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Open Access Hispanics/Latinos' Cigarette and E-cigarette Use: Behavioral and Self-rated Health

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This article is Open Access under the terms of the Creative Commons CC BY-NC-ND licence.

Objectives: In this paper, we examine if serious psychological distress (SPD), binge drinking, and self-rated health predict dual-use of tobacco cigarette and e-cigarette compared with no use or the use of only one product among Hispanics/Latinos (H/L). By increasing our understanding of determinants of dual-use, we can identify the most vulnerable groups and intervention targets. Methods: We used data from H/L who were current tobacco/nicotine users in the Houston Health Survey 2018 (N = 188; representing 158,369 individuals). We conducted descriptive, bi-variate, and multinomial logistic regression analyses, and moderation by age and sex. Results: H/L with SPD were more likely to be dual-users than non-users (Odds Ratio [OR] = 1.97), cigarette users (OR = 1.12), or e-cigarette users (OR = 2.44). Individuals who binge drank were more likely to be dual-users than non-users (OR = 2.66) or e-cigarette users (OR = 9.30), but more likely to be cigarette users compared to dual-users (OR = 2.05). Poorer self-rated health predicted an increased likelihood of being a non-user (OR = 1.19), cigarette user (OR = 1.36), and e-cigarette user compared to a dual-user (OR = 1.04). Conclusions: Behavioral health and self-rated health are important predictors of tobacco cigarette, e-cigarette, and dual-use among H/L. These relationships differ by age and sex.
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Keywords: DUAL-USER; E-CIGARETTES; HISPANIC HEALTH; HISPANICS/LATINOS; TOBACCO USE; TOBACCO-RELATED DISPARITIES

Document Type: Research Article

Affiliations: 1: Virmarie Correa-Fernández, Assistant Professor, Department of Psychological, Health and Learning Sciences, University of Houston, Houston, TX, United States;, Email: [email protected] 2: Niloofar Tavakoli, Graduate Research Assistant, Department of Psychological, Health and Learning Sciences, University of Houston, Houston, TX, United States 3: Marshall Motsenbocker, Graduate Research Assistant, Department of Psychological, Health and Learning Sciences, University of Houston, Houston, TX, United States 4: Hanjoe Kim, Assistant Professor, Department of Psychological, Health and Learning Sciences, University of Houston, Houston, TX, United States

Publication date: January 1, 2021

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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