Does Church Participation Facilitate Tobacco Control? A Report on Korean Immigrants

Hofstetter, C. Richard; Ayers, John W.; Irvin, Veronica L.; Sim, D. Eastern Kang; Hughes, Suzanne; Reighard, Frederick; Hovell, Melbourne F.

doi:10.1007/s10903-009-9228-9

Cited by 29 publications

(22 citation statements)

References 61 publications

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“…The report of Hofstetter et al in this journal confirms this association in an immigrant population [2]. We hypothesized further that this association might become weaker with greater acculturation and education in an immigrant population.…”

supporting

confidence: 57%

Effect Modification by Acculturation and Education of the Association of Religion and Smoking in Immigrants

Gillum

2010

J Immigrant Minority Health

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religious participation has repeatedly been shown to have a surprisingly strong inverse association with cigarette smoking [1]. The report of Hofstetter et al. in this journal confirms this association in an immigrant population [2]. We hypothesized further that this association might become weaker with greater acculturation and education in an immigrant population.In a national health survey [1], 5,088 Mexican Americans aged 17 years and over had data on frequency of attendance at religious services (FARS), smoking, education, place of birth, language spoken at home, indicators of acculturation. In men and women combined, among the 1750 speaking English at home, the prevalence of smoking was strongly related to FARS (never 31.5%, [weekly 6.7%, P \ 0.01). This was also true among the 3079 who spoke Spanish at home (never 29.4, [weekly 7.9%, P \ 0.01). The same was true for men and women and those aged 17-24 years. Logistic regression analysis with smoking as dependent variable confirmed the lack of interaction between FARS and language spoken at home (men P = 0.37, women P = 0.43, all P = 0.44).In men and women combined, among the 2218 born in Mexico, the prevalence of smoking was strongly related to FARS (never 29.0%, [weekly 4.5%, P \ 0.01). This was also true among the 2505 born in the US (never 31.5, [weekly 10.0%, P \ 0.01). The same was true for men and those aged 17-24 years. In women, the association between attendance and smoking was statistically significant in US born (P \ 0.01) but not foreign-born (P = 0.17). However, logistic regression analysis with smoking as dependent variable detected no significant interaction between FARS and natality in any group (men P = 0.50, women P = 0.34, all P = 0.40).In men and women combined, among the 1815 with 12 or more years of education, the prevalence of smoking was strongly related to FARS (never 25.3%, [weekly 4.4%, P \ 0.01). This was also true among the 3253 with fewer than 12 years of education (never 33.5, [weekly 10.4%, P \ 0.01). The same was true for men and women. Logistic regression analysis with smoking as dependent variable confirmed the lack of interaction between FARS and education level (men P = 0.89, women P = 0.25, all P = 0.70).These findings suggest that the apparent protective effect of religious participation to produce tobacco avoidance does not diminish among Mexican immigrants to the US as they and their descendents become acculturated and more educated. These analyses should be replicated in other immigrant populations.

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supporting

confidence: 57%

Effect Modification by Acculturation and Education of the Association of Religion and Smoking in Immigrants

Gillum

2010

J Immigrant Minority Health

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“…Although more than half of KA women were unemployed and did not have a primary care provider, they appear to be aware of the need for cancer screening and have obtained it. KA women may have their own strong social network, because our findings show that more than 75% of participants reported having a religion such as Protestant, Catholic, Buddhism, etc ., other research demonstrates a strong connection between religious attendance and diminished health risk (Hofstetter et al, 2010; Ayers et al, 2009; Kang Sim, et al, 2008), and Christian church attendees may have received higher screening in mammogram and pap tests than others in the sample (Hill et al ., 2006), although the comparison was not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

Korean American Women's Preventive Health Care Practices: Stratified Samples in California, USA

Lee

Hofstetter

Irvin

et al. 2012

Health Care for Women International

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Using data from a larger study, we explored the characteristics of preventive health care practices (influenza vaccination, mammogram, and pap test) among a representative sample of 1786 Korean adult American women residing in California by telephone. Three preventive health care practices were related to the goals set by Healthy People 2010. Participants with no education in the U.S., who were born in Korea, resided in the U.S. longer, and had a primary care provider were more likely than others to reach these goals. Our findings indicate that a behavioral model was suitable to explain the three preventive health care practices.

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“…Alternatively, controlling for SES may explain little of the acculturation-smoking association since the SES-smoking gradient may be flatter or reversed for migrants compared to the U.S.-born (Chae et al, 2006). Smoking may also serve as a way to cope with acculturative stresses, while family, community, and religious-based support generally buffers against acculturative stress and promotes immigrant health (Finch & Vega, 2003; Hofstetter et al, 2010), although these processes may differ by gender.…”

Section: Backroundmentioning

confidence: 99%

Gender, acculturation, and smoking behavior among U.S. Asian and Latino immigrants

Gorman

Lariscy

Kaushik

2014

Social Science & Medicine

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In this paper we examine smoking prevalence and frequency among Asian and Latino U.S. immigrants, focusing on how gender differences in smoking behavior are shaped by aspects of acculturation and the original decision to migrate. We draw on data from 3,249 immigrant adults included in the 2002-2003 National Latino and Asian American Study. Findings confirm the gender gap in smoking, which is larger among Asian than Latino immigrants. While regression models reveal that gender differences in smoking prevalence, among both immigrant groups, are not explained with adjustment for measures of acculturation and migration decisions, adjustment for these factors does reduce gender differences in smoking frequency to non-significance. Following, we examine gender-stratified models and test whether aspects of migration decisions and acculturation relate more strongly to smoking behavior among women; we find that patterns are complex and depend upon pan-ethnic group and smoking measure.

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Does Church Participation Facilitate Tobacco Control? A Report on Korean Immigrants

Cited by 29 publications

References 61 publications

Effect Modification by Acculturation and Education of the Association of Religion and Smoking in Immigrants

Effect Modification by Acculturation and Education of the Association of Religion and Smoking in Immigrants

Korean American Women's Preventive Health Care Practices: Stratified Samples in California, USA

Gender, acculturation, and smoking behavior among U.S. Asian and Latino immigrants

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