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Differences among factors associated with tobacco product use among Black and White adolescents: A cross-sectional analysis of wave one of the PATH study 2013–2014
INTRODUCTION: Tobacco use remains a primary cause of health disparities between Black and White Americans. Current approaches have not improved tobacco-related racial health disparities. This study aimed to identify differences in factors associated with tobacco product use among Black and White ado...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
European Publishing on behalf of the International Society for the Prevention of Tobacco Induced Diseases (ISPTID)
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158815/ https://www.ncbi.nlm.nih.gov/pubmed/37153727 http://dx.doi.org/10.18332/tid/161932 |
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author | Espinosa, Adriana Conway, Fiona N. Ruglass, Lesia M. Sheffer, Christine E. |
author_facet | Espinosa, Adriana Conway, Fiona N. Ruglass, Lesia M. Sheffer, Christine E. |
author_sort | Espinosa, Adriana |
collection | PubMed |
description | INTRODUCTION: Tobacco use remains a primary cause of health disparities between Black and White Americans. Current approaches have not improved tobacco-related racial health disparities. This study aimed to identify differences in factors associated with tobacco product use among Black and White adolescents. METHODS: This cross-sectional design used data from Wave One (2013–2014) of the Population Assessment of Tobacco and Health Study. Adolescents aged 12–17 years who identified as non-Hispanic Black or African American (n=1800) or non-Hispanic White (n=6495) were included. Primary outcomes were the ever use and current use of any tobacco products. Sociocultural, household environment, psychological, and behavioral factors were included. Logistic regressions, stratified by race, were used to determine significance. Dominance analysis was used to rank significant factors by their level of importance. RESULTS: Although there were many Black–White commonalities, there were also important differences. Black adolescents in the Northeast were more likely to have ever used tobacco compared to those in the South (OR=0.6; 95% CI: 0.6–0.7, p<0.001) and Midwest (OR=0.6; 95% CI: 0.5–0.7, p<0.001). White adolescents in the Northeast were less likely to use tobacco products than in other regions. Peer influences (OR=1.9; 95% CI: 1.1–3.2, p<0.05) were uniquely associated with ever use among Black adolescents. Access to tobacco in the home (OR=2.0; 95% CI: 1.4–3.0, p<0.001) and thinking that tobacco use would help reduce stress (OR=1.3; 95% CI: 1.1–1.6, p<0.01) were uniquely associated with current use among Black adolescents. CONCLUSIONS: There are significant Black–White differences in the factors associated with tobacco use. Factors uniquely associated with Black adolescent tobacco use should be considered in developing strategies to prevent adolescent tobacco use in Black communities. |
format | Online Article Text |
id | pubmed-10158815 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | European Publishing on behalf of the International Society for the Prevention of Tobacco Induced Diseases (ISPTID) |
record_format | MEDLINE/PubMed |
spelling | pubmed-101588152023-05-05 Differences among factors associated with tobacco product use among Black and White adolescents: A cross-sectional analysis of wave one of the PATH study 2013–2014 Espinosa, Adriana Conway, Fiona N. Ruglass, Lesia M. Sheffer, Christine E. Tob Induc Dis Research Paper INTRODUCTION: Tobacco use remains a primary cause of health disparities between Black and White Americans. Current approaches have not improved tobacco-related racial health disparities. This study aimed to identify differences in factors associated with tobacco product use among Black and White adolescents. METHODS: This cross-sectional design used data from Wave One (2013–2014) of the Population Assessment of Tobacco and Health Study. Adolescents aged 12–17 years who identified as non-Hispanic Black or African American (n=1800) or non-Hispanic White (n=6495) were included. Primary outcomes were the ever use and current use of any tobacco products. Sociocultural, household environment, psychological, and behavioral factors were included. Logistic regressions, stratified by race, were used to determine significance. Dominance analysis was used to rank significant factors by their level of importance. RESULTS: Although there were many Black–White commonalities, there were also important differences. Black adolescents in the Northeast were more likely to have ever used tobacco compared to those in the South (OR=0.6; 95% CI: 0.6–0.7, p<0.001) and Midwest (OR=0.6; 95% CI: 0.5–0.7, p<0.001). White adolescents in the Northeast were less likely to use tobacco products than in other regions. Peer influences (OR=1.9; 95% CI: 1.1–3.2, p<0.05) were uniquely associated with ever use among Black adolescents. Access to tobacco in the home (OR=2.0; 95% CI: 1.4–3.0, p<0.001) and thinking that tobacco use would help reduce stress (OR=1.3; 95% CI: 1.1–1.6, p<0.01) were uniquely associated with current use among Black adolescents. CONCLUSIONS: There are significant Black–White differences in the factors associated with tobacco use. Factors uniquely associated with Black adolescent tobacco use should be considered in developing strategies to prevent adolescent tobacco use in Black communities. European Publishing on behalf of the International Society for the Prevention of Tobacco Induced Diseases (ISPTID) 2023-05-05 /pmc/articles/PMC10158815/ /pubmed/37153727 http://dx.doi.org/10.18332/tid/161932 Text en © 2023 Espinosa A. et al. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License. |
spellingShingle | Research Paper Espinosa, Adriana Conway, Fiona N. Ruglass, Lesia M. Sheffer, Christine E. Differences among factors associated with tobacco product use among Black and White adolescents: A cross-sectional analysis of wave one of the PATH study 2013–2014 |
title | Differences among factors associated with tobacco product use among Black and White adolescents: A cross-sectional analysis of wave one of the PATH study 2013–2014 |
title_full | Differences among factors associated with tobacco product use among Black and White adolescents: A cross-sectional analysis of wave one of the PATH study 2013–2014 |
title_fullStr | Differences among factors associated with tobacco product use among Black and White adolescents: A cross-sectional analysis of wave one of the PATH study 2013–2014 |
title_full_unstemmed | Differences among factors associated with tobacco product use among Black and White adolescents: A cross-sectional analysis of wave one of the PATH study 2013–2014 |
title_short | Differences among factors associated with tobacco product use among Black and White adolescents: A cross-sectional analysis of wave one of the PATH study 2013–2014 |
title_sort | differences among factors associated with tobacco product use among black and white adolescents: a cross-sectional analysis of wave one of the path study 2013–2014 |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158815/ https://www.ncbi.nlm.nih.gov/pubmed/37153727 http://dx.doi.org/10.18332/tid/161932 |
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