Disparities in Cessation Behaviors Between Hispanic and Non-Hispanic White Adult Cigarette Smokers in the United States, 2000-2015

• Published in: Preventing chronic disease Vol. 17; p. E10
• Main Authors: Babb, Stephen, Malarcher, Ann, Asman, Kat, Johns, Michelle, Caraballo, Ralph, VanFrank, Brenna, Garrett, Bridgette
• Format: Journal Article
• Language: English
• Published: United States Centers for Disease Control and Prevention 30.01.2020
• Series: Peer Reviewed
• Subjects: Adolescent; Adult; Adults; Cigarettes; Counseling; Counseling - statistics & numerical data; Ethnicity; FDA approval; Female; Health insurance; Health Status Disparities; Health Surveys; Hispanic Americans; Hispanic or Latino - statistics & numerical data; Humans; Male; Medicaid; Middle Aged; Nicotine; Original Research; Prevalence; Questionnaires; Smoking - epidemiology; Smoking - psychology; Smoking cessation; Smoking Cessation - psychology; Smoking Cessation - statistics & numerical data; Support groups; Tobacco; Trends; United States - epidemiology; Whites - statistics & numerical data; Young Adult; United States; United States > US
• ISSN: 1545-1151; 1545-1151
• DOI: 10.5888/PCD17.190279

Hispanic adults make up a growing share of US adult smokers, and smoking is a major preventable cause of disease and death among Hispanic adults. No previous study has compared trends in smoking cessation behaviors among Hispanic adults and non-Hispanic white adults over time. We examined trends in cessation behaviors among Hispanic and non-Hispanic white adult cigarette smokers during 2000-2015. Using self-reported data from the National Health Interview Survey, we compared trends in quit attempts, receipt of advice to quit from a health professional, and use of cessation treatment (counseling and/or medication) among Hispanic and non-Hispanic white adult smokers. We also assessed these behaviors among 4 Hispanic subgroups. We conducted analyses in 2018-2019. Past-year quit attempts increased during 2000-2015 among both non-Hispanic white and Hispanic smokers, with no significant differences between these groups. Receiving advice to quit increased significantly among non-Hispanic white adults but did not increase significantly among Hispanic adults. Cessation treatment use increased among both non-Hispanic white and Hispanic adults. Throughout 2000-2015, the prevalence of receiving advice to quit and using cessation treatments was lower among Hispanic adults than non-Hispanic white adults. In 2015, a higher proportion of Hispanic than non-Hispanic white smokers visited a health care provider without receiving advice to quit. Hispanic adult smokers are less likely to receive advice to quit and to use proven cessation treatments than non-Hispanic white smokers, and this pattern persisted over time. Culturally competent educational initiatives directed at both providers and Hispanic communities could help eliminate this marked and persistent disparity.