Smoking prevalence among Asian Americans: Associations with education, acculturation, and gender
There is evidence that smoking prevalence rates are related to acculturation, education, and gender among Asian Americans. However, no studies have examined how smoking rates among Asian Americans vary based on acculturation, education, and gender together. This study used National Health Interview...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335522003424 |
| _version_ | 1797985279288541184 |
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| author | Chaelin K. Ra Nazife Pehlivan Ho Kim Steve Sussman Jennifer B. Unger Michael S. Businelle |
| author_facet | Chaelin K. Ra Nazife Pehlivan Ho Kim Steve Sussman Jennifer B. Unger Michael S. Businelle |
| author_sort | Chaelin K. Ra |
| collection | DOAJ |
| description | There is evidence that smoking prevalence rates are related to acculturation, education, and gender among Asian Americans. However, no studies have examined how smoking rates among Asian Americans vary based on acculturation, education, and gender together. This study used National Health Interview Survey (NHIS) data (2010–2018) to examine cigarette smoking prevalence among Asian American men and women aged 18 and older (N = 14,680). Multivariate logistic regression models were used to estimate associations between educational attainment (i.e., college graduate or higher vs some college or lower), years spent in the United States (U.S.) as a proxy for acculturation (i.e., less than 10 years (less acculturated) vs 10 years or more (more acculturated) vs U.S.-born), and cigarette smoking prevalence across gender controlling for age, marital status, poverty (at/above vs below poverty threshold), country of origin (Chinese vs Filipino vs Asian Indian vs Other Asian), and the survey year. Current smoking prevalence was 9.0 % among all Asian Americans − 5.0 % among women and 13.5 % among men. Among respective gender-specific subgroups, U.S.-born Asian women without a college degree and more acculturated Asian immigrant men without a college degree had the highest odds of smoking (OR: 4.096 [95 % CI: 2.638, 6.360] and 1.462 [95 % CI: 1.197, 1.774], respectively). Findings indicated that less educated U.S.-born Asian women and less educated Asian immigrant men are at greatest risk for smoking. Smoking prevalence among Asian Americans is highly related to acculturation, education, and gender. Findings may inform development of policies and programs that are targeted toward smoking cessation among Asian Americans. |
| first_indexed | 2024-04-11T07:14:36Z |
| format | Article |
| id | doaj.art-6430fd0bb4d34b93a858e84adaff1cb6 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-04-11T07:14:36Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-6430fd0bb4d34b93a858e84adaff1cb62022-12-22T04:38:02ZengElsevierPreventive Medicine Reports2211-33552022-12-0130102035Smoking prevalence among Asian Americans: Associations with education, acculturation, and genderChaelin K. Ra0Nazife Pehlivan1Ho Kim2Steve Sussman3Jennifer B. Unger4Michael S. Businelle5Rutgers Cancer Institute of New Jersey, Division of Medical Oncology, Robert Wood Johnson Medical School, Rutgers University, NJ, United States; TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States; Corresponding author.Graduate School of Public Health, Department of Public Health, Seoul National University, Seoul, South KoreaGraduate School of Public Health, Department of Public Health, Seoul National University, Seoul, South KoreaPopulation and Public Health Sciences, Keck School of Medicine, University of Southern California, CA, United StatesPopulation and Public Health Sciences, Keck School of Medicine, University of Southern California, CA, United StatesTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States; Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesThere is evidence that smoking prevalence rates are related to acculturation, education, and gender among Asian Americans. However, no studies have examined how smoking rates among Asian Americans vary based on acculturation, education, and gender together. This study used National Health Interview Survey (NHIS) data (2010–2018) to examine cigarette smoking prevalence among Asian American men and women aged 18 and older (N = 14,680). Multivariate logistic regression models were used to estimate associations between educational attainment (i.e., college graduate or higher vs some college or lower), years spent in the United States (U.S.) as a proxy for acculturation (i.e., less than 10 years (less acculturated) vs 10 years or more (more acculturated) vs U.S.-born), and cigarette smoking prevalence across gender controlling for age, marital status, poverty (at/above vs below poverty threshold), country of origin (Chinese vs Filipino vs Asian Indian vs Other Asian), and the survey year. Current smoking prevalence was 9.0 % among all Asian Americans − 5.0 % among women and 13.5 % among men. Among respective gender-specific subgroups, U.S.-born Asian women without a college degree and more acculturated Asian immigrant men without a college degree had the highest odds of smoking (OR: 4.096 [95 % CI: 2.638, 6.360] and 1.462 [95 % CI: 1.197, 1.774], respectively). Findings indicated that less educated U.S.-born Asian women and less educated Asian immigrant men are at greatest risk for smoking. Smoking prevalence among Asian Americans is highly related to acculturation, education, and gender. Findings may inform development of policies and programs that are targeted toward smoking cessation among Asian Americans.http://www.sciencedirect.com/science/article/pii/S2211335522003424Asian AmericanSmokingAcculturationGender differences |
| spellingShingle | Chaelin K. Ra Nazife Pehlivan Ho Kim Steve Sussman Jennifer B. Unger Michael S. Businelle Smoking prevalence among Asian Americans: Associations with education, acculturation, and gender Preventive Medicine Reports Asian American Smoking Acculturation Gender differences |
| title | Smoking prevalence among Asian Americans: Associations with education, acculturation, and gender |
| title_full | Smoking prevalence among Asian Americans: Associations with education, acculturation, and gender |
| title_fullStr | Smoking prevalence among Asian Americans: Associations with education, acculturation, and gender |
| title_full_unstemmed | Smoking prevalence among Asian Americans: Associations with education, acculturation, and gender |
| title_short | Smoking prevalence among Asian Americans: Associations with education, acculturation, and gender |
| title_sort | smoking prevalence among asian americans associations with education acculturation and gender |
| topic | Asian American Smoking Acculturation Gender differences |
| url | http://www.sciencedirect.com/science/article/pii/S2211335522003424 |
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