Cigar-Smoking Patterns by Race/Ethnicity and Cigar Type: A Nationally Representative Survey Among U.S. Adults.
Cigar-Smoking Patterns by Race/Ethnicity and Cigar Type: A Nationally Representative Survey Among U.S. Adults.
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DOI：
10.1016/j.amepre.2020.07.005
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发表时间：
2021-01
影响因子：
5.5
通讯作者：
Choi K
中科院分区：
文献类型：
--
作者：
Chen-Sankey JC;Mead-Morse EL;Le D;Rose SW;Quisenberry AJ;Delnevo CD;Choi K
与非西班牙裔白人相比，少数族裔吸食过去30天雪茄的比例更高。然而，人们对高级雪茄吸烟模式中按雪茄类型划分的种族/民族差异知之甚少。这项研究探索了雪茄的吸烟模式是否因种族/民族和雪茄类型而有所不同。这项研究使用了具有全国代表性的成年人样本(年龄18岁；N=28,148)，来自烟草与健康研究的第三波调查(2015年至2016年)，用于分析。吸食雪茄的模式包括过去30天吸食雪茄、每日吸食雪茄、已确定吸食雪茄、过去12个月不吸食雪茄、在醒来后30分钟内吸食雪茄，以及每天吸食雪茄的次数。2019年进行了加权多变量回归，以检查种族/民族与雪茄类型(传统雪茄、雪茄和过滤雪茄)的吸烟模式之间的关联，并控制了协变量。与非西班牙裔白人相比，非西班牙裔黑人更有可能在过去30天内抽雪茄(AOR=2.27，95%CI=2.03，2.54)，每天抽雪茄(AOR=2.65，95%CI=1.89，3.70)，在过去12个月内已吸烟(AOR=1.95，95%CI=1.66，2.29)，并在过去12个月内不吸烟(AOR=2.30，95%CI=1.84，2.88)。这种模式在不同类型的雪茄中大体上是一致的，尤其是雪茄。与非西班牙裔白人相比，拉美裔更有可能在醒来后30分钟内抽雪茄(AOR=1.50，95%CI=1.10，2.06)。这项研究发现，非西班牙裔黑人和西班牙裔美国人比非西班牙裔白人抽雪茄的方式更高级。减少雪茄吸烟的干预措施和政策可能会对这些人群产生不同程度的好处，并缩小差距。
Racial/ethnic minorities have a higher prevalence of past 30–day cigar smoking than non-Hispanic Whites. Little is known, however, about racial/ethnic differences in advanced cigar smoking patterns by cigar types. This research explores whether cigar smoking patterns differ by race/ethnicity and cigar types. This study used a nationally representative sample of adults (aged ≥18 years; N=28,148) from the Wave 3 survey (2015–2016) of the Population Assessment of Tobacco and Health Study for analysis. Cigar smoking patterns included past 30–day use, daily use, established use, past 12–month blunt use, use within 30 minutes of waking, and the number of cigars used per day. Weighted multivariable regressions were conducted in 2019 to examine the associations between race/ethnicity and cigar smoking patterns by cigar types (traditional cigars, cigarillos, and filtered cigars), controlling for covariates. Compared with non-Hispanic Whites, non-Hispanic Blacks were more likely to smoke cigars in the past 30 days (AOR=2.27, 95% CI=2.03, 2.54) and on a daily basis (AOR=2.65, 95% CI=1.89, 3.70), have established cigar smoking (AOR=1.95, 95% CI=1.66, 2.29), and smoke blunts in the past 12 months (AOR=2.30, 95% CI=1.84, 2.88). This pattern was generally consistent across cigar types and was especially pronounced for cigarillos. Compared with non-Hispanic Whites, Hispanics were more likely to smoke cigars within 30 minutes of waking (AOR=1.50, 95% CI=1.10, 2.06). This study finds that non-Hispanic Blacks and Hispanics have more advanced patterns of cigar smoking than non-Hispanic Whites. Interventions and policies for minimizing cigar smoking may differentially benefit these populations and reduce disparities.
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