Background
Higher acculturation is associated with Asian-American smoking prevalence decreasing
in men and increasing in women. Asian immigrants in California are significantly more
likely than their counterparts in Asia to have quit smoking. Smoke-free environments
may mediate this acculturation effect because such environments are not widespread
in Asia.
Methods
In 2006, Asian-American current and former smokers were analyzed using the 2003 California
Health Interview Survey. A multivariate logistic regression analysis examined how
the interaction between having a smoke-free-home rule and immigrating to the U.S.
is associated with status as a former smoker and lighter smoking.
Results
For recent Asian immigrants (<10 years in the U.S.) and longer-term residents (born/≥10
years in the U.S.), having a smoke-free-home rule was associated with status as a
former smoker (OR 14.19, 95% CI=4.46, 45.12; OR 3.25, 95% CI=1.79, 5.90, respectively).
This association was stronger for recent immigrants (p=0.02). Having a smoke-free-home rule was associated with lighter smoking only for
longer-term residents (OR 5.37, 95% CI=2.79, 10.31).
Conclusions
For Asian Americans, smoke-free-home rules are associated with status as a former
smoker, particularly among recent immigrants, and lighter smoking in long-term residents.
Interventions encouraging Asian Americans to adopt smoke-free-home rules should be
evaluated.
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© 2008 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
