How Much Progress Have We Made? Trends in Disparities in Tobacco Use.

How Much Progress Have We Made? Trends in Disparities in Tobacco Use.
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DOI:
10.5888/pcd17.200090
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发表时间:
2020-09-17
影响因子:
5.5
通讯作者:
Boyle RG
Boyle RG
中科院分区:
医学3区
文献类型:
--
作者:
Kingsbury JH;D'Silva J;O'Gara E;Parks MJ;Boyle RG

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二十多年来,减少与烟草相关的健康差异一直是公共卫生的优先事项,但卷烟使用方面的差异一直保持稳定或恶化。人们对其他烟草产品的差异如何随着时间的推移而发生变化知之甚少。我们的研究调查了明尼苏达州卷烟和其他烟草产品的使用趋势,目的是为减少差异的努力提供信息。我们研究了 2010 年(N = 7,057)、2014 年(N = 9,304)和 2018 年(N = 6,055)明尼苏达州成人烟草调查结果中烟草使用差异与教育、收入和种族的关系。烟草使用情况是通过评估过去 30 天使用 4 种烟草产品来获取的:香烟、雪茄、电子烟和无烟烟草,以及可燃物(即香烟和/或雪茄)和任何烟草(即使用 4 种产品中的任何一种)。在每一波浪潮中,收入和教育程度较低的人都比收入和教育程度较高的人报告更多地使用卷烟、可燃物和任何烟草。 2018 年,黑人受访者比白人受访者更有可能报告使用雪茄和可燃物,而 2014 年,白人受访者更有可能报告使用无烟烟草。我们没有看到显着的人口统计交互作用,这表明任何烟草产品的差异程度随着时间的推移保持不变。即使在像明尼苏达州这样拥有强大烟草控制计划的州,不同教育、收入和种族之间的烟草使用仍然存在巨大差异。需要付出更多努力来缩小差距并实现所有亚人群的最终烟草使用目标。
Reducing tobacco-related health disparities has been a public health priority for more than 2 decades, yet disparities in cigarette use have remained steady or worsened. Less is known about how disparities in other tobacco products have changed over time. Our study examined trends in cigarette and other tobacco product use in Minnesota with the goal of informing efforts aimed at reducing disparities. We examined tobacco use disparities as a function of education, income, and race across the Minnesota Adult Tobacco Survey results in 2010 (N = 7,057), 2014 (N = 9,304), and 2018 (N = 6,055). Tobacco use was captured by assessing past 30-day use of 4 tobacco products: cigarettes, cigars, e-cigarettes, and smokeless tobacco, plus combustibles (ie, cigarettes and/or cigars) and any tobacco (ie, use of any of the 4 products). At each wave, those with lower income and education reported greater use of cigarettes, combustibles, and any tobacco than those with higher income and education. Black respondents were more likely to report cigar and combustibles use than White respondents in 2018, whereas White respondents were more likely to report smokeless tobacco use in 2014. We saw no significant wave-by-demographic interactions, suggesting that the magnitude of the disparity remained unchanged over time for any tobacco product. Substantial disparities in tobacco use remain across education, income, and race, even in a state such as Minnesota with a strong tobacco control program. Additional efforts are needed to close disparity gaps and reach endgame tobacco use targets for all subpopulations.
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