Zavala-Arciniega Luis, Hirschtick Jana L, Meza Rafael, Fleischer Nancy L
Department of Epidemiology, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, USA.
Department of Integrative Oncology, BC Cancer Research Institute, Vancouver, British Columbia, Canada.
Prev Med Rep. 2024 Jan 27;39:102631. doi: 10.1016/j.pmedr.2024.102631. eCollection 2024 Mar.
We aim to describe disparities in dual and polytobacco use at the intersection of age, sex, race and ethnicity, and income.
We used the 2018-2019 Tobacco Use Supplement to the Current Population Survey to estimate the prevalence of combinations of dual (two products) and polytobacco (three or more products) use for cigarettes, e-cigarettes, cigars, and smokeless tobacco (n = 135,268). We created five mutually exclusive categories: 1) cigarettes and e-cigarettes, 2) cigarettes and cigars, 3) cigarettes and smokeless tobacco, 4) dual/polyuse without cigarettes, and 5) polyuse with cigarettes. We estimated the dual/polyuse prevalence at the intersection of age (18-34, 35-54, 55+ years), sex (male, female), race and ethnicity (Non-Hispanic White, Non-Hispanic Black, Hispanic, and Non-Hispanic Other), and annual household income (<$50,000, $50,000-$99,999, ≥$100,000), resulting in 72 sociodemographic categories. We used a visualization tool that allowed for detailed characterization and identification of dual and polytobacco use disparities.
Females were in three of the top four groups with the highest cigarette and e-cigarette dual use. Cigarette and cigar dual use was disproportionately high among low-income Non-Hispanic Black male adults aged 35-54 and 18-34. The highest prevalence of both polyuse with cigarettes and dual/polyuse without cigarettes was among low-income, Non-Hispanic White male adults aged 18-34 years.
We identified the population groups disproportionately using two or more tobacco products. This information is helpful for surveillance and for the implementation of tobacco control policies aimed at decreasing disparities in tobacco use.
我们旨在描述在年龄、性别、种族和族裔以及收入交叉点上双重和多种烟草使用的差异。
我们使用了2018 - 2019年当前人口调查的烟草使用补充数据，以估计香烟、电子烟、雪茄和无烟烟草双重（两种产品）和多种烟草（三种或更多产品）使用组合的流行率（n = 135,268）。我们创建了五个相互排斥的类别：1）香烟和电子烟，2）香烟和雪茄，3）香烟和无烟烟草，4）不使用香烟的双重/多种使用，5）与香烟一起的多种使用。我们估计了在年龄（18 - 34岁、35 - 54岁、55岁及以上）、性别（男性、女性）、种族和族裔（非西班牙裔白人、非西班牙裔黑人、西班牙裔和非西班牙裔其他）以及家庭年收入（<$50,000、$50,000 - $99,999、≥$100,000）交叉点上的双重/多种使用流行率，从而得出72个社会人口学类别。我们使用了一种可视化工具，该工具允许对双重和多种烟草使用差异进行详细描述和识别。
女性在香烟和电子烟双重使用最高的前四组中占三组。在年龄为35 - 54岁和18 - 34岁的低收入非西班牙裔黑人成年男性中，香烟和雪茄的双重使用比例过高。与香烟一起的多种使用以及不使用香烟的双重/多种使用的最高流行率出现在年龄为18 - 34岁的低收入非西班牙裔白人成年男性中。
我们确定了不成比例地使用两种或更多烟草产品的人群组。这些信息有助于监测以及实施旨在减少烟草使用差异的烟草控制政策。
