Caraballo Ralph S, Sharapova Saida R, Asman Katherine J
Office on Smoking and Health, National Center for Chronic Disease and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA;
Biostatistics and Epidemiology Division, RTI International, Atlanta, GA.
Nicotine Tob Res. 2016 Apr;18 Suppl 1(Suppl 1):S41-8. doi: 10.1093/ntr/ntv150.
For years, national US surveys have found a lower prevalence of cigarette smoking among non-Hispanic (NH) black adolescents and young adults than their NH white counterparts while finding either similar or higher prevalence in NH blacks among older adults. We present results from four US surveys, including one supplemented by cotinine data, to determine if a race-gender-age crossover effect exists between NH black and NH white current cigarette smokers.
We present NH black and NH white current cigarette smoking estimates in the National Youth Tobacco Survey (2004-2013), National Survey on Drug Use and Health (2002-2013), National Health Interview Survey (2001-2013), and National Health and Nutrition Examination Survey (2001-2012).
All surveys consistently found that NH black females aged 12-25 years had a lower smoking prevalence than NH white females of the same age while NH black males aged 26 years or older had a higher smoking prevalence than NH white males of the same age. Results were inconsistent between surveys for current smoking estimates for males 12-25 years and females aged 26 years or older.
Our results are inconclusive in consistently detecting the existence of a race-gender-age crossover effect for current cigarette smoking between NH blacks and NH whites. National birth cohort studies are better suited to detect a race-gender-age crossover effect in smoking prevalence between these two racial groups.
多年来，美国全国性调查发现，非西班牙裔（NH）黑人青少年和年轻人的吸烟率低于同龄的NH白人，而在老年人中，NH黑人的吸烟率与之相似或更高。我们展示了四项美国调查的结果，其中一项补充了可替宁数据，以确定NH黑人和NH白人当前吸烟者之间是否存在种族 - 性别 - 年龄交叉效应。
我们展示了全国青少年烟草调查（2004 - 2013年）、全国药物使用和健康调查（2002 - 2013年）、全国健康访谈调查（2001 - 2013年）以及全国健康和营养检查调查（2001 - 2012年）中NH黑人和NH白人当前吸烟的估计数据。
所有调查一致发现，12 - 25岁的NH黑人女性吸烟率低于同龄的NH白人女性，而26岁及以上的NH黑人男性吸烟率高于同龄的NH白人男性。对于12 - 25岁男性和26岁及以上女性当前吸烟的估计，各调查结果不一致。
我们的结果在一致检测NH黑人和NH白人当前吸烟的种族 - 性别 - 年龄交叉效应的存在方面尚无定论。全国出生队列研究更适合检测这两个种族群体吸烟率的种族 - 性别 - 年龄交叉效应。
