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LETTER |
William J. McCarthy and Dipanwita B. Shah are with the Division of Cancer Prevention and Control Research, University of California, Los Angeles. Hozefa A. Divan is with the Santa Clara County Public Health Department, San Jose, Calif.
Correspondence: Requests for reprints should be sent to William J. McCarthy, PhD, Division of Cancer Prevention and Control Research, UCLA School of Public Health, 650 Young Dr, Box 690015, Los Angeles, CA 90095-6900 (e-mail: wmccarth@ucla.edu).
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We feel that Baluja and her coauthors1 missed an opportunity to address a paradox. Rates of smoking among male Chinese American youths are remarkably low,2 yet smoking rates among Chinese males living in China are said to exceed 60%.3 Baluja and associates reported the smoking prevalence rate for Chinese American immigrant males to be around 13%, which was well below the corresponding US male smoking prevalence rate of 24%.1 From these results, we infer that selection pressures involved in the immigration of Chinese to the United States favor Chinese who do not smoke. Indeed, immigrants generally exhibit healthier lifestyle practices
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