Acculturation level and change in cigarette consumption behaviors among diverse Hispanics/Latinos: the Hispanic Community Health Study/Study of Latinos

Adrienne R.S. Lee; Erik J. Rodriquez; Linda C. Gallo; Aida L. Giachello; Carmen R. Isasi; Krista M. Perreira; Martha L. Daviglus; Robert C. Kaplan; Gregory A. Talavera; Eliseo J. Pérez-Stable; Eyal Oren

doi:10.1016/j.annepidem.2023.05.005

Acculturation level and change in cigarette consumption behaviors among diverse Hispanics/Latinos: the Hispanic Community Health Study/Study of Latinos

Adrienne R.S. Lee^*, Erik J. Rodriquez, Linda C. Gallo, Aida L. Giachello, Carmen R. Isasi, Krista M. Perreira, Martha L. Daviglus, Robert C. Kaplan, Gregory A. Talavera, Eliseo J. Pérez-Stable, Eyal Oren

^*Corresponding author for this work

Preventive Medicine

Research output: Contribution to journal › Article › peer-review

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Abstract

Purpose: To study associations between language acculturation level and changes in cigarette consumption among the diverse and growing U.S.-based Hispanic/Latino population and inform culturally tailored smoking prevention and cessation strategies. Methods: In the Hispanic Community Health Survey/Study of Latinos cohort, we used cigarette consumption behaviors at baseline (2008–2011) and follow-up (2014–2017) and a modified Short Acculturation Scale for Hispanics (SASH) language subscale to measure associations of language acculturation (unidimensional) with changes in cigarette consumption and quitting rates. Weighted multivariable linear and logistic regressions were stratified by daily (n = 1397) and nondaily (n = 633) smoking, and either sex, educational attainment, or migration status. Results: Smokers at baseline (n = 2030) on average were aged 42 years old (SE = 0.5) with a mean SASH-language score of 2.3 (SE = 0.1; range = 1–5), indicating more Spanish language use. Among male daily smokers, we observed increases in smoked cigarettes-per-day (CPD) with unit increases in SASH-language score (1.08, 95% CI: 0.24–1.92). Associations with acculturation trended toward greater increases in CPD and lower odds of quitting as educational attainment increased. Conclusions: Language acculturation level is an important determinant for increased smoking behaviors, particularly among men. Our findings are significant in informing smoking reduction programs for the Hispanic/Latino population.

Original language	English (US)
Pages (from-to)	33-40
Number of pages	8
Journal	Annals of Epidemiology
Volume	84
DOIs	https://doi.org/10.1016/j.annepidem.2023.05.005
State	Published - Aug 2023

Funding

This study was partially supported by the National Institute of Aging T32 Training Program at University of California, San Diego (UCSD, Grant T32AG058529), San Diego State University, and the Divisions of Intramural Research of the National Heart, Lung, and Blood Institute (NHLBI) and the National Institute on Minority Health and Health Disparities (NIMHD) at the National Institutes of Health (NIH) (no grant numbers). The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) is a collaborative study supported by contracts from the National Heart, Lung, and Blood Institute to the University of North Carolina (HHSN268201300001I / N01-HC-65233), Albert Einstein College of Medicine (HHSN268201300002I / N01-HC-65235), University of Illinois at Chicago (HHSN268201300003I / N01-HC-65236 Northwestern University), University of Miami (HHSN268201300004I / N01-HC-65234), and San Diego State University (HHSN268201300005I / N01-HC-65237). The following NIH institutes, centers, and offices have contributed to HCHS/SOL through fund transfers to NHLBI: NIMHD, National Institute on Deafness and Other Communication Disorders, National Institute of Dental and Craniofacial Research, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Neurological Disorders and Stroke, and the NIH Office of Dietary Supplements. The funders of this work had no role in the study design, data analysis and interpretation, manuscript writing, or decision to submit the manuscript for publication. An abstract of this analysis was presented at the annual meeting of the San Diego Epidemiology Exchange on April 30, 2021. The authors thank the staff and individuals of HCHS/SOL for their important contributions and colleagues from the HCHS/SOL Sociocultural Scientific Interest Group and the SDSU/UC San Diego Joint Doctoral Program in Public Health epidemiology track cohort of advisors and students in the 2020–2021 Applied Epidemiology Practicum who provided advice. A complete list of staff and investigators has been provided by Sorlie P. et al. in Ann Epidemiol. 2010 Aug;20:642–649 and is also available on the study website http://www.cscc.unc.edu/hchs. This study was partially supported by the National Institute of Aging T32 Training Program at University of California , San Diego (UCSD, Grant T32AG058529 ), San Diego State University, and the Divisions of Intramural Research of the National Heart, Lung, and Blood Institute (NHLBI) and the National Institute on Minority Health and Health Disparities ( NIMHD ) at the National Institutes of Health ( NIH ) (no grant numbers). The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) is a collaborative study supported by contracts from the National Heart, Lung, and Blood Institute to the University of North Carolina ( HHSN268201300001I / N01-HC-65233 ), Albert Einstein College of Medicine ( HHSN268201300002I / N01-HC-65235 ), University of Illinois at Chicago ( HHSN268201300003I / N01-HC-65236 Northwestern University), University of Miami ( HHSN268201300004I / N01-HC-65234 ), and San Diego State University ( HHSN268201300005I / N01-HC-65237 ). The following NIH institutes, centers, and offices have contributed to HCHS/SOL through fund transfers to NHLBI: NIMHD, National Institute on Deafness and Other Communication Disorders, National Institute of Dental and Craniofacial Research, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Neurological Disorders and Stroke, and the NIH Office of Dietary Supplements. The funders of this work had no role in the study design, data analysis and interpretation, manuscript writing, or decision to submit the manuscript for publication. An abstract of this analysis was presented at the annual meeting of the San Diego Epidemiology Exchange on April 30, 2021. The authors thank the staff and individuals of HCHS/SOL for their important contributions and colleagues from the HCHS/SOL Sociocultural Scientific Interest Group and the SDSU/UC San Diego Joint Doctoral Program in Public Health epidemiology track cohort of advisors and students in the 2020–2021 Applied Epidemiology Practicum who provided advice. A complete list of staff and investigators has been provided by Sorlie P. et al. in Ann Epidemiol. 2010 Aug;20:642–649 and is also available on the study website http://www.cscc.unc.edu/hchs .

Keywords

Acculturation
Cigarette smoking
Hispanic
Latino
Smoking reduction

ASJC Scopus subject areas

Epidemiology

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10.1016/j.annepidem.2023.05.005

Cite this

Lee, A. R. S., Rodriquez, E. J., Gallo, L. C., Giachello, A. L., Isasi, C. R., Perreira, K. M., Daviglus, M. L., Kaplan, R. C., Talavera, G. A., Pérez-Stable, E. J., & Oren, E. (2023). Acculturation level and change in cigarette consumption behaviors among diverse Hispanics/Latinos: the Hispanic Community Health Study/Study of Latinos. Annals of Epidemiology, 84, 33-40. https://doi.org/10.1016/j.annepidem.2023.05.005

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title = "Acculturation level and change in cigarette consumption behaviors among diverse Hispanics/Latinos: the Hispanic Community Health Study/Study of Latinos",

abstract = "Purpose: To study associations between language acculturation level and changes in cigarette consumption among the diverse and growing U.S.-based Hispanic/Latino population and inform culturally tailored smoking prevention and cessation strategies. Methods: In the Hispanic Community Health Survey/Study of Latinos cohort, we used cigarette consumption behaviors at baseline (2008–2011) and follow-up (2014–2017) and a modified Short Acculturation Scale for Hispanics (SASH) language subscale to measure associations of language acculturation (unidimensional) with changes in cigarette consumption and quitting rates. Weighted multivariable linear and logistic regressions were stratified by daily (n = 1397) and nondaily (n = 633) smoking, and either sex, educational attainment, or migration status. Results: Smokers at baseline (n = 2030) on average were aged 42 years old (SE = 0.5) with a mean SASH-language score of 2.3 (SE = 0.1; range = 1–5), indicating more Spanish language use. Among male daily smokers, we observed increases in smoked cigarettes-per-day (CPD) with unit increases in SASH-language score (1.08, 95% CI: 0.24–1.92). Associations with acculturation trended toward greater increases in CPD and lower odds of quitting as educational attainment increased. Conclusions: Language acculturation level is an important determinant for increased smoking behaviors, particularly among men. Our findings are significant in informing smoking reduction programs for the Hispanic/Latino population.",

keywords = "Acculturation, Cigarette smoking, Hispanic, Latino, Smoking reduction",

author = "Lee, {Adrienne R.S.} and Rodriquez, {Erik J.} and Gallo, {Linda C.} and Giachello, {Aida L.} and Isasi, {Carmen R.} and Perreira, {Krista M.} and Daviglus, {Martha L.} and Kaplan, {Robert C.} and Talavera, {Gregory A.} and P{\'e}rez-Stable, {Eliseo J.} and Eyal Oren",

note = "Publisher Copyright: {\textcopyright} 2023",

year = "2023",

month = aug,

doi = "10.1016/j.annepidem.2023.05.005",

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Lee, ARS, Rodriquez, EJ, Gallo, LC, Giachello, AL, Isasi, CR, Perreira, KM, Daviglus, ML, Kaplan, RC, Talavera, GA, Pérez-Stable, EJ & Oren, E 2023, 'Acculturation level and change in cigarette consumption behaviors among diverse Hispanics/Latinos: the Hispanic Community Health Study/Study of Latinos', Annals of Epidemiology, vol. 84, pp. 33-40. https://doi.org/10.1016/j.annepidem.2023.05.005

TY - JOUR

T1 - Acculturation level and change in cigarette consumption behaviors among diverse Hispanics/Latinos

T2 - the Hispanic Community Health Study/Study of Latinos

AU - Lee, Adrienne R.S.

AU - Rodriquez, Erik J.

AU - Gallo, Linda C.

AU - Giachello, Aida L.

AU - Isasi, Carmen R.

AU - Perreira, Krista M.

AU - Daviglus, Martha L.

AU - Kaplan, Robert C.

AU - Talavera, Gregory A.

AU - Pérez-Stable, Eliseo J.

AU - Oren, Eyal

PY - 2023/8

Y1 - 2023/8

N2 - Purpose: To study associations between language acculturation level and changes in cigarette consumption among the diverse and growing U.S.-based Hispanic/Latino population and inform culturally tailored smoking prevention and cessation strategies. Methods: In the Hispanic Community Health Survey/Study of Latinos cohort, we used cigarette consumption behaviors at baseline (2008–2011) and follow-up (2014–2017) and a modified Short Acculturation Scale for Hispanics (SASH) language subscale to measure associations of language acculturation (unidimensional) with changes in cigarette consumption and quitting rates. Weighted multivariable linear and logistic regressions were stratified by daily (n = 1397) and nondaily (n = 633) smoking, and either sex, educational attainment, or migration status. Results: Smokers at baseline (n = 2030) on average were aged 42 years old (SE = 0.5) with a mean SASH-language score of 2.3 (SE = 0.1; range = 1–5), indicating more Spanish language use. Among male daily smokers, we observed increases in smoked cigarettes-per-day (CPD) with unit increases in SASH-language score (1.08, 95% CI: 0.24–1.92). Associations with acculturation trended toward greater increases in CPD and lower odds of quitting as educational attainment increased. Conclusions: Language acculturation level is an important determinant for increased smoking behaviors, particularly among men. Our findings are significant in informing smoking reduction programs for the Hispanic/Latino population.

AB - Purpose: To study associations between language acculturation level and changes in cigarette consumption among the diverse and growing U.S.-based Hispanic/Latino population and inform culturally tailored smoking prevention and cessation strategies. Methods: In the Hispanic Community Health Survey/Study of Latinos cohort, we used cigarette consumption behaviors at baseline (2008–2011) and follow-up (2014–2017) and a modified Short Acculturation Scale for Hispanics (SASH) language subscale to measure associations of language acculturation (unidimensional) with changes in cigarette consumption and quitting rates. Weighted multivariable linear and logistic regressions were stratified by daily (n = 1397) and nondaily (n = 633) smoking, and either sex, educational attainment, or migration status. Results: Smokers at baseline (n = 2030) on average were aged 42 years old (SE = 0.5) with a mean SASH-language score of 2.3 (SE = 0.1; range = 1–5), indicating more Spanish language use. Among male daily smokers, we observed increases in smoked cigarettes-per-day (CPD) with unit increases in SASH-language score (1.08, 95% CI: 0.24–1.92). Associations with acculturation trended toward greater increases in CPD and lower odds of quitting as educational attainment increased. Conclusions: Language acculturation level is an important determinant for increased smoking behaviors, particularly among men. Our findings are significant in informing smoking reduction programs for the Hispanic/Latino population.

KW - Acculturation

KW - Cigarette smoking

KW - Hispanic

KW - Latino

KW - Smoking reduction

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Acculturation level and change in cigarette consumption behaviors among diverse Hispanics/Latinos: the Hispanic Community Health Study/Study of Latinos

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