Race, Ethnicity, Education, Poverty, and First Cigarette Flavor

Author:

Assari Shervin12ORCID

Affiliation:

1. Department of Urban Public Health, Charles R. Drew University of Medicine and Science, Los Angeles, CA 90059, USA

2. Department of Family Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA 90059, USA

Abstract

Introduction: Research shows that race, ethnicity, and socioeconomic status (SES) have multiplicative rather than additive effects on the risk of cigarette smoking. In a national sample of American adult smokers, this study tested (1) the effects of race, ethnicity, educational attainment, and poverty status on first cigarette flavor in a national sample of American adult smokers, and (2) racial and ethnic differences in the effects of educational attainment and poverty status on first cigarette flavor. Methods: This cross-sectional study entered 22,144 ever-smoker adults who had participated in the Population Assessment of Tobacco and Health (PATH; 2013), a nationally representative study in the US. Independent variables were race, ethnicity, educational attainment, and poverty status. There were three dependent variables: initiating smoking using any, menthol/mint, and candy/fruit-flavored cigarettes. Age, sex, and region were the covariates. Results: Black individuals had higher odds of initiating smoking using menthol/mint-flavored cigarettes (OR=3.86, 95% CI=3.55-4.20), and Hispanics had higher odds of initiating smoking using candy/fruit-flavored cigarettes (OR=1.79, 95% CI=1.44-2.21). Overall, individuals with higher education had lower odds of initiating smoking using menthol/mint-flavored cigarettes (OR=0.94, 95% CI=0.92- 0.96), but higher odds of candy/fruit-flavored cigarettes (OR=1.35, 95% CI=1.26-1.45). Living out of poverty was not associated with initiating smoking using flavored cigarettes. Conclusion: In the US, race, ethnicity, and SES show multiplicative rather than additive effects on first cigarette flavor.

Publisher

Maad Rayan Publishing Company

Subject

General Earth and Planetary Sciences,General Environmental Science

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