State-level smoking patterns and trends among racial and ethnic groups in the United States, 2011-2018
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Prev Chronic Dis. May 6, 2021; 18: E44. doi: 10.5888 / pcd18.200507.
INTRODUCTION: Reducing racial / ethnic disparities in tobacco use is a priority for national tobacco control programs. We studied disparities in cigarette consumption by race / ethnicity, as well as trends in cigarette smoking among racial / ethnic groups from 2011 to 2018 in 50 U.S. states and the District of Columbia.
METHODS: We used data from the Behavioral Risk Factor Surveillance System. In each state, smoking prevalence and corresponding 95% CIs were estimated for each racial / ethnic group in 2011, 2014, and 2018. We used logistic regression models to examine linear and quadratic time trends specific to the state. state of smoking prevalence from 2011 to 2018.
RESULTS: Racial / ethnic disparities in smoking prevalence varied from state to state. From 2011 to 2018, compared to white adults, the odds of smoking were lower among black adults in 14 states (odds ratio [OR] range, 0.58-0.91) and were higher in 9 states (OR range, 1.10-1.98); no difference was found in the odds of smoking in 13 states. Compared with white adults, the odds of smoking were lower among Hispanic adults in most states (OR range, 0.33-0.84) and were generally higher among other adults (OR range, 1.19 -2.44). Significant interactions between year and race / ethnicity were observed in 4 states, indicating that time trends varied across racial / ethnic groups. In states with differential time trends, the drop in odds of smoking was generally greater in black, Hispanic, and other adults than in white adults.
CONCLUSION: Progress has been made in reducing racial / ethnic disparities in smoking, but further efforts are needed to eliminate racial / ethnic disparities in smoking.