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1.  Social influences on Cigarette Smoking Among Mainland Chinese and Chinese Americans: A Comparative Study 
The purpose of this cross-national study was to determine the leading social influences on smoking among Chinese Americans and mainland Chinese adults with the aim of improving prevention and intervention strategies to reduce smoking rates. A comparative cross-sectional design was used and a stratified-cluster sampling technique was employed in identifying the study sample. An 80-item questionnaire was administered in Chinese to 1222 participants, 812 in China and 410 in the U.S. Data were analyzed using descriptive and inferential statistical tests. Results contain comparative data on social influences of smoking among Chinese Americans and mainland Chinese, as well as factors influencing smoking behavior which include cultural beliefs, gender roles, and family relationship dynamics. Grandparents were influential and significantly correlated with current smokers in China. Findings indicate differential effects of social influences on smoking behavior. Similarities and differences provide a basis for improving and/or developing smoking intervention programs of mutual benefit to China and the U.S..
PMCID: PMC3914219  PMID: 24511220
2.  Diffusion of Philadelphia’s No-Smoking Policy to Chinese Businesses 
The study assessed the extent that Philadelphia’s smoking ordinance diffused to Chinatown businesses and identified attitudinal and other barriers to implementation. Guided by constructs from Diffusion of Innovations and Theory of Planned Behavior, a cross-sectional study was conducted. The majority of business owners and employees lacked in-depth knowledge of relevant details of the policy, suggesting that the extent of its diffusion was limited. Retail businesses were more likely to witness smoking post-enactment than restaurants and had more difficulty with implementation. A multi-faceted diffusion strategy through communication channels familiar to the Chinatown community is needed to improve implementation and compliance.
PMCID: PMC2802338  PMID: 20057915

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