Race and Tobacco Use: A Global Perspective

Agaku, Israel; Caixeta, Roberta; Souza, Mírian Carvalho de; Blanco, Adriana; Hennis, Anselm

doi:10.1093/ntr/ntv225

Cited by 7 publications

(3 citation statements)

References 4 publications

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“…The recommendations may not all be applicable outside the USA because of unique tobacco control contexts and other cultural, economic and health system differences across countries 32. The recommendations are most relevant to countries like the USA with histories of colonisation and racial health inequities associated with that history 33. The USA is also a high-income country with a history of state and national tobacco control programmes 34.…”

Section: Recommendationsmentioning

confidence: 99%

Recommendations to advance equity in tobacco control

et al. 2022

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Reducing racial and socioeconomic inequities in smoking has been declared a priority for tobacco control in the USA for several decades. Yet despite the rhetoric, these inequities persist and some have actually worsened over time. Although tobacco companies have targeted racially and ethnically diverse and lower-income tobacco users, which substantially contributes to these disparities, less attention has been given to the role of individuals and organisations within the tobacco control movement who have allowed progress in eliminating disparities to stagnate. We examine the failure of tobacco control professionals to ensure the widespread adoption of equity-focused tobacco control strategies. Review of major US tobacco control reports found that the focus on equity often stops after describing inequities in tobacco use. We suggest ways to advance equity in tobacco control in the USA. These recommendations fall across five categories: surveillance, interventions, funding, accountability and addressing root causes. Policy interventions that will have a pro-equity impact on smoking and related disease should be prioritised. Funding should be designated to tobacco control activities focused on eliminating racial and socioeconomic inequities in smoking, and tobacco control programmes should be held accountable for meeting equity-related goals.

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Section: Recommendationsmentioning

confidence: 99%

Recommendations to advance equity in tobacco control

et al. 2022

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“…Most studies have identified factors related to tobacco use among adults globally and characterized them into social factors (norms of the society), environmental factors (advertising), cultural factors (acculturation and history of the tobacco industry in the community), and individual factors [8][9][10][11]. However, there is an overwhelming body of evidence on the prevalent role of socioeconomic factors such as low-income levels, social class, lack of academic education, and inequities in tobacco control policies on the continued use of tobacco products [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Nativity Status Predicts Tobacco Use: A Comparative Analysis of US-Born and Foreign-Born Adults From the Health Information National Trends Survey (HINTS)

Nriagu,

Okeke,

Anazor

et al. 2023

Cureus

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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.

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“…This special issue of Nicotine & Tobacco Research has been commissioned by the Office on Smoking and Health of the US Centers for Disease Control and Prevention to improve our understanding of the unique patterns of smoking behaviors among AAs, relative to whites. Seven original investigations, 12,[15][16][17][18][19][20] two brief reports, 21,22 one review article, 23 and two commentaries 24,25 provide useful information and perspectives on a wide range of topics that advance the science base in important ways. Here, we highlight some of the many advances made by the articles in this supplement, followed by elucidation of important research needs and of significant opportunities for disease prevention and health promotion among AAs.…”

mentioning

confidence: 99%

Understanding Tobacco Use Behaviors Among African Americans: Progress, Critical Gaps, and Opportunities

Giovino

Gardiner²

2016

NICTOB

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Further research on multiple topics, including the continuation of use among ever users, use of multiple combusted and noncombusted products, provision of cessation support services, influence of discrimination, and validity of self-report would expand the science base. Strategies to reduce the marketing and availability of menthol and other characterizing flavorings and to enrich environments would promote the public's health.

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Race and Tobacco Use: A Global Perspective

Cited by 7 publications

References 4 publications

Recommendations to advance equity in tobacco control

Recommendations to advance equity in tobacco control

Nativity Status Predicts Tobacco Use: A Comparative Analysis of US-Born and Foreign-Born Adults From the Health Information National Trends Survey (HINTS)

Understanding Tobacco Use Behaviors Among African Americans: Progress, Critical Gaps, and Opportunities

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