At risk alcohol consumption with smoking by national background: Results from the Hispanic community health study/study of Latinos

Authors

• Frank C. Bandiera, Food and Drug AdministrationFollow
• Eliseo J. Pérez-Stable, National Heart and Lung Blood Institute, and National Institute on Minority Health and Health Disparities
• Folefac Atem, University of Texas School of Public Health
• Raul Caetano, Pacific Institute for Research and Evaluation
• Denise C. Vidot, University of Miami
• Marc D. Gellman, University of Miami
• Elena L. Navas-Nacher, University of Illinois at Chicago
• Jianwen Cai, University of North Carolina at Chapel Hill
• Gregory Talavera, San Diego State University
• Neil Schneiderman, University of Miami
• Robert Kaplan, Albert Einstein College of Medicine

Date of this Version

2019

Document Type

Article

Citation

2019 Author(s)

Comments

Addictive Behaviors 99 (2019)

https://doi.org/10.1016/j.addbeh.2019.106087

Abstract

Introduction: Tobacco smoking and binge or excess drinking are unhealthy behaviors that frequently co-occur. Studies of Hispanics/Latinos have mostly been of Mexican Americans although there are substantial differences in smoking and drinking by heritage background. Associated with co-use by 5 subpopulations.

Methods: Cross-sectional data of 16,412 Hispanics/Latinos from Miami, the Bronx, Chicago and San Diego collected between 2008 and 2011 as part of the HCHS/SOL were analyzed. Smoking and alcohol consumption and demographic data were measured by self-report. Prevalence of smoking and alcohol consumption and co-use were reported. Logistic regression models examined the odds of co-use of smoking and binge or excess alcohol use by Hispanic/Latino background group.

Results: Men of Cuban (10.3%), Puerto Rican (8.9%), and Mexican (8.9%) background had the highest prevalence of co-use of smoking and binge drinking compared to men of Central American (6.1%) and Dominican (6.6%) background. Women of Dominican (16.4%) and Puerto Rican (19.7%) background had the highest prevalence of binge drinking compared to women of Central American (10%) and Cuban (8%) background and Puerto Rican (34.1%) and Cuban (21.8%) women were the most likely to report current smoking compared to women of Central American (8.3%) and Mexican (10.4%) background. Acculturation was not associated with couse among men and women. Elevated depressive symptoms were positively associated with smoking and binge drinking among men, OR=1.5 [1.2–2.0], and women, OR=1.5 [1.1–2.2]. Puerto Rican women had increased odds of co-use of smoking and binge or excess drinking compared to Mexican American women, OR=3.2 [1.5–6.6].

Conclusions: Puerto Rican and Dominican Latinas and Central American and South American men have a higher prevalence of co-use.