation among 50 Chinese immigrants. Emerging themes were identified using thematic analysis. Results: The three emerging themes are (a) tobacco use is influenced by Chinese American immigrants’ socioecological environment, (b) self-discipline determines the ability to quit, and (c) complex family dynamics influence quitting. Discussion: Cessation approaches framed within cultural perspectives may help bridge treatment gaps. Innovations such as leveraging soft technologies that are widely used in the community may extend the reach of health promotion campaigns and treatments.
ISSN:1043-6596
1552-7832
DOI:10.1177/1043659618817583