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. 2015 Jun;105(6):1230-6.
doi: 10.2105/AJPH.2014.302155. Epub 2014 Oct 16.

Risk of Cigarette Smoking Initiation During Adolescence Among US-Born and Non-US-Born Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos

Christina M Parrinello  1 , Carmen R Isasi, Xiaonan Xue, Frank C Bandiera, Jianwen Cai, David J Lee, Elena L Navas-Nacher, Krista M Perreira, Hugo Salgado, Robert C Kaplan
Affiliations

Risk of Cigarette Smoking Initiation During Adolescence Among US-Born and Non-US-Born Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos

Christina M Parrinello et al. Am J Public Health. 2015 Jun.

Abstract

Objectives: We assessed risk of cigarette smoking initiation among Hispanics/Latinos during adolescence by migration status and gender.

Methods: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) surveyed persons aged 18 to 74 years in 2008 to 2011. Our cohort analysis (n = 2801 US-born, 13 200 non-US-born) reconstructed participants' adolescence from 10 to 18 years of age. We assessed the association between migration status and length of US residence and risk of cigarette smoking initiation during adolescence, along with effects of gender and Hispanic/Latino background.

Results: Among individuals who migrated by 18 years of age, median age and year of arrival were 13 years and 1980, respectively. Among women, but not men, risk of smoking initiation during adolescence was higher among the US-born (hazard ratio [HR] = 2.10; 95% confidence interval [CI] = 1.73, 2.57; P < .001), and those who had resided in the United States for 2 or more years (HR = 1.47; 95% CI = 1.11, 1.96; P = .01) than among persons who lived outside the United States.

Conclusions: Research examining why some adolescents begin smoking after moving to the United States could inform targeted interventions.

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Figures

FIGURE 1—
FIGURE 1—
Association between migration status and risk of cigarette smoking initiation by gender: Hispanic Community Health Study/Study of Latinos. Note. Gender-specific hazard ratios and 95% confidence intervals were obtained from a single Cox proportional hazards regression model that included an interaction term between migration status and gender. The model was adjusted for Hispanic/Latino background and decade of birth. The reference group was individuals living outside of the United States (50 states and Washington, DC). The y-axis is on a log scale. Whiskers indicate 95% confidence intervals.
See this image and copyright information in PMC

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