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Tobacco use & acculturation: CA residents of Korean descent

Institution: San Diego State University Research Foundation
Investigator(s): Richard Hofstetter, Ph.D.
Award Cycle: 2000 (Cycle 9) Grant #: 9RT-0073H Award: $825,701
Subject Area: Epidemiology
Award Type: Research Project Awards
Abstracts

Initial Award Abstract
The purpose of this proposal is to investigate the prevalence and determinants of tobacco use among California (CA) residents of Korean descent, a large and rapidly growing minority group. A sample of 2,500 adult and 625 adolescent CA residents of Korean descent will be surveyed by telephone. Findings will be compared to those from 500 Koreans living in Seoul, Korea. This study will inform possible interventions by identifying social and cultural determinants of tobacco use specific to CA residents of Korean descent, with a focus on the effects of acculturation. A series of simple and more complex models will be employed to explore possible determinants of tobacco use, tobacco cessation, ETS exposure, reported disease status, and health care utilization.

Specific Aims 1. To estimate the prevalence of tobacco use, cessation, and exposure to environmental tobacco smoke (ETS) among male, female, adult, and adolescent CA residents of Korean descent.

2. To estimate the prevalence of medical care services utilization (from both physicians and nonlicensed health care practitioners) related to tobaccorelated illnesses and symptoms among CA residents of Korean descent.

3. To explore simple models of the relationships between acculturation and tobacco use, cessation, and ETS exposure among CA residents of Korean descent.

4. To explore a series of multivariate models of possible determinants of tobacco use, cessation, ETS exposure, reported disease status, and health care utilization among CA residents of Korean descent. SES, acculturation, gender, other risk taking and health enhancing behaviors (e.g. nutrition practices), and social learning theory variables (e.g. models, social support) will be included as independent variables in the models predicting each of these dependent variables.

5. A subset of Aim 4 will be to explore the relationships among family members and close friends that influence tobacco use, cessation, and ETS exposure. This will be conducted as both a descriptive and multivariate model, with emphasis on social processes within the family.

6. To estimate the prevalence and determinants of tobacco use, cessation, and ETS exposure among male, female, adult and adolescent residents of Seoul, Korea, and to compare these rates and determinants to those found for CA residents of Korean descent.

This proposal is responsive to TRDRP research priorities for funding studies that illuminate the role of acculturation in tobacco use among Asian Americans, as well as epidemiological research towards identifying differences in behavioral factors that may help elucidate unique contributors to tobacco use and tobaccorelated disease. Although Korean Americans are a sizeable minority ethnic group in CA, the ability to design effective tobacco prevention and treatment programs for this population is compromised by the lack of behavioral and social determinants data. The proposed study will address this concern and will provide current population estimates for adult and youth tobacco use among CA residents of Korean descent.
Publications

Selected idetary intake among Californians of Korean descent: Preliminary findings.
Periodical: Nutritional Science Index Medicus:
Authors: Hofstetter CR, Faller S, Park HR, Paik HY, Hovell M, and Lee J ART
Yr: 2002 Vol: 5 Nbr: Abs: Pg: 56 - 68

Selected dietary intake among Californians of Korean descent: Preliminary findings.
Periodical: Korean Journal of Nutrition Index Medicus:
Authors: Hofstetter CR, Park HR, Paik HY, Faller S, Hovell MH. Lee J ART
Yr: 2002 Vol: 3 Nbr: Abs: Pg: 161-167

Selected risk factors for cancer among Koreans residing California.
Periodical: Korean and Korean American Studies Bulletin Index Medicus:
Authors: Hofstetter CR, Roussos ST, Hovell MH, Lee J, Park HR, Paik HY, Keating KJ ART
Yr: 2003 Vol: 13 Nbr: Abs: Pg: 48-58

Tobacco use and acculturation among Californians of Korean descent: A behavioral epidemiological analysis.
Periodical: Nicotine and Tobacco Research Index Medicus:
Authors: Hofstetter CR, Hovell MF, Lee J, Zakarian J, Park HR, Paik HY, Irvin VL ART
Yr: 2004 Vol: 6 Nbr: 3 Abs: Pg: 481-489

Acculturation and health risk behavior among Californians of Korean descent.
Periodical: Preventive Medicine Index Medicus:
Authors: Song YJ, Hofstetter CR, Hovell MF, Paik HY, Park HR, Lee J, Irvin VL ART
Yr: 2004 Vol: 39 Nbr: Abs: Pg: 147-156

Smoking cessation patterns and predictors among adult Californians of Korean descent.
Periodical: Nicotine and Tobacco Research Index Medicus:
Authors: Ji M, Hofstetter CR, Hovell MF, Irvin VL, Song YJ, Lee J, Park HR, Paik HL ART
Yr: 0 Vol: Nbr: Abs: Pg:

Socioeconomic, acculturation, and lifestyle factors affecting the dietary patterns of Korean-Americans in California.
Periodical: Korean Journal of Nutrition Index Medicus:
Authors: Song YJ, Paik HY, Park HR, Hofstetter CR, Hovell MF, Irvin VL, Lee J ART
Yr: 2004 Vol: 8 Nbr: 2 Abs: Pg: