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A qualitative study of tobacco use in eight economically disadvantaged Dominican Republic communities.
Chin, Nancy; Dozier, Ann; Quinones, Zahira; Diaz, Sergio; Weber, Emily; Almonte, Hector; Bautista, Arisleyda; Raman, Kiran; McIntosh, Scott; Ossip, Deborah.
Afiliação
  • Chin N; 1. Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
  • Dozier A; 1. Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
  • Quinones Z; 2. Medicine, Pontificia Universidad Catolica Madre y Maestra, Santiago, Dominican Republic.
  • Diaz S; 2. Medicine, Pontificia Universidad Catolica Madre y Maestra, Santiago, Dominican Republic.
  • Weber E; 1. Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
  • Almonte H; 3. Clinica Corominas, Santiago, Dominican Republic.
  • Bautista A; 4 .Centro de Atencion Primaria, Juan XXIII Hospital, Santiago, Dominican Republic.
  • Raman K; 5. Department of Emergency Medicine, EmCare- HonorHealth Deer Valley Medical Center, Phoenix, AZ, USA.
  • McIntosh S; 1. Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
  • Ossip D; 1. Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Glob Health Promot ; 24(4): 23-32, 2017 Dec.
Article em En | MEDLINE | ID: mdl-27353117
Understanding social conditions prior to intervention design can enhance tobacco control interventions. This paper describes formative research conducted in 2010 about tobacco use in eight economically disadvantaged Dominican Republic communities, four of which participated in a previous intervention study (2003-2008). A combined US-Dominican team used a rapid assessment process to collect qualitative social and cultural data on tobacco use, knowledge and attitudes; plus observations about social and policy factors, such as exposure to secondhand smoke (SHS), tobacco regulations, pregnancy, health care provider (HCP) practices and sustainability of the 2003-2008 intervention. This assessment found that tobacco use varied by age. While all ages typically used cigarettes, older adults used relatively more unprocessed tobacco, which is seen as less harmful and less addictive. Middle-aged smokers typically used commercial cigarettes, which are viewed as dangerous, addictive, expensive and offensive. Young adults reported avoiding smoking, but using relatively more smokeless tobacco. Smoking during pregnancy has reportedly decreased. SHS was viewed as harmful, although smoke-free homes were uncommon. HCPs discussed tobacco issues mostly for patients with tobacco-related conditions. Sustainability of the 2003-2008 intervention appeared to be linked to active Community Technology Centers with strong leadership, and community social capital. This information could be used to design better targeted interventions in these communities.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Populações Vulneráveis / Uso de Tabaco Tipo de estudo: Health_economic_evaluation / Qualitative_research Aspecto: Equity_inequality Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged / Pregnancy País/Região como assunto: Caribe ingles / Dominica / Republica dominicana Idioma: En Revista: Glob Health Promot Assunto da revista: EDUCACAO / SAUDE PUBLICA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Populações Vulneráveis / Uso de Tabaco Tipo de estudo: Health_economic_evaluation / Qualitative_research Aspecto: Equity_inequality Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged / Pregnancy País/Região como assunto: Caribe ingles / Dominica / Republica dominicana Idioma: En Revista: Glob Health Promot Assunto da revista: EDUCACAO / SAUDE PUBLICA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido