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Elena S. H. Yu, PhD, MPH, Edwin H. Chen, PhD, Katherine K. Kim, PhD, RN and Sawsan Abdulrahim, MPH

Elena S. H. Yu and Sawsan Abdulrahim are with the Division of Epidemiology and Biostatistics, Graduate School of Public Health, San Diego State University, San Diego, Calif. Edwin H. Chen is with the Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago. Katherine K. Kim is with the Kirkhof School of Nursing, Grand Valley State University, Allendale, Mich.

Correspondence: Requests for reprints should be sent to Elena S.H. Yu, PhD, MPH, Division of Epidemiology and Biostatistics, School of Public Health, San Diego State University, San Diego, CA 92182 (e-mail: eyu{at}mail.sdsu.edu).

Objectives. This report describes and examines factors significantly associated with smoking among Chinese Americans, using multiple logistic regression methods.

Methods. We conducted a population-based survey (n = 644, age = 40–69 years) in Chicago's Chinatown using a Chinese questionnaire based on the National Health Interview Survey (NHIS).

Results. Smoking prevalence was 34% for males and 2% for females. Some 93% of current smokers had smoked regularly for 10 or more years. Low education (odds ratio [OR] = 2.41; 95% confidence interval [CI] = 1.31, 4.46), use of a non-Western physician or clinic for health care (OR = 2.64; 95% CI = 1.46, 4.80), and no knowledge of early cancer warning signs and symptoms (OR = 2.52; 95% CI = 1.35, 4.70) were significantly associated with smoking among men.

Conclusions. The male prevalence of smoking is higher than those reported in California, the NHIS, and the Behavioral Risk Factor Surveillance System (BRFSS); exceeds the rate for African Americans aged 18 years and older; is comparable with the rate for African American males aged 45 to 64 years; and is far above the Healthy People 2010 target goal of less than 12%. Multisite surveys and smoking cessation campaigns in Chinese are needed.

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