Disaggregating Asian American Cigarette and Alternative Tobacco Product Use: Results from the National Health Interview Survey (NHIS) 2006–2018

Introduction Asian Americans suffer high rates of smoking and tobacco-related deaths, varying by ethnic group. Trends of cigarette and alternative tobacco product use among Asian Americans, specifically considering ethnic group, sex, and nativity, are infrequently reported. Methods Using National He...

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Bibliographic Details
Published in:Journal of Racial and Ethnic Health Disparities Vol. 9; no. 3; pp. 856 - 864
Main Authors: Rao, Manaeha, Bar, Lilly, Yu, Yunnan, Srinivasan, Malathi, Mukherjea, Arnab, Li, Jiang, Chung, Sukyung, Venkatraman, Siddharth, Dan, Shozen, Palaniappan, Latha
Format: Journal Article
Language:English
Published: Cham Springer Science and Business Media LLC 01.06.2022
Springer International Publishing
Springer Nature B.V
Subjects:
Adult
Adults
Alternatives
Asian
Asian Americans
Cardiovascular disease
Cigarettes
Cigars
Cultural factors
Deaths
Demography
Electronic cigarettes
Electronic Nicotine Delivery Systems
Epidemiology
Ethnic groups
Ethnicity
Family income
Female
Gender
Gender differences
Health services
Humans
Interviews
Male
Marginalized groups
Medicine
Medicine & Public Health
Minority & ethnic groups
Pacific Islander people
Philippino
Pipes
Polls & surveys
Quality of Life Research
Smoking
Smoking - epidemiology
Social Inequality
Social Structure
Socioeconomic factors
Southeast Asian cultural groups
Surveys
Tobacco
Tobacco industry
Tobacco Products
Tobacco Use
United States
United States - epidemiology
Womens health
United States
United States > US
E-cigarettes
Tobacco
National Health Interview Survey
Asian American
Smoking
ISSN:2197-3792, 2196-8837, 2196-8837
Online Access:Get full text
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Summary:Introduction Asian Americans suffer high rates of smoking and tobacco-related deaths, varying by ethnic group. Trends of cigarette and alternative tobacco product use among Asian Americans, specifically considering ethnic group, sex, and nativity, are infrequently reported. Methods Using National Health Interview Survey (NHIS) data from 2006–2018 and the 2016–2018 alternative tobacco supplement (e-cigarettes, cigars, smokeless tobacco, pipes), we explored cigarette and alternative tobacco product use by Asian ethnic group (Asian Indian ( n = 4373), Chinese ( n = 4736), Filipino ( n = 4912)) in comparison to non-Hispanic Whites (NHWs ( n = 275,025)), adjusting for socioeconomic and demographic factors. Results Among 289,046 adults, 12% of Filipinos were current smokers, twice the prevalence in Asian Indians and Chinese ( p < 0.001). The male–female gender difference was fivefold for Chinese (10.3% vs. 2.2%; p < 0.001), eightfold for Asian Indians (8.7% vs. 1.1%; p < 0.001), and twofold for Filipinos (16.8% vs. 9.0%). Moreover, 16.3% of US-born and 10.3% of foreign-born Filipinos were current smokers. Odds of ever using e-cigarettes, cigars, smokeless tobacco, and pipes in comparison to NHWs were lowest for Chinese (ORs 0.6, 0.5, 0.2, and 0.5). Discussion Filipinos had the highest current smoking rates of Asian ethnic groups. Though more Asian men were current smokers, the high rate of current smoking among Filipinas is concerning. More US-born Filipinos were current smokers than foreign-born, despite rates typically decreasing for US-born Asians. Investigating cultural factors contributing to less frequent use of tobacco products, such as alternative tobacco products among Chinese, may aid campaigns in curbing tobacco usage.
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ISSN:2197-3792
2196-8837
2196-8837
DOI:10.1007/s40615-021-01024-5