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.