Disparities in Cigarette, E-cigarette, Cigar, and Smokeless Tobacco Use at the Intersection of Multi
Thursday, January 5, 2023
Posted by: Natalia Gromov
Zavala-Arciniega
L, Meza R, Hirschtick JL, Fleischer NL.
Disparities in Cigarette,
E-cigarette, Cigar, and Smokeless Tobacco Use at the Intersection of Multiple
Social Identities in the U.S. Adult Population. Results from the TUS-CPS
2018-2019 Survey.
[published online ahead of print, 2022 Nov 16]. Nicotine Tob Res.
2022;ntac261. doi:10.1093/ntr/ntac261
Introduction. Sociodemographic
disparities in tobacco use are prevalent and persistent in the US.
Nevertheless, few studies have examined disparities in tobacco use from an intersectionality
perspective. We developed a visualization tool to identify disparities in
cigarette, e-cigarette, cigar, and smokeless tobacco use at the intersection of
multiple social identities.
Methods. We
used the 2018-2019 Tobacco Use Supplement to the Current Population Survey
(TUS-CPS) to estimate the prevalence of tobacco product use at the intersection
of age (18-34, 35-54, 55+ years), sex (male, female), race/ethnicity
(Non-Hispanic [NH] White, NH Black, Hispanic, NH Other), and annual household
income (<$50,000, $50,000-$99,999, ≥$100,000). Estimates accounted for the
complex survey design.
Results: For
cigarettes, the most defining characteristic was income, with the highest
prevalence among low-income NH White male adults aged 35-54 years (30.7%) and
low-income NH White female adults aged 35-54 years (29.7%). For e-cigarettes,
the most defining characteristic was age, with adults 18-34 years old having
the highest prevalence. High prevalence groups for cigars included young- and
middle-aged NH Black and NH White males, while NH White males had the highest
prevalence of smokeless tobacco use.
Conclusions. Our
intersectionality visualization tool is helpful to uncover complex patterns of
tobacco use, facilitating the identification of high-risk groups.
Implications. We
created a visualization tool to identify disparities in cigarette, e-cigarette,
cigar, and smokeless tobacco use at the intersection of age, sex,
race/ethnicity, and income. Our visualization tool helps uncover complex
patterns of tobacco use, facilitating the identification of high-risk
population groups that would otherwise be masked. These results can be used to
implement tobacco control policies targeted at factors that promote or sustain
tobacco use disparities.
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