Disaggregating Asian American and Native Hawaiian and Other Pacific Islander (AANHOPI) Adult Tobacco Use: Findings from Wave 1 of the Population Assessment of Tobacco and Health (PATH) Study, 2013-2014
Disaggregating Asian American and Native Hawaiian and Other Pacific Islander (AANHOPI) Adult Tobacco Use: Findings from Wave 1 of the Population Assessment of Tobacco and Health (PATH) Study, 2013-2014
复制标题
DOI：
10.1007/s40615-018-00532-1
复制
发表时间：
2019-04-01
影响因子：
3.9
通讯作者：
Nguyen, Anh B.
中科院分区：
文献类型：
--
作者：
Nguyen, Anh B.
烟草研究经常结合亚裔美国人、夏威夷原住民和其他太平洋岛民(AANHOPI)亚群的数据，掩盖亚群的差异。这项研究描述了一些AANHOPI分类亚组的烟草使用情况(曾经使用和过去30天使用)。方法数据来自2013-2014年人口烟草与健康评估(PATH)研究的第一波，这是一项具有全国代表性的纵向队列研究，涉及美国平民非制度化成年人和青年。该数据集包含32,320名成年人的样本，其中1623人被确认为AANHOPI血统。亚裔美国人进一步确定为亚裔印度人、中国人、菲律宾人、日本人、韩国人、越南人或其他亚洲人。那些认为自己是夏威夷原住民、瓜马尼亚人或查马罗人、萨摩亚人和其他太平洋岛民的人被合并为一个诺皮族。烟草措施包括曾经和过去30天使用香烟、电子烟、雪茄(传统雪茄、雪茄、过滤雪茄)、水烟和无烟烟草，包括鼻袋和烟斗烟草。未调整和调整后的烟草使用估计数按AANHOPI成员和性别报告。结果总体而言，与AANHOPI其他亚群相比，亚裔印度人和中国人的烟草使用率最低，诺皮人的烟草使用率最高。男性的患病率普遍高于女性。流行率因AANHOPI成员和烟草产品而异。在许多亚组中，调整后的流行率估计值比未调整的估计值更高，减弱了AANHOPI亚组之间发现的一些未调整的差异。讨论烟草使用因AANHOPI亚组和产品类型而异。可以进行未经调整和调整的分析，因为AANHOPI亚组的烟草使用差异可能归因于社会经济地位的差异。将这些不同的亚组视为一个整体，可能有助于依赖对特定亚组影响有限的烟草预防和控制战略。
IntroductionTobacco studies often combine data for Asian American and Native Hawaiian and Other Pacific Islander (AANHOPI) subgroups, masking subgroup differences. This study describes tobacco use (ever use and past 30-day use) among some disaggregated AANHOPI subgroups.MethodsData are from Wave 1 of the 2013-2014 Population Assessment of Tobacco and Health (PATH) Study, a nationally representative, longitudinal cohort study of civilian non-institutionalized adults and youth in the USA. The dataset contains a sample of 32,320 adults, of which 1623 identified as being of AANHOPI origin. Asian Americans further identified as being Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, or other Asian. Those who identified as Native Hawaiian, Guamanian or Chamarro, Samoan, and Other Pacific Islander were combined into an NHOPI group. Tobacco measures included ever and past 30-day use of cigarettes, e-cigarettes, cigars (traditional cigar, cigarillos, filtered cigar), hookah, and smokeless tobacco including snus pouches, and pipe tobacco. Unadjusted and adjusted estimates for tobacco use are reported by AANHOPI membership and sex.ResultsIn general, Asian Indians and Chinese had the lowest and NHOPI had the highest tobacco use prevalence compared to other AANHOPI subgroups. Males generally had higher prevalence compared to females. Prevalence varied by AANHOPI membership and tobacco product. Adjusted prevalence estimates were higher compared to unadjusted estimates for many subgroups, attenuating some unadjusted differences found between AANHOPI subgroups.DiscussionTobacco use varies by AANHOPI subgroup and product type. Unadjusted and adjusted analyses can be conducted as tobacco use differences in AANHOPI subgroups may be attributed to socio-economic status differences. Treating these distinct subgroups as a monolithic group may contribute to reliance on tobacco prevention and control strategies that may have limited impact on specific subgroups.