Disparities in Tobacco Use by Disability and Type: Findings from the 2019 National Health Interview
Friday, July 15, 2022
Posted by: Natalia Gromov
Schulz
JA, West JC, Hall JP, Villanti AC.
Disparities in Tobacco Use
by Disability and Type: Findings from the 2019 National Health Interview Survey.
[published online ahead of print, 2022 Jun 23]. Am J Prev Med.
2022;S0749-3797(22)00296-3. doi:10.1016/j.amepre.2022.05.004
Introduction. People
with disabilities report a higher prevalence of cigarette use than people
without disabilities. However, evidence is limited on the relationships between
disability type, degree of functional difficulty, and other tobacco product
use.
Methods. Data
from the 2019 U.S. National Health Interview Survey were used to estimate the
prevalence and odds of tobacco product use for 6 disability types and degree of
functional difficulty. Bivariate and multivariable analyses conducted in 2021
examined the associations between tobacco product use and disability type.
Results. Compared
to adults who reported no difficulty, current cigarette use prevalence was
higher for adults who reported a lot of difficulty/cannot do at all to vision
(21.5% vs 13.1%), hearing (19.6% vs 13.6%), mobility (20.0% vs 12.9%), and
cognitive (25.4% vs 12.9%) disability questions. The odds of current cigarette
(AOR=1.32), pipe (AOR=1.85), and smokeless tobacco (AOR=1.57) use were
significantly higher for adults who reported a lot of difficulty/cannot do at
all to any disability question and significantly higher for current cigarette
(AOR=1.24), e-cigarette (AOR=1.33), pipe (AOR=1.45), and smokeless tobacco
(AOR=1.29) use for adults who reported some difficulty to any disability
question than those who reported no difficulty. Pipe use was correlated with
mobility difficulty (AOR=1.68), and smokeless tobacco use was correlated with
hearing difficulty (AOR=1.95).
Conclusions. People
who reported difficulty with vision, hearing, mobility, or cognition had a
higher cigarette use prevalence than people without disabilities. Other tobacco
use differed by disability type. Future research should tailor tobacco
interventions to reduce these disparities.
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