Smoking cessation among U.S. Hispanic/Latino adults: Findings from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) |
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| Affiliation: | 1. Department of Epidemiology and Population Health, Albert Einstein College of Medicine, United States;2. Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, United States;3. Department of Psychology, University of Miami, United States;4. Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, United States;5. Department of Public Health Sciences, Miller School of Medicine, University of Miami, United States;6. Department of Medical Social Science, Feinberg School of Medicine, Northwestern University, United States;7. Department of Public Policy, University of North Carolina Chapel Hill, United States;1. Department of Epidemiology, Health Economics and Public Health, UMR1027 INSERM–Toulouse University, Toulouse University Hospital (CHU), Toulouse, France;2. Department of Epidemiology and Public Health, INSERM UMR744, Pasteur Institute of Lille, Lille Nord de France University–UDSL, Lille, France;3. Department of Epidemiology and Public Health, EA 3430, FMTS, Strasbourg University, Strasbourg, France;4. Department of Public Health, Strasbourg University Hospital, Strasbourg, France;5. Department of Cardiology B, Toulouse University Hospital, Toulouse, France;1. Center of Research in Childhood Health (RICH), Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark;2. The Center of Inflammation and Metabolism (CIM) and The Center for Physical Activity Research (CFAS) at Rigshospitalet, Copenhagen, The Danish Diabetes Academy, Odense, Denmark;3. SDU Muscle Research Cluster (SMRC), Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark;4. Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway;1. Centre Hospitalier Régional Universitaire de Besançon, F-25000, France;2. Laboratoire de Biologie Cellulaire et Génétique Moléculaire, Faculté des Sciences, Université Ibn Zohr, Agadir, Maroc;3. Université Bourgogne Franche-Comté, F-25000 Besançon, France;1. Division of Family Medicine, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden;2. Academic Primary Healthcare Centre, Stockholm County Council, Huddinge, Sweden;3. Department of Medical Sciences, Molecular Epidemiology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden;4. Public Healthcare Services Committee Administration, Stockholm County Council, Box 6909, SE-102 39 Stockholm, Sweden;5. Medical Management Centre, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Berzelius väg 3, SE-17177 Stockholm, Sweden |
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| Abstract: | This paper examines patterns of smoking cessation among Hispanics/Latinos with particular attention to gender, acculturation, and national background. Data are from the Hispanic Community Health Study/Study of Latinos, a population-based study of 16,415 non-institutionalized Hispanics/Latinos ages 18–74 from a stratified random sample of households in Chicago, Miami, the Bronx, and San Diego. Face-to-face interviews, in English or Spanish, were conducted from 2008 to 2011. Findings are based on 6398 participants who reported smoking at least 100 cigarettes in their lifetime. Associations with smoking cessation outcomes were assessed in bivariate and multivariable analyses. Findings indicate that approximately equal proportions of men and women were former smokers. There was little difference by gender in socioeconomic characteristics associated with smoking cessation. Both men and women who lived in households with smokers were less likely to be abstinent. Multivariable analysis indicated that the likelihood of quitting varied by national background primarily among men, however, Puerto Rican and Cuban smokers of both genders were the least likely to successfully quit smoking. Among women, but not men, younger and more socially acculturated individuals had lower odds of sustaining cessation. Over 90% of female and male former smokers reported quitting on their own without cessation aids or therapy. The results suggest that many Hispanics/Latinos are self-motivated to quit and are able to do so without clinical assistance. Heterogeneity in smoking behaviors among Hispanics/Latinos should be taken into account when developing and delivering smoking cessation interventions and public health campaigns. |
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