Social Influences and Smoking Behaviors among Four Asian American Subgroups

Abstract

This study sought to identify the predictive power of social influences on smoking behavior among Asian American adults. A cross-sectional self-report survey method and stratified-cluster proportional sampling technique was used. The survey was conducted at the 26 randomly selected Asian American community organization locations in the Delaware Valley region. A sample of 1374 was recruited from 26 selected organizations and 1174 completed the survey with an average response rate of 83%. Social influences were measured by examining the predictive power of parental, other important family members’ and friends’ tobacco use prevalence on smoking behavior, and the perception of the number of people who smoke in the U.S. A Chi-Square test and logistic regression models were used to analyze the data. Current smoking father/brother, number of smoking friends, and gender were positively associated with current tobacco use. Asians who had an ever and current smoking father/brother and those who had current smoking friends were more likely to be current smokers. The youngest age group were more likely to be influenced by an ever and current smoking father/brother, by having close friends who smoke, and perceived the highest amount of peer pressure. The smoking rate was highest among the 22-45 age group. Successful smoking prevention and cessation programs designed for Asian Americans must take into consideration male parental tobacco use because it represents the primary source of learned behavior and this influence continues beyond adolescence