• Preventive medicine · Oct 2016

    Comparative Study

    Tobacco use disparities by racial/ethnic groups: California compared to the United States.

    • SakumaKari-Lyn KKKOregon State University, College of Public Health and Human Sciences, School of Social and Behavioral Health Sciences, Corvallis, OR, United States. Electronic address: karilyn.sakuma@oregonstate.edu., Jamie Quibol Felicitas-Perkins, Lyzette Blanco, Pebbles Fagan, Eliseo J Pérez-Stable, Kim Pulvers, Devan Romero, and Dennis R Trinidad.
    • Oregon State University, College of Public Health and Human Sciences, School of Social and Behavioral Health Sciences, Corvallis, OR, United States. Electronic address: karilyn.sakuma@oregonstate.edu.
    • Prev Med. 2016 Oct 1; 91: 224-232.

    AbstractRacial/ethnic disparities in cigarette use and cessation persist. This study compared cigarette consumption and former smoking trends in California (CA) with the rest of the United States (US) by racial/ethnic categories of non-Hispanic White, Black, Hispanic/Latino, and Asian/Pacific Islander groups. Data were analyzed from the 1992 to 2011 Tobacco Use Supplement to the Current Population Survey. Consumption levels across decades were examined and adjusted logistic regression models were fit to compare across CA and US. Results indicated steady declines in ever smoking prevalence for all groups with much lower magnitudes of change among US Blacks and Whites compared to their CA counterparts. After controlling for age, gender, and education, CA had significantly fewer heavy smokers (OR=0.45, 95% CI:0.38-0.54), more light and intermittent smokers (LITS; OR=1.68, 95%CI: 1.45-1.93), and a greater proportion of former smokers (OR=1.35, 95%CI: 1.24-1.48) than the rest of US. Data were stratified by race/ethnicity and the patterns shown were mostly consistent with CA performing statistically better than their US counterparts with the exception of Black LITS and Asian/Pacific Islander former smokers. California's success in reducing tobacco use disparities may serve as a prime example of tobacco control policy for the country. CA and the US will need to continue to address tobacco use and cessation in the context of the growing diversity of the population.Copyright © 2016 Elsevier Inc. All rights reserved.

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