J Drug Issues. 2015 Jan;45(1):22-37. doi: 10.1177/0022042614542511. Epub 2014 Jul 11.
Smoking Trajectories Among Monoracial and Biracial Black Adolescents and Young Adults.
Journal of drug issues
Trenette T Clark, Anh B Nguyen, Emanuel Coman
Affiliations
Affiliations
- University of North Carolina at Chapel Hill, School of Social Work.
- The National Cancer Institute, Cancer Prevention Fellowship Program.
- University of North Carolina at Chapel Hill, Department of Political Science.
PMID: 28344360
PMCID: PMC5363972 DOI: 10.1177/0022042614542511
Abstract
INTRODUCTION: Cigarette smoking trajectories were assessed among monorace Blacks, Black-American Indians, Black-Asians, Black-Hispanics, and Black-Whites.
METHOD: We used a subsample of nationally representative data obtained from the National Longitudinal Study of Adolescent Health (Add Health). The sample consisted of adolescents who were in Grades 7 - 12 in 1994, and followed across four waves of data collection into adulthood. Wave 4 data were collected in 2007-2008 when most respondents were between 24 and 32 years old. Respondents could report more than one race/ethnicity. Poisson regression was used to analyze the data.
RESULTS: We found distinct smoking trajectories among monorace and biracial/ethnic Blacks, with all groups eventually equaling or surpassing trajectories of Whites. The age of cross-over varied by gender for some subgroups, with Black-American Indian males catching up earlier than Black-American Indian females. Black-White females smoked on more days than monorace Black females until age 26 and also smoked more than Black-White males between ages 11 and 29 years. Black-Hispanic males smoked on more days than Black-Hispanic females from ages 11 to 14. The results of the interaction tests also indicated different smoking trajectories across SES levels among White, Black, and Black-White respondents.
CONCLUSION: Significant heterogeneity was observed regarding smoking trajectories between monoracel and biracial/ethnic Blacks. Knowledge of cigarette smoking patterns among monorace and biracial/ethnic Black youth and young adults extends our understanding of the etiology of tobacco use and may inform interventions.
Keywords: ethnicity; mixed-race; multiracial; patterns; smoking behaviors; substance use
Conflict of interest statement
Declaration of Interests The authors report no conflicts of interest.
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