Tobacco use is the most important cause of preventable death in this country for all racial/ethnic groups. Over $70 billion in direct medical costs is a t tributable to tobacco-related disease. Chinese Americans may be at particularly high risk for excess tobacco-related morbidity and mortality. It is estimated that 73% of men in China smoke. Yet, smoking behaviors, attitudes and beliefs among Chinese Americans remain largely undocumented. The New York City Department of Health Tobacco Control Program (NYCTCP) together with their community partners is developing and implementing an innovative community-based intervention, tailored to Chinese Americans. The principle aim of thisresearch is to test the hypothesis that culturally and linguistically appropriate media campaign, plus increased access to on-site community-based cessation services, will be more effective, and more cost-effective, in positively influencing tobacco-related attitudes, beliefs, and behaviors among a minority population, than will be culturally appropriate media approaches alone. We will assess age-specific prevalence rates, and tobacco-related attitudes, beliefs, and behaviors, among two Chinese American communities in New York City. The research design is a quasi-experimental pre- post-test design with nonequivalent intact comparison groups from two geographically d i s t inct Chinese communities. The sample design will consist of a cross-sectional component to estimate smoking prevalence and a longitudinal study of baseline respondents. Individual-level data will be obtained from face-to-face interviews with representative individuals using standardized survey instruments. In addition, process evaluation methods will be used to assess the intervention implementation. Study results will provide important information on how to allocate limited resources for community tobacco control interventions, designed to influence an Asian American population, in the most cost-effective manner.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA093788-05
Application #
7092243
Study Section
Special Emphasis Panel (ZCA1-SRRB-K (01))
Program Officer
Vollinger, Robert
Project Start
2002-06-07
Project End
2007-04-30
Budget Start
2005-05-01
Budget End
2007-04-30
Support Year
5
Fiscal Year
2005
Total Cost
$1,256,456
Indirect Cost
Name
Hunter College
Department
Public Health & Prev Medicine
Type
Schools of Allied Health Profes
DUNS #
620127915
City
New York
State
NY
Country
United States
Zip Code
10065
Shelley, Donna; Nguyen, Nam; Peng, Cha-Hui et al. (2010) Increasing access to evidence-based smoking cessation treatment: effectiveness of a free nicotine patch program among Chinese immigrants. J Immigr Minor Health 12:198-205
Parikh, Nina S; Fahs, Marianne C; Shelley, Donna et al. (2009) Health behaviors of older Chinese adults living in New York City. J Community Health 34:6-15
Yeh, Ming-Chin; Fahs, Marianne; Shelley, Donna et al. (2009) Body weight and length of residence in the US among Chinese Americans. J Immigr Minor Health 11:422-7
Hung, Dorothy Y; Lubetkin, Erica I; Fahs, Marianne C et al. (2009) Assessing the impact of behavioral risk factors and known-groups validity of the SF-12 in a US Chinese immigrant population. Med Care 47:262-7
Cantreill, Jennifer; Hung, Dorothy; Fahs, Marianne C et al. (2008) Purchasing patterns and smoking behaviors after a large tobacco tax increase: a study of Chinese Americans living in New York City. Public Health Rep 123:135-46
Shelley, Donna; Fahs, Marianne; Yerneni, Rajeev et al. (2008) Effectiveness of tobacco control among Chinese Americans: a comparative analysis of policy approaches versus community-based programs. Prev Med 47:530-6
Shelley, Donna; Nguyen, Nam; Yerneni, Rajeev et al. (2008) Tobacco use behaviors and household smoking bans among Chinese Americans. Am J Health Promot 22:168-75
Shelley, Donna; Yerneni, Rajeev; Hung, Dorothy et al. (2007) The relative effect of household and workplace smoking restriction on health status among Chinese Americans living in New York City. J Urban Health 84:360-71
Shelley, Donna; Fahs, Marianne C; Yerneni, Rajeev et al. (2006) Correlates of household smoking bans among Chinese Americans. Nicotine Tob Res 8:103-12
Shelley, Donna; Fahs, Marianne; Scheinmann, Roberta et al. (2004) Acculturation and tobacco use among Chinese Americans. Am J Public Health 94:300-7

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