Moving toward a true depiction of tobacco behavior among Asian Indians in California: Prevalence and factors associated with cultural smokeless tobacco product use

BACKGROUND Asian Indians (AIs) in the United States exhibit disproportionate burdens of oral cancer and cardiovascular disease, which are potentially linked to smokeless tobacco. However, little is known about the use of cultural smokeless tobacco (CST) products in this population. METHODS Californi...

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Vydáno v:Cancer Ročník 124; číslo S7; s. 1607 - 1613
Hlavní autoři: Mukherjea, Arnab, Modayil, Mary V., Tong, Elisa K.
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Wiley Subscription Services, Inc 01.04.2018
Témata:
Acculturation
Adolescent
Adult
Asian - psychology
Asian - statistics & numerical data
Asian Indian Americans
California
California - epidemiology
Cancer
cancer disparities
Cardiovascular diseases
Cigarette smoking
Confidence intervals
Cultural factors
culture
epidemiology
Female
Follow-Up Studies
Health Behavior
Health care
Health risk assessment
Humans
Male
Middle Aged
Oncology
Oral cancer
oral tobacco
Prognosis
Smokers - psychology
Smoking
Smoking - ethnology
Socioeconomic factors
Socioeconomics
Statistical analysis
Surveys and Questionnaires
Tobacco
Tobacco Use Disorder - epidemiology
Tobacco Use Disorder - psychology
Tobacco, Smokeless - statistics & numerical data
Young Adult
California
United States > US
epidemiology
Asian Indian Americans
California
culture
oral tobacco
cancer disparities
ISSN:0008-543X, 1097-0142, 1097-0142
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Shrnutí:BACKGROUND Asian Indians (AIs) in the United States exhibit disproportionate burdens of oral cancer and cardiovascular disease, which are potentially linked to smokeless tobacco. However, little is known about the use of cultural smokeless tobacco (CST) products in this population. METHODS California Asian Indian Tobacco Use Survey data from 2004 (n = 1618) were used to investigate CST prevalence among California's AIs. CST products included paan, paan masala, and gutka. A multivariable logistic regression was conducted to examine factors (socioeconomic status, acculturation measures, and religious affiliation) associated with current CST use versus never use. RESULTS The current CST prevalence was 13.0% (14.0% for men and 11.8% for women). In contrast, the prevalence of current cigarette use was 5.5% (8.7% for men and 1.9% for women), and the prevalence was lower for cultural smoked tobacco (0.1% for bidis and 0.5% for hookahs). Factors associated with CST use included the following: being male, being 50 years old or older, being an immigrant, speaking an AI language at home, having a higher level of education (adjusted odds ratio [AOR] for high school/some college, 2.6; 95% confidence interval [CI], 1.1‐6.5; AOR for college degree or higher, 4.0; 95% CI, 1.7‐9.5), having a higher income (AOR for $75,000‐$100,000, 2.5; 95% CI, 1.3‐4.7; AOR for ≥$100,000, 2.6; 95% CI, 1.4‐5.0), identifying as non‐Sikh (AOR for Hinduism, 10.0; 95% CI, 6.0‐16.5; AOR for other faiths, 10.2; 95% CI, 5.9‐17.7), and disagreeing that spiritual beliefs are the foundation of life (AOR, 2.1; 95% CI, 1.2‐3.5). CONCLUSIONS The current CST prevalence is relatively high among California's AIs in comparison with the prevalence of smoking, with narrower differences between sexes. The association with a higher socioeconomic status is contrary to typical cigarette smoking patterns. Acculturation and religious affiliation are important factors associated with current use. Health care providers and policymakers should consider such determinants for targeted interventions. Cancer 2018;124:1607‐13. © 2018 American Cancer Society. A unique population‐based statewide survey (the California Asian Indian Tobacco Use Survey) has been used to investigate the prevalence and correlates of cultural smokeless tobacco products (paan, paan masala, and gutka) in California's rapidly growing Asian Indian population. The results indicate a considerably higher prevalence of cultural smokeless tobacco, in comparison with cigarette use, among both men and women and an association with a higher socioeconomic status.
Bibliografie:This supplement was funded in part through a cooperative agreement grant funded by the National Cancer Institute's Center to Reduce Cancer Health Disparities under grant 3U54 CA153499.
The articles in this Supplement were presented at the National Center on Reducing Asian American Cancer Health Disparities (also known as the “Asian American Network for Cancer Awareness, Research, and Training–AANCART”) meeting held in August 2017. The organizational entities that comprise AANCART included the University of California, Davis Comprehensive Cancer Center (Lead); University of California, San Francisco; University of California, Los Angeles; University of Hawaii; Chinese Community Health Organization; and Hmong Women's Heritage Association.
The views in this Supplement are those of the authors and do not necessarily reflect the opinions of the American Cancer Society, John Wiley & Sons, Inc., or the National Cancer Institute.
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ISSN:0008-543X
1097-0142
1097-0142
DOI:10.1002/cncr.31102