title: Smoking cessation among U.S. Hispanic/Latino adults: Findings from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).
abstract: This paper examines patterns of smoking cessation among Hispanics/Latinos with particular attention to gender, acculturation, and national background. Data are from the Hispanic Community Health Study/Study of Latinos, a population-based study of 16,415 non-institutionalized Hispanics/Latinos ages 18-74 from a stratified random sample of households in Chicago, Miami, the Bronx, and San Diego. Face-to-face interviews, in English or Spanish, were conducted from 2008 to 2011. Findings are based on 6398 participants who reported smoking at least 100 cigarettes in their lifetime. Associations with smoking cessation outcomes were assessed in bivariate and multivariable analyses. Findings indicate that approximately equal proportions of men and women were former smokers. There was little difference by gender in socioeconomic characteristics associated with smoking cessation. Both men and women who lived in households with smokers were less likely to be abstinent. Multivariable analysis indicated that the likelihood of quitting varied by national background primarily among men, however, Puerto Rican and Cuban smokers of both genders were the least likely to successfully quit smoking. Among women, but not men, younger and more socially acculturated individuals had lower odds of sustaining cessation. Over 90% of female and male former smokers reported quitting on their own without cessation aids or therapy. The results suggest that many Hispanics/Latinos are self-motivated to quit and are able to do so without clinical assistance. Heterogeneity in smoking behaviors among Hispanics/Latinos should be taken into account when developing and delivering smoking cessation interventions and public health campaigns.
authors.affiliation: Department of Epidemiology and Population Health, Albert Einstein College of Medicine, United States. Electronic address: cheryl.merzel@nyu.edu.
authors.forename: Cheryl R
authors.initials: CR
authors.lastname: Merzel
authors.affiliation: Department of Epidemiology and Population Health, Albert Einstein College of Medicine, United States.
authors.forename: Carmen R
authors.initials: CR
authors.lastname: Isasi
authors.affiliation: Department of Epidemiology and Population Health, Albert Einstein College of Medicine, United States.
authors.forename: Garrett
authors.initials: G
authors.lastname: Strizich
authors.affiliation: Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, United States.
authors.forename: Sheila F
authors.initials: SF
authors.lastname: Castañeda
authors.affiliation: Department of Psychology, University of Miami, United States.
authors.forename: Marc
authors.initials: M
authors.lastname: Gellman
authors.affiliation: Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, United States.
authors.forename: Aida L
authors.initials: AL
authors.lastname: Maisonet Giachello
authors.affiliation: Department of Public Health Sciences, Miller School of Medicine, University of Miami, United States.
authors.forename: David J
authors.initials: DJ
authors.lastname: Lee
authors.affiliation: Department of Medical Social Science, Feinberg School of Medicine, Northwestern University, United States.
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Penedo
authors.affiliation: Department of Public Policy, University of North Carolina Chapel Hill, United States.
authors.forename: Krista M
authors.initials: KM
authors.lastname: Perreira
authors.affiliation: Department of Epidemiology and Population Health, Albert Einstein College of Medicine, United States.
authors.forename: Robert C
authors.initials: RC
authors.lastname: Kaplan
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D012907:Smoking / Q000208:ethnology; D016540:Smoking Cessation / Q000208:ethnology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: Acculturation; Gender; Latinos; Smoking cessation