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Donna Shelley, MD, MPH, Marianne Fahs, PhD, MPH, Roberta Scheinmann, MPH, Susan Swain, MS, Jiaojie Qu, BS and Dee Burton, PhD

Donna Shelley is with the Center for Applied Public Health, Division of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York City. Marianne Fahs, Jiaojie Qu, and Dee Burton are with the Health Policy Research Center, Milano Graduate School of Policy and Management, New School University, New York City. Roberta Scheinmann is with the New York Academy of Medicine, New York City. Susan Swain is with Westat, Inc, Rockville, Md.

Correspondence: Requests for reprints should be sent to Donna Shelley, MD, MPH, Center for Applied Public Health, Division of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 West 168th Street, 11th floor, New York, NY 10032 (e-mail: drs26{at}columbia.edu).

Objectives: We examined the relationship between acculturation and tobacco use behaviors among Chinese Americans.

Methods: Using a Chinese-language instrument based on validated questions from several national surveys, we conducted in-person, household-based interviews with 712 representative adults aged 18–74 years.

Results: Observed smoking prevalence was 29% for men and 4% for women. Predictors of smoking cessation included being 35 years and older and having a high level of tobacco-related knowledge. Acculturation was positively associated with a history of never smoking, as was being younger than 35 years and having a high level of tobacco-related knowledge.

Conclusions: Acculturation was positively associated with never smoking among men but not with smoking cessation. However, knowledge of tobacco-related health risks was associated with both. Results indicate a need for language-specific educational interventions.

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