Flavored Tobacco Product Use among Young Adults by Race and Ethnicity: Evidence from the Population
Thursday, August 18, 2022
Posted by: Natalia Gromov
Watkins
SL, Pieper F, Chaffee BW, Yerger VB, Ling PM, Max W.
Flavored Tobacco Product
Use among Young Adults by Race and Ethnicity: Evidence from the Population
Assessment of Tobacco and Health Study.
J Adolesc Health. 2022;71(2):226-232. doi:10.1016/j.jadohealth.2022.02.013
Purpose. Describe
racial/ethnic patterns of flavored tobacco use to illuminate equity
implications of flavored tobacco policies.
Methods. Using
data on US young adults (ages 18-34; n = 8,114) in the Population Assessment of
Tobacco and Health Study Wave 5 (2018-2019) and survey-weighted logistic
regression, we estimated any flavors (regular brand) and mint/menthol (vs.
other flavors) use by race/ethnicity among cigarette, e-cigarette, cigar,
blunt, hookah, smokeless tobacco, and any tobacco product users.
Results. Any
flavored tobacco use was common and was significantly higher for Black (75.1%;
OR: 1.4; 95% CI: 1.2, 1.7) and Hispanic/Latinx (77.2%; OR: 1.4; 95% CI: 1.1,
1.7) users than White users (73.5%). The most pronounced difference across
products was in menthol cigarette use between Black and White smokers (OR: 4.5;
95% CI: 3.5, 5.9). Among flavored product users, mint/menthol use was
significantly higher for Latinx blunt and hookah users.
Discussion. Racial/ethnic
disparities in flavored tobacco use include and extend beyond menthol
cigarettes. Comprehensive flavored tobacco restrictions that include
mint/menthol and non-cigarette products will likely have more equitable impact.
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