دورية أكاديمية
Nativity Status Predicts Tobacco Use: A Comparative Analysis of US-Born and Foreign-Born Adults From the Health Information National Trends Survey (HINTS).
العنوان: | Nativity Status Predicts Tobacco Use: A Comparative Analysis of US-Born and Foreign-Born Adults From the Health Information National Trends Survey (HINTS). |
---|---|
المؤلفون: | Nriagu VC; Department of Epidemiology and Biostatistics, College of Public Health, East Tennessee State University, Johnson City, USA.; Department of Internal Medicine, Maimonides Medical Center, Brooklyn, USA., Okeke FC; Department of Epidemiology and Biostatistics, College of Public Health, East Tennessee State University, Johnson City, USA., Anazor SO; Department of Epidemiology and Biostatistics, College of Public Health, East Tennessee State University, Johnson City, USA., Omenuko NJ; Department of Epidemiology and Biostatistics, College of Public Health, East Tennessee State University, Johnson City, USA., Magacha HM; Department of Epidemiology and Biostatistics, College of Public Health, East Tennessee State University, Johnson City, USA., Nwaneki CM; Department of Epidemiology and Biostatistics, College of Public Health, East Tennessee State University, Johnson City, USA., Nduka TC; Department of Medicine, Kharkiv National Medical University, Kharkiv, UKR. |
المصدر: | Cureus [Cureus] 2023 Jul 25; Vol. 15 (7), pp. e42456. Date of Electronic Publication: 2023 Jul 25 (Print Publication: 2023). |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: Palo Alto, CA : Cureus, Inc. |
مستخلص: | Introduction Tobacco smoking remains one of the leading causes of morbidity and mortality globally and in the United States (USA). We hypothesize that US-born naturals have higher odds of tobacco smoking compared to their foreign-born counterparts, and our study aims to assess the relationship between nativity status and odds of tobacco smoking using a nationally representative sample. Methods We utilized the Health Information National Trends Survey (HINTS) 5 Cycle 1 (2017) and Cycle 2 (2018) for this study. Our main outcome variable was smoking status divided as ever smoker and never smoker. The main predictor was US birth status. We controlled for sociodemographic characteristics such as age, race, gender, educational status, and marital status. We performed weighted descriptive statistics and bivariate analysis with chi-square for our variables. Unadjusted and adjusted logistic regression was used to ascertain the odds of our outcome given our predictor. Significance was set at 95% confidence, and the alpha level was set to 0.05. All analyses were performed using SAS version 9.4 (SAS Institute Inc., Cary, NC, USA). Results Our final sample consisted of 5,677 individuals (weighted: 429,613,693). Of our sample, 36.89% were ever smokers, females were 50.73%, and the majority (57.90%) were high school graduates. In terms of nativity status, those born in the USA were 85.65%, while the non-US-born population was 14.35%. After adjusting for confounders, we found that non-US-born respondents had 42% lower odds of being ever smokers compared to their US-born counterparts (adjusted odds ratio (AOR) = 0.576; 95% confidence interval (CI) = 0.388-0.854; P = 0.0062). Females were 24% less likely to be ever smokers compared to males (AOR = 0.758; 95% CI = 0.644-0.893; P = 0.0010). Having a bachelor's degree or a graduate degree was associated with 42% and 53% lower odds of being ever smokers compared to high school graduates (AOR = 0.583; 95% CI = 0.474-0.717; P < 0.0001) (AOR = 0.471; 95% CI = 0.377-0.588; P < 0.0001). Whites had 97% higher odds of being ever smokers compared to Hispanics (AOR = 1.977; 95% CI = 1.459-2.679; P < 0.0001). Conclusion Our finding of lower odds of tobacco use among foreign-born nationals compared to US-born nationals is consistent with previous studies and suggests the need for equity in tobacco use prevention between the two populations assessed in our study. This is poised to improve overall tobacco use burden, morbidity, and mortality. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Nriagu et al.) |
References: | Nicotine Tob Res. 2016 Apr;18 Suppl 1:S88-90. (PMID: 26980869) Psychol Health. 2017 Aug;32(8):1018-1036. (PMID: 28553727) Clin Respir J. 2022 Mar;16(3):208-215. (PMID: 35060332) Malays J Econ Studies. 2014;51(1):69-85. (PMID: 25620887) J Epidemiol. 2020 Mar 5;30(3):136-142. (PMID: 30828035) BMC Public Health. 2022 Jun 6;22(1):1133. (PMID: 35668426) J Addict. 2018 Oct 24;2018:8081670. (PMID: 30473903) MMWR Morb Mortal Wkly Rep. 2022 Mar 18;71(11):397-405. (PMID: 35298455) PLoS One. 2023 Feb 10;18(2):e0279442. (PMID: 36763672) Psychiatry Res. 2007 May 30;151(1-2):115-22. (PMID: 17363072) Am J Prev Med. 2023 Apr;64(4 Suppl 1):S22-S31. (PMID: 36935129) Nicotine Tob Res. 2008 Apr;10(4):579-87. (PMID: 18418780) Tob Prev Cessat. 2017 Mar 02;3:7. (PMID: 32432182) SSM Popul Health. 2017 Feb 07;3:305-317. (PMID: 29349225) Ethn Dis. 2022 Apr 21;32(2):75-80. (PMID: 35497393) |
فهرسة مساهمة: | Keywords: education level; nativity ; race inequities; racial disparity; socioeconomic factors; tobacco cessation; tobacco control policy; tobacco use |
تواريخ الأحداث: | Date Created: 20230828 Latest Revision: 20230829 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC10449650 |
DOI: | 10.7759/cureus.42456 |
PMID: | 37637619 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2168-8184 |
---|---|
DOI: | 10.7759/cureus.42456 |