双文化西班牙青年和年轻人的身份认同、文化适应和电子烟使用。

IF 2.6 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Equity Pub Date : 2024-08-19 eCollection Date: 2024-01-01 DOI:10.1089/heq.2024.0013
Emily C Sanders, Sarah Evans, Alex Budenz, N Yvette Frias, Sarah Byrnes, Everly Macario
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引用次数: 0

摘要

研究表明,西班牙裔/拉丁裔/a/x/e(以下简称西班牙裔)青年/青年成人(YYA)的烟草使用可能因文化适应水平而异,但很少有研究探讨文化适应下的电子烟使用或双文化认同如何影响烟草易感性。这项研究调查了文化适应在美国西班牙裔青少年使用电子烟中的作用,以更好地了解风险和保护因素。方法:在2021年12月至2022年1月期间,我们对13-24岁的西班牙裔西班牙人进行了20个英语/西班牙语虚拟焦点小组。我们用原始语言编码转录本(编码间信度kappa 0.89),并根据年龄、电子烟使用和文化适应水平进行主题分析。结果:与文化适应程度较低的参与者相比,文化适应程度较高的参与者对烟草/尼古丁的知识/熟悉程度更高。双文化参与者更普遍地提到好奇心和直接的同伴压力是电子烟使用的驱动因素。虽然双文化参与者注意到电子烟使用对家庭关系的负面影响,但这并不是一种使用威慑。不太适应文化的参与者最关心的是耻辱、负面的家庭影响和更广泛的西班牙裔社区的反对。讨论:本研究表明,与西班牙裔身份和异文化过程相关的差异可能会增加或减少电子烟的使用风险。双文化YYA占美国西班牙裔YYA的一半以上,他们在西班牙裔根源和美国主流文化之间切换,这可能导致独特的压力源,可能增加对电子烟的易感性。卫生公平影响:公共卫生工作必须认识到西班牙裔人口的异质性和文化适应在电子烟使用中的作用。细致入微的了解可以为设计有针对性和有效的公共卫生战略提供信息,以减少电子烟风险和使用方面的差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identity, Acculturation, and E-Cigarette Use among Bicultural Hispanic Youth and Young Adults.

Introduction: Research suggests Hispanic/Latino/a/x/e (hereafter Hispanic) youth/young adult (YYA) tobacco use may vary by acculturation level, but few studies have explored e-cigarette use by acculturation or how bicultural identity may affect tobacco susceptibility. This study examined acculturation's role in U.S. Hispanic YYA e-cigarette use to better understand risk and protective factors.

Methods: We conducted 20 virtual focus groups in English/Spanish with Hispanic 13-24-year-olds (December 2021-January 2022). We coded transcripts in their original language (intercoder reliability kappa 0.89) and conducted thematic analysis segmented by age cohort, e-cigarette use, and acculturation level.

Results: More acculturated participants had greater knowledge/familiarity with tobacco/nicotine compared with less acculturated participants. Bicultural participants more commonly mentioned curiosity and direct peer pressure as e-cigarette use drivers. While bicultural participants noted the negative impacts of e-cigarette use on family relationships, this was not a use deterrent. Less acculturated participants were most concerned with stigma, negative family impacts, and broader Hispanic community disapproval.

Discussion: This study suggests that differences related to Hispanic identity and the acculturative process may increase or decrease e-cigarette use risk. Bicultural YYA, who represent more than half of U.S. Hispanic YYA, toggle between Hispanic roots and mainstream U.S. culture, which can lead to unique stressors that may increase susceptibility to e-cigarettes.

Health equity implications: Public health efforts must recognize the heterogeneity of the Hispanic population and the role acculturation plays in e-cigarette use. A nuanced understanding can inform the design of targeted and effective public health strategies to reduce disparities in e-cigarette risk and use.

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来源期刊
Health Equity
Health Equity Social Sciences-Health (social science)
CiteScore
3.80
自引率
3.70%
发文量
97
审稿时长
24 weeks
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