Perceptions and Patterns of Cigarette and E-Cigarette Use among Hispanics: A Heterogeneity Analysis of the 2017–2019 Health Information National Trends Survey

Stephanie Cardona, Rose Calixte, Argelis Rivera, Jessica Yasmine Islam, Denise Christina Vidot and Marlene Camacho-Rivera
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Stephanie Cardona: Department of Community Health Sciences, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA
Rose Calixte: Department of Epidemiology and Biostatistics, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA
Argelis Rivera: Department of Medicine, Mount Sinai Icahn School of Medicine, New York, NY 10009, USA
Jessica Yasmine Islam: Cancer Epidemiology Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612, USA
Denise Christina Vidot: Sylvester Comprehensive Cancer Center, School of Nursing and Health Studies, University of Miami, Miami, FL 33146, USA
Marlene Camacho-Rivera: Department of Community Health Sciences, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA

IJERPH, 2021, vol. 18, issue 12, 1-13

Abstract: There are documented disparities in smoking behaviors among Hispanic adults in the U.S., but little is known about patterns of e-cigarette use. Using data from the HINTS 5 cycle 1–3, we examined cigarette and e-cigarette history and current use, as well as perceptions of the dangers of e-cigarette use relative to cigarette use. Primary predictors were Hispanic ethnic group, gender, age, education, income, and English language proficiency. Binary outcomes were modeled using the logit link, and multinomial outcome variables were modeled using generalized logit model. Fifty-three percent of participants were Mexican, 8% Puerto Rican, 4% were Cuban, and 35% identified as other Hispanics. Of the 1618 respondents, 23% were former cigarette smokers and 10% were current cigarette smokers. Twenty percent reported history of electronic cigarettes and 4% reported current use. In multivariable models, Hispanic women were significantly less likely to report ever being smokers compared to Hispanic men (aOR = 0.61, 95% CI = 0.42, 0.88). Puerto Ricans were 2.4 times as likely to report being current smokers (95% CI = 1.11, 5.11) compared to Mexicans. Among Hispanics, significant differences in e-cigarette and cigarette use behaviors emerged by gender, age, ethnicity, and cancer history, with implications for tailoring smoking prevention and cessation messages.

Keywords: smoking; cigarettes; e-cigarettes; Hispanic; health information (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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