TY - JOUR
T1 - Current tobacco use patterns associated with healthcare utilization among non-Hispanic Black and Hispanic men with chronic conditions
AU - Merianos, Ashley L.
AU - Mahabee-Gittens, E. Melinda
AU - Montemayor, Benjamin N.
AU - Sherman, Ledric D.
AU - Goidel, R. Kirby
AU - Bergeron, Caroline D.
AU - Smith, Matthew Lee
N1 - Copyright © 2023 Elsevier Ltd. All rights reserved.
PY - 2023/8
Y1 - 2023/8
N2 - Introduction: Tobacco use disparities persist among U.S. adults who are male, racially/ethnically diverse, and have chronic conditions. This study assessed current tobacco use patterns associated with past year healthcare utilization among non-Hispanic Black and Hispanic men ≥40 years old with ≥1 chronic condition. Methods: Data were collected from a sample of 1,904 non-Hispanic Black and Hispanic men from across the U.S. using an internet-delivered survey. Participants were categorized into four tobacco use groups: nontobacco users, exclusive cigarette smokers, dualtobacco users (cigarettes + one other tobacco product), and polytobacco users (cigarettes + ≥2 other tobacco products). Logistic regression analyses were conducted to assess current tobacco use patterns with past year primary care visits, emergency department (ED) visits, and overnight hospital stays. Adjusted models included participants’ age, race/ethnicity, education level, marital status, health insurance coverage, body mass index, and number of chronic conditions. Results: Relative to nontobacco users, exclusive cigarette smokers were at decreased odds of having a past year primary care visit (adjusted odds ratio [AOR] = 0.68, 95% confidence interval [CI] = 0.47–0.99). Exclusive cigarette smokers (AOR = 1.66, 95%CI = 1.25–2.19), dualtobacco users (AOR = 1.75, 95%CI = 1.23–2.50), and polytobacco users (AOR = 4.10, 95%CI = 2.46–6.84) were at increased odds of having a past year ED visit compared to nontobacco users. Additionally, polytobacco users were at increased odds of having a past year overnight hospital stay (AOR = 2.72, 95%CI = 1.73–4.29) compared to nontobacco users. Conclusions: Findings suggest current tobacco use patterns are uniquely associated with past year healthcare utilization among non-Hispanic Black and Hispanic men, while taking into consideration important factors including complex disease profiles.
AB - Introduction: Tobacco use disparities persist among U.S. adults who are male, racially/ethnically diverse, and have chronic conditions. This study assessed current tobacco use patterns associated with past year healthcare utilization among non-Hispanic Black and Hispanic men ≥40 years old with ≥1 chronic condition. Methods: Data were collected from a sample of 1,904 non-Hispanic Black and Hispanic men from across the U.S. using an internet-delivered survey. Participants were categorized into four tobacco use groups: nontobacco users, exclusive cigarette smokers, dualtobacco users (cigarettes + one other tobacco product), and polytobacco users (cigarettes + ≥2 other tobacco products). Logistic regression analyses were conducted to assess current tobacco use patterns with past year primary care visits, emergency department (ED) visits, and overnight hospital stays. Adjusted models included participants’ age, race/ethnicity, education level, marital status, health insurance coverage, body mass index, and number of chronic conditions. Results: Relative to nontobacco users, exclusive cigarette smokers were at decreased odds of having a past year primary care visit (adjusted odds ratio [AOR] = 0.68, 95% confidence interval [CI] = 0.47–0.99). Exclusive cigarette smokers (AOR = 1.66, 95%CI = 1.25–2.19), dualtobacco users (AOR = 1.75, 95%CI = 1.23–2.50), and polytobacco users (AOR = 4.10, 95%CI = 2.46–6.84) were at increased odds of having a past year ED visit compared to nontobacco users. Additionally, polytobacco users were at increased odds of having a past year overnight hospital stay (AOR = 2.72, 95%CI = 1.73–4.29) compared to nontobacco users. Conclusions: Findings suggest current tobacco use patterns are uniquely associated with past year healthcare utilization among non-Hispanic Black and Hispanic men, while taking into consideration important factors including complex disease profiles.
KW - Comorbidity
KW - Ethnic minorities
KW - Health inequalities
KW - Smoking
KW - Tobacco
KW - Smokers
KW - Humans
KW - Male
KW - Tobacco Use Disorder
KW - United States/epidemiology
KW - Tobacco Products
KW - Tobacco Use/epidemiology
KW - Patient Acceptance of Health Care
KW - Electronic Nicotine Delivery Systems
KW - Adult
KW - Female
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U2 - 10.1016/j.addbeh.2023.107695
DO - 10.1016/j.addbeh.2023.107695
M3 - Article
C2 - 37001260
AN - SCOPUS:85151260901
VL - 143
JO - Addictive Behaviors
JF - Addictive Behaviors
SN - 0306-4603
M1 - 107695
ER -