Association between exposure to household cigarette smoking behavior and cigarette smoking in Hispanic adults: Findings from the Hispanic Community Health Study/Study of Latinos.
BACKGROUND
Cigarette smoking behavior is highly determined by social influences during childhood and adolescence. This phenomenon has not been fully evaluated in the Hispanic/Latino population.


OBJECTIVE
To examine the association between exposure to household cigarette smoking behavior (HCSB) and adult cigarette smoking among a diverse Hispanic/Latino population living in four US urban centers. The effect of acculturation on cigarette smoking was also evaluated.


METHODS
Data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) (n=13,231, ages 18-74years, collected between March 2008 and June 2011) were analyzed using logistic regression.


RESULTS
HCSB exposure was an independent risk factor for adult current cigarette smoking in Hispanic/Latinos (OR 1.7; 95% CI 1.4, 2.1) after controlling for relevant confounders including socio-demographic and cultural factors. Cubans and Puerto Ricans had the highest prevalence of HCSB exposure (59% and 47% respectively) and highest prevalence of current cigarette smoking (26% and 32%) compared with other Hispanic/Latino groups, (p<.01).


CONCLUSIONS
Our data suggest that exposure to HCSB in Hispanics/Latinos living in the US is an independent predictor of adult cigarette smoking, and this association appears to be strongest in Cubans and Puerto Ricans.
Institute for Minority Health Research, University of Illinois at Chicago, 1819 W. Polk St. Suite #246, 246 COMW-MC 764, Chicago, IL 60612, USA. Electronic address: elenanavas007@gmail.com.
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Navas-Nacher
School of Public Health, University of Illinois at Chicago, 1603 W. Taylor St., (M/C 923), Chicago, IL 60612, USA.
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Kelley
Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Coral Gables, FL, 33124, USA.
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Birnbaum-Weitzman
Institute for Behavioral and Community Health, San Diego State University, 9245 Sky Park Court, Suite 221, San Diego, CA 92123-4311, USA.
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Gonzalez
Department of Preventive Medicine, Northwestern University, 680 N. Lakeshore Dr., Suite #1400, Chicago, IL, 60611, USA.
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Ghiachello
Albert Einstein College of Medicine, 1300 Morris Park Ave., Belfer Building, Rm. #1306B, Bronx, NY, 10461, USA.
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Kaplan
Department of Public Health Sciences, University of Miami, 1120 N.W. 14th St., Rm #911, Miami, FL, 33136, USA.
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Lee
School of Public Health, University of Texas, 1200 Pressler St., Houston, TX 77030, USA.
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Bandiera
Department of Biostatistics, University of North Carolina at Chapel Hill, 137 E. Franklin St., Suite #203, Campus Box 8030, Chapel Hill, NC 27514-4145, USA.
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Bangdiwala
Department of Medicine and Department of Epidemiology, Columbia University Medical Center, PH 9 East Room 105, 630 West 168th Street, New York, NY 10032, USA.
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Barr
Institute for Minority Health Research, University of Illinois at Chicago, 1819 W. Polk St. Suite #246, 246 COMW-MC 764, Chicago, IL 60612, USA.
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Daviglus
D000069:Acculturation; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003430:Cross-Sectional Studies; D004781:Environmental Exposure / Q000009:adverse effects; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012907:Smoking / Q000208:ethnology* / Q000523:psychology; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014481:United States; D014505:Urban Population; D055815:Young Adult
Cigarette smoking; Ethnocultural groups; Hispanics; Household; Latinos; Social influences; Tobacco use