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Heterogeneity in Current Cigarette Smoking among Hispanic/Latino Heritage Groups in New York City, 2003-2016

2020; Ethnicity & Disease, Inc.; Volume: 30; Issue: 1 Linguagem: Inglês

10.18865/ed.30.1.97

1945-0826

Julia Sisti, John Jasek, Shannon M. Farley,

Global Cancer Incidence and Screening

Objectives: We assessed differences in trends, prevalence, and sociodemographic correlates of current smoking among several predominant Hispanic/Latino heritage groups (Puerto Ricans, Dominicans, Central and South Americans, and other Hispanic/ Latinos) in New York City (NYC). We ad­ditionally compared current smoking prevalence between heritage groups and non-Hispanic/Latino Whites.Design and Methods: Data from the Com­munity Health Survey, a representative, dual-frame landline/cellphone survey, were analyzed to assess age-adjusted prevalence of current smoking, separately among heritage groups from 2003-2016. Logis­tic regression was used to estimate odds ratios and 95% CIs for current smoking by Hispanic/Latino heritage group relative to non-Hispanic/Latino Whites in combined 2012-2016 data. Logistic regression was also used to examine correlates of smoking among each heritage group, separately.Results: Between 2003-2016, current smoking prevalence decreased among all Hispanic/Latinos heritage groups except Puerto Ricans, who had the highest smok­ing prevalence among all groups exam­ined. Sex-stratified trend analyses showed decreases among all groups except Puerto Rican and other Hispanic/Latino males. In multivariable-adjusted models, relative to non-Hispanic/Latino Whites, there was no association with current smoking among Puerto Ricans, but odds of smoking were lower among all other heritage groups. Fe­male sex was inversely associated with cur­rent smoking among all heritage groups, and acculturation was positively associated with smoking among all groups except Central/ South Americans. Lower educational attain­ment was strongly associated with smoking among Puerto Ricans.Conclusions: Lack of progress in reduc­ing smoking among Puerto Ricans in NYC is concerning. Opportunities for cultural, sex-specific, and other targeted outreach to this community should be explored.Ethn Dis. 2019;30(1):97-108; doi:10.18865/ed.30.1.97