Intra-Ethnic Racial Differences in Waterpipe Tobacco Smoking among Latinos?
Intra-Ethnic Racial Differences in Waterpipe Tobacco Smoking among Latinos?
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DOI：
10.1080/10826084.2018.1480040
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发表时间：
2019-01-02
影响因子：
2
通讯作者：
LaVeist-Ramos，Thomas
中科院分区：
文献类型：
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作者：
Ortiz，Kasim;Cuevas，Adolfo G.;LaVeist-Ramos，Thomas
背景和目的：这项研究考察了不同种族和民族在水烟吸烟史上的差异(包括终身吸烟和现在吸烟)。更具体地说，我们使用具有全国代表性的样本来评估拉美裔种族内的差异。方法：使用来自全国成人烟草调查[2012-2014]的汇集数据，其中采用Log-Poisson多变量回归模型来确定水烟吸烟行为的流行率。模型按性别分层，我们进一步调查了文化适应，控制了相关的社会人口学特征。结果：在评估终身WTS的完全调整的模型中，拉美裔黑人和拉美裔白人比他们的非西班牙裔白人表现出更高的终身WTS患病率。按性别分层后，与非西班牙裔白人男性相比，拉美裔黑人男性(PR=1.49；95%CI=1.16，1.90)终身WTS的患病率更高；尽管拉美裔白人男性(PR=0.88；95%CI=0.80，0.98)与非西班牙裔白人男性男性相比，WTS的患病率降低。在目前男性的WTS中也发现了类似的趋势。在评估终生WTS的完全调整的模型中，在女性中，只有拉丁裔白人(PR=1.23；95%CI=1.04，1.46)的患病率高于非西班牙裔白人女性。在评估当前的WTS时，拉美裔黑人(PR=2.19；95%CI=1.32，3.65)和拉丁裔白人(PR=1.28；95%CI=1.00，1.63)与非西班牙裔白人女性相比，WTS的患病率更高。结论/重要性：在美国普通成年人中，拉美裔在WTS行为上存在种族内差异，并受性别影响。今后消除WTS中种族差异的努力应该是注意拉美裔人之间的种族内种族差异。
Background and Objectives: This study examined differences in waterpipe smoking (both lifetime and current) by race and ethnicity. More specifically, we evaluated intra-ethnic racial differences among Latinos using a nationally representative sample.Methods: Pooled data from the National Adult Tobacco Survey (NATS) [2012-2014] was used, in which Log-Poisson multivariable regression models were deployed to determine the prevalence of waterpipe smoking behavior. Models were stratified by gender and we further investigated acculturation, controlling for relevant sociodemographic characteristics.Results: In fully-adjusted models assessing lifetime WTS, Black Latinos and White Latinos exhibited an increase prevalence of lifetime WTS compared to their non-Hispanic white counterparts. Once stratifying by gender, Black Latino men (PR = 1.49; 95% CI = 1.16, 1.90) exhibited increased prevalence of lifetime WTS compared to their non-Hispanic white men counterparts; although white Latino men (PR = 0.88; 95% CI = 0.80, 0.98) exhibited decreased prevalence compared to their non-Hispanic white male counterparts. Similar trends were found for current WTS among men. In fully adjusted models assessing lifetime WTS, among women, only white Latina's (PR = 1.23; 95% CI = 1.04, 1.46) exhibited increased prevalence compared to their non-Hispanic white women counterparts. When evaluating current WTS, Black Latina's (PR = 2.19; 95% CI = 1.32, 3.65) and white Latinas (PR = 1.28; 95% CI = 1.00, 1.63) exhibited increased prevalence of WTS compared to their non-Hispanic white women counterparts.Conclusions/Importance: Among the U.S. general adult population, intra-ethnic racial differences in WTS behaviors exist among Latinos; and is shaped by gender. Future efforts to eliminate racial disparities in WTS should be attentive intra-ethnic racial differences among Latinos.