Division of Intramural Research, National Institute on Minority Health and Health Disparities, Building 3 Room 5W05, 9000 Rockville Pike, Bethesda, MD, 20892, USA.
National Institutes of Health Office of the Director, Bethesda, MD, USA.
J Immigr Minor Health. 2019 Oct;21(5):1185-1189. doi: 10.1007/s10903-019-00865-x.
Heterogeneity in tobacco-use behaviors among U.S. blacks by global region of origin and age at immigration was examined. Self-identified black participants from the 2006-2015 Tobacco Use Supplement to the Current Population Survey were included (n = 47,857). Countries of origin were classified by global regions (U.S., Africa, Europe, West Indies). Multivariable logistic regression models, adjusted for sociodemographic characteristics, were used to examine the association of global region of origin and age at immigration with tobacco-use behaviors. Prevalence of current cigarette smoking among U.S. blacks varied significantly by global region of origin (U.S.-born = 17.4%, Europe-born = 17.7%, Africa-born = 4.7%, West-Indies-born = 4.9%; p < 0.01). Furthermore, foreign-born blacks were less likely than U.S.-born blacks to smoke menthol flavored cigarettes (p < 0.05). Participants who immigrated to the U.S. at ≥ 13 years old were less likely than U.S.-born blacks to start regular smoking as minor (p < 0.05). Tobacco-use behaviors differ by global region of origin and age at immigration in the U.S. black population.
本研究旨在探究美国黑人的烟草使用行为在全球原籍地区和移民年龄上的异质性。本研究纳入了 2006 年至 2015 年《当前人口调查》烟草使用补充调查中自我认定为黑人的参与者(n=47857)。根据全球区域(美国、非洲、欧洲、西印度群岛)对原籍国进行分类。采用多变量逻辑回归模型,调整了社会人口特征,以检验原籍国的全球区域和移民年龄与烟草使用行为之间的关联。美国黑人当前吸烟的流行率因原籍国的全球区域而异(美国出生者为 17.4%,欧洲出生者为 17.7%,非洲出生者为 4.7%,西印度群岛出生者为 4.9%;p<0.01)。此外,与美国出生的黑人相比,外国出生的黑人不太可能吸食薄荷醇香烟(p<0.05)。移民到美国时年龄≥13 岁的参与者比美国出生的黑人更不可能在未成年时开始定期吸烟(p<0.05)。在美国黑人中,烟草使用行为因原籍国的全球区域和移民年龄而异。