A Longitudinal Analysis of Nondaily Smokers: the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Overview

Journal Ann Epidemiol

Publisher Elsevier

Specialty Public Health

Date 2020 Sep 21

PMID 32951805

Citations 4

Authors

Madelyn Klugman

H Dean Hosgood 3rd

Simin Hua

Xiaonan Xue

Thanh-Huyen T Vu

Krista M Perreira

Sheila F Castaneda

Jianwen Cai

James R Pike

Martha Daviglus

Robert C Kaplan

Carmen R Isasi

Affiliations

Soon will be listed here.

Abstract

Purpose: Nondaily smoking is increasing in the United States and common among Hispanic/Latino smokers. We characterized factors related to longitudinal smoking transitions in Hispanic/Latino nondaily smokers.

Methods: The Hispanic Community Health Study/Study of Latinos is a population-based cohort study of Hispanics/Latinos aged 18-74 years. Multinomial logistic regression assessed the baseline factors (2008-2011) associated with follow-up smoking status (2014-2017) in nondaily smokers (n = 573), accounting for complex survey design.

Results: After ∼6 years, 41% of nondaily smokers became former smokers, 22% became daily smokers, and 37% remained nondaily smokers. Factors related to follow-up smoking status were number of days smoked in the previous month, household smokers, education, income, and insurance. Those smoking 16 or more of the last 30 days had increased risk of becoming a daily smoker [vs. < 4 days; relative risk ratio (RRR) = 5.65, 95% confidence interval (95% CI) = 1.96-16.33]. Greater education was inversely associated with transitioning to daily smoking [>high school vs. <ninth grade: RRR (95% CI) = 0.30 (0.09-0.95)]. Living with smokers was associated with decreased likelihood of quitting [RRR (95% CI) = 0.45 (0.24-0.86)]. Having insurance was associated with quitting [RRR (95% CI) = 2.11 (1.18-3.76)] and becoming a daily smoker [RRR (95% CI) = 3.00 (1.39-6.48)].

Conclusions: Many Hispanic/Latino nondaily smokers became daily smokers, which may increase their risk of adverse health outcomes. Addressing different smoking patterns in primary care may be useful to prevent smoking-related diseases.

Citing Articles

Exploring the Relationship Between Sleep Apnea, Myocardial Infarct Size, and Coronary Collaterals in Acute Myocardial Infarction: A Multidisciplinary Study.

Kundel V, Devarakonda K, Khan S, Suarez-Farinas M, Cohen O, Santos-Gallego C Nat Sci Sleep. 2025; 17():27-42.

PMID: 39817189 PMC: 11733186. DOI: 10.2147/NSS.S489788.

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

Lee A, Rodriquez E, Gallo L, Giachello A, Isasi C, Perreira K Ann Epidemiol. 2023; 84:33-40.

PMID: 37164291 PMC: 11027575. DOI: 10.1016/j.annepidem.2023.05.005.

Web-delivered Acceptance and Commitment Therapy (ACT) for smoking cessation: Is it engaging and efficacious for US Hispanic/Latinx adult smokers?.

Kwon D, Santiago-Torres M, Mull K, Sullivan B, Zvolensky M, Bricker J Prev Med Rep. 2022; 29:101952.

PMID: 36161119 PMC: 9501988. DOI: 10.1016/j.pmedr.2022.101952.

Hypothesized Explanations for the Observed Lung Cancer Survival Benefit Among Hispanics/Latinos in the United States.

Miao E, Klugman M, Rohan T, Hosgood 3rd H J Racial Ethn Health Disparities. 2022; 10(3):1339-1348.

PMID: 35524005 DOI: 10.1007/s40615-022-01319-1.

Bias and fairness assessment of a natural language processing opioid misuse classifier: detection and mitigation of electronic health record data disadvantages across racial subgroups.

Thompson H, Sharma B, Bhalla S, Boley R, McCluskey C, Dligach D J Am Med Inform Assoc. 2021; 28(11):2393-2403.

PMID: 34383925 PMC: 8510285. DOI: 10.1093/jamia/ocab148.

References

Amrock S, Weitzman M . Adolescents' perceptions of light and intermittent smoking in the United States. Pediatrics. 2015; 135(2):246-54. PMC: 4306801. DOI: 10.1542/peds.2014-2502. View

Hyland A, Borland R, Li Q, Yong H, McNeill A, Fong G . Individual-level predictors of cessation behaviours among participants in the International Tobacco Control (ITC) Four Country Survey. Tob Control. 2006; 15 Suppl 3:iii83-94. PMC: 2593055. DOI: 10.1136/tc.2005.013516. View

Inoue-Choi M, McNeel T, Hartge P, Caporaso N, Graubard B, Freedman N . Non-Daily Cigarette Smokers: Mortality Risks in the U.S. Am J Prev Med. 2018; 56(1):27-37. PMC: 7477821. DOI: 10.1016/j.amepre.2018.06.025. View

LaVange L, Kalsbeek W, Sorlie P, Aviles-Santa L, Kaplan R, Barnhart J . Sample design and cohort selection in the Hispanic Community Health Study/Study of Latinos. Ann Epidemiol. 2010; 20(8):642-9. PMC: 2921622. DOI: 10.1016/j.annepidem.2010.05.006. View

Kandula N, Diez-Roux A, Chan C, Daviglus M, Jackson S, Ni H . Association of acculturation levels and prevalence of diabetes in the multi-ethnic study of atherosclerosis (MESA). Diabetes Care. 2008; 31(8):1621-8. PMC: 2494621. DOI: 10.2337/dc07-2182. View

Luoto R, Uutela A, Puska P . Occasional smoking increases total and cardiovascular mortality among men. Nicotine Tob Res. 2000; 2(2):133-9. DOI: 10.1080/713688127. View

Robertson L, Iosua E, McGee R, Hancox R . Nondaily, Low-Rate Daily, and High-Rate Daily Smoking in Young Adults: A 17-Year Follow-Up. Nicotine Tob Res. 2015; 18(5):943-9. PMC: 5896816. DOI: 10.1093/ntr/ntv167. View

Tong E, Ong M, Vittinghoff E, Perez-Stable E . Nondaily smokers should be asked and advised to quit. Am J Prev Med. 2006; 30(1):23-30. DOI: 10.1016/j.amepre.2005.08.048. View

Jamal A, Homa D, OConnor E, Babb S, Caraballo R, Singh T . Current cigarette smoking among adults - United States, 2005-2014. MMWR Morb Mortal Wkly Rep. 2015; 64(44):1233-40. DOI: 10.15585/mmwr.mm6444a2. View

10.

Bailey S, Hoopes M, Marino M, Heintzman J, OMalley J, Hatch B . Effect of Gaining Insurance Coverage on Smoking Cessation in Community Health Centers: A Cohort Study. J Gen Intern Med. 2016; 31(10):1198-205. PMC: 5023615. DOI: 10.1007/s11606-016-3781-4. View

11.

McAfee T, Babb S, McNabb S, Fiore M . Helping smokers quit--opportunities created by the Affordable Care Act. N Engl J Med. 2014; 372(1):5-7. PMC: 4465216. DOI: 10.1056/NEJMp1411437. View

12.

Daviglus M, Pirzada A, Talavera G . Cardiovascular disease risk factors in the Hispanic/Latino population: lessons from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Prog Cardiovasc Dis. 2014; 57(3):230-6. DOI: 10.1016/j.pcad.2014.07.006. View

13.

Businelle M, Kendzor D, Reitzel L, Costello T, Cofta-Woerpel L, Li Y . Mechanisms linking socioeconomic status to smoking cessation: a structural equation modeling approach. Health Psychol. 2010; 29(3):262-73. PMC: 2922845. DOI: 10.1037/a0019285. View

14.

Merzel C, Isasi C, Strizich G, Castaneda S, Gellman M, Maisonet Giachello A . Smoking cessation among U.S. Hispanic/Latino adults: Findings from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Prev Med. 2015; 81:412-9. PMC: 6391117. DOI: 10.1016/j.ypmed.2015.10.006. View

15.

Swayampakala K, Thrasher J, Carpenter M, Reynales Shigematsu L, Cupertio A, Berg C . Level of cigarette consumption and quit behavior in a population of low-intensity smokers--longitudinal results from the International Tobacco Control (ITC) survey in Mexico. Addict Behav. 2013; 38(4):1958-65. PMC: 3579525. DOI: 10.1016/j.addbeh.2012.12.007. View

16.

Wang Y, Sung H, Yao T, Lightwood J, Max W . Factors associated with short-term transitions of non-daily smokers: socio-demographic characteristics and other tobacco product use. Addiction. 2016; 112(5):864-872. PMC: 5382088. DOI: 10.1111/add.13700. View

17.

Charlson M, Pompei P, Ales K, MacKenzie C . A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987; 40(5):373-83. DOI: 10.1016/0021-9681(87)90171-8. View

18.

Vijayaraghavan M, Benmarhnia T, Pierce J, White M, Kempster J, Shi Y . Income disparities in smoking cessation and the diffusion of smoke-free homes among U.S. smokers: Results from two longitudinal surveys. PLoS One. 2018; 13(7):e0201467. PMC: 6063424. DOI: 10.1371/journal.pone.0201467. View

19.

Tilert T, Chen J . Smoking-cessation advice to patients with chronic obstructive pulmonary disease: the critical roles of health insurance and source of care. Am J Prev Med. 2015; 48(6):683-93. DOI: 10.1016/j.amepre.2014.11.016. View

20.

Hassmiller K, Warner K, Mendez D, Levy D, Romano E . Nondaily smokers: who are they?. Am J Public Health. 2003; 93(8):1321-7. PMC: 1447964. DOI: 10.2105/ajph.93.8.1321. View