非香烟烟草广告和种族歧视与黑人成年人使用非香烟烟草产品之间的关联。
Association of Non-Cigarette Tobacco Advertisements and Racial Discrimination With Non-Cigarette Tobacco Product Use Among Black Adults.
机构信息
Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Institute for Collaboration on Health, Intervention, and Policy, University of Connecticut, Storrs, Connecticut, USA.
出版信息
Nicotine Tob Res. 2023 Mar 22;25(4):781-787. doi: 10.1093/ntr/ntac226.
INTRODUCTION
Black communities are targeted by more cigarette advertisements than White communities and racial discrimination among Black people is related to cigarette use. However, little is known about these factors with non-cigarette tobacco product use among Black adults. Therefore, this study assessed the association of non-cigarette advertisement exposure and racial discrimination with use of non-cigarette tobacco products among Black adults.
AIMS AND METHODS
Black adults (n = 533) from The Family and Community Health Study in 2016 were asked if they had seen advertisements for e-cigarettes, snus pouches, filtered cigars, large cigars, cigarillos, dissolvable tobacco, smokeless tobacco, hookah, and tobacco pipe and if they used these in the past month. For products with the highest past month use and significant correlations with advertisement exposure, separate logistic regression models were performed that evaluated the association between advertisement exposure, racial discrimination, and non-cigarette tobacco product use while controlling for cigarette use, sex, socioeconomic status, and age.
RESULTS
Use of cigarillos, large cigars, and hookah were higher than other non-cigarette tobacco products assessed. Logistic regressions revealed that more advertisement exposure in the past month was associated with higher odds of using cigarillos, large cigars, and hookah (p < .01). More experiences of racial discrimination were associated with past month cigarillo use, but not hookah or large cigars (p < .01).
CONCLUSIONS
Non-cigarette tobacco advertisement exposure was associated with the use of non-cigarette tobacco products. Experiences of racial discrimination were associated with the most used non-cigarette tobacco product among Black adults, cigarillos.
IMPLICATIONS
This is the first time that a specific type of cigar (ie cigarillos) has been associated with experiences of racial discrimination among Black adults. Efforts to reduce non-cigarette tobacco marketing and eradicate exposure to racial discrimination among Black adults may aid in eliminating tobacco-related health disparities.
简介
黑人群体比白人群体更容易接触到香烟广告，而且黑人群体内部的种族歧视与吸烟行为有关。然而，对于黑人群体中非香烟烟草制品的使用，我们知之甚少。因此，本研究评估了非香烟广告暴露和种族歧视与黑人群体使用非香烟烟草制品之间的关系。
目的和方法
2016 年，来自家庭和社区健康研究的 533 名黑人群体被问及他们是否看到过电子烟、鼻烟袋、过滤雪茄、大雪茄、小雪茄、可溶解烟草、无烟烟草、水烟和烟斗的广告，以及他们是否在过去一个月使用过这些产品。对于过去一个月使用率最高且与广告暴露显著相关的产品，我们分别进行了 logistic 回归模型，评估了广告暴露、种族歧视与非香烟烟草制品使用之间的关系，同时控制了香烟使用、性别、社会经济地位和年龄。
结果
雪茄、大雪茄和水烟的使用率高于评估的其他非香烟烟草制品。logistic 回归显示，过去一个月广告暴露量越多，使用雪茄、大雪茄和水烟的几率就越高（p<0.01）。更多的种族歧视经历与过去一个月雪茄的使用有关，但与水烟或大雪茄无关（p<0.01）。
结论
非香烟烟草制品广告暴露与非香烟烟草制品的使用有关。种族歧视经历与黑人群体中使用最广泛的非香烟烟草制品——小雪茄有关。
意义
这是第一次将一种特定类型的雪茄（即小雪茄）与黑人群体中的种族歧视经历联系起来。减少非香烟烟草制品营销和消除黑人群体中种族歧视的经历，可能有助于消除与烟草相关的健康差距。
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