Skip to main content

Advertisement

Log in

Racial/Ethnic and Nativity Patterns of U.S. Adolescent and Young Adult Smoking

  • Published:
Population Research and Policy Review Aims and scope Submit manuscript

Abstract

We document racial/ethnic and nativity differences in U.S. smoking patterns among adolescents and young adults using the 2006 Tobacco Use Supplement to the Current Population Survey (n = 44,202). Stratifying the sample by nativity status within five racial/ethnic groups (Asian American, Mexican–American, other Hispanic, non-Hispanic black, and non-Hispanic white), and further by sex and age, we compare self-reports of lifetime smoking across groups. U.S.-born non-Hispanic whites, particularly men, report smoking more than individuals in other racial/ethnic/nativity groups. Some groups of young women (e.g., foreign-born and U.S.-born Asian Americans, foreign-born and U.S.-born Mexican–Americans, and foreign-born blacks) report extremely low levels of smoking. Foreign-born females in all of the 25–34 year old racial/ethnic groups exhibit greater proportions of never smoking than their U.S.-born counterparts. Heavy/moderate and light/intermittent smoking is generally higher in the older age group among U.S.-born males and females, whereas smoking among the foreign-born of both sexes is low at younger ages and remains low at older ages. Taken together, these findings highlight the importance of considering both race/ethnicity and nativity in assessments of smoking patterns and in strategies to reduce overall U.S. smoking prevalence and smoking-attributable health disparities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Agresti, A., & Finlay, B. (1997). Statistics methods for the social sciences (3rd ed.). Upper Saddle River, NJ: Prentice Hall.

    Google Scholar 

  • Anderson, C., & Burns, D. M. (2000). Patterns of adolescent smoking initiation rates by ethnicity and sex. Tobacco Control, 9(Suppl. 2), ii4–ii8.

    Google Scholar 

  • Baluja, K. F., Park, J., & Myers, D. (2003). Inclusion of immigrant status in smoking prevalence statistics. American Journal of Public Health, 93(4), 642–646.

    Article  Google Scholar 

  • Biener, L., & Albers, A. B. (2004). Young adults: Vulnerable new targets of tobacco marketing. American Journal of Public Health, 94(2), 326–330.

    Article  Google Scholar 

  • Blue, L., & Fenelon, A. (2011). Explaining low mortality among U.S. immigrants relative to native-born Americans: The role of smoking. International Journal of Epidemiology, 40(3), 786–793.

    Article  Google Scholar 

  • Blum, R. W., Beuhring, T., Shew, M. L., Bearinger, L. H., Sieving, R. E., & Resnick, M. D. (2000). The effects of race/ethnicity, income, and family structure on adolescent risk behaviors. American Journal of Public Health, 90(12), 1879–1884.

    Article  Google Scholar 

  • Campaign for Tobacco-Free Kids. (2009). The path to smoking addiction starts at very young ages. Washington: Campaign for Tobacco-Free Kids.

    Google Scholar 

  • Chahine, T., Subramanian, S. V., & Levy, J. I. (2011). Sociodemographic and geographic variability in smoking in the U.S.: A multilevel analysis of the 2006–2007 Current Population Survey, Tobacco Use Supplement. Social Science and Medicine, 73(5), 752–758.

    Article  Google Scholar 

  • Charlesworth, A., & Glantz, S. A. (2005). Smoking in the movies increases adolescent smoking: A review. Pediatrics, 116, 1516–1528.

    Article  Google Scholar 

  • Chen, X., Unger, J., Cruz, T. B., & Johnson, C. A. (1999). Smoking patterns of Asian-American youth in California and their relationship with acculturation. Journal of Adolescent Health, 24(5), 321–328.

    Article  Google Scholar 

  • Cummings, K. M., Hyland, A., Pechacek, T. F., Orlandi, M., & Lynn, W. R. (1997). Comparison of recent trends in adolescent and adult cigarette smoking behaviour and brand preferences. Tobacco Control, 6(Suppl. 2), S31–S37.

    Article  Google Scholar 

  • Ellickson, P. L., Orlando, M., Tucker, J. S., & Klein, D. J. (2004). From adolescence to young adulthood: Racial/ethnic disparities in smoking. American Journal of Public Health, 94(4), 293–299.

    Article  Google Scholar 

  • Fagan, P., Brook, J. S., Rubenstone, E., Zhang, C., & Brook, D. W. (2009). Longitudinal precursors of young adult light smoking among African Americans and Puerto Ricans. Nicotine & Tobacco Research, 11(2), 139–147.

    Article  Google Scholar 

  • Fagan, P., & Rigotti, N. A. (2009). Light and intermittent smoking: The road less traveled. Nicotine & Tobacco Research, 11(2), 107–110.

    Article  Google Scholar 

  • Fenelon, A. (2013). Revisiting the Hispanic mortality advantage in the United States: The role of smoking. Social Science and Medicine, 82, 1–9.

    Article  Google Scholar 

  • Fenelon, A., & Preston, S. H. (2012). Estimating smoking-attributable mortality in the United States. Demography, 49(3), 797–818.

    Article  Google Scholar 

  • Georgiades, K., Boyle, M. H., Duku, E., & Racine, Y. (2006). Tobacco use among immigrant and nonimmigrant adolescents: Individual and family level influences. Journal of Adolescent Health, 38(4), 443.e1–443.e7.

    Article  Google Scholar 

  • Geronimus, A. T., Neidert, L. J., & Bound, J. (1993). Age patterns of smoking in US black and white women of childbearing age. American Journal of Public Health, 83(9), 1258–1264.

    Article  Google Scholar 

  • Green, M. P., McCausland, K. L., Xiao, H., Duke, J. C., Vallone, D. M., & Healton, C. G. (2007). A closer look at smoking among young adults: Where tobacco control should focus its attention. American Journal of Public Health, 97(8), 1427–1433.

    Article  Google Scholar 

  • Griesler, P. C., Kandel, D. B., & Davies, M. (2002). Ethnic differences in predictors of initiation and persistence of adolescent cigarette smoking in the National Longitudinal Survey of Youth. Nicotine & Tobacco Research, 4(1), 79–93.

    Article  Google Scholar 

  • Harrell, J. S., Faan, S. I. B., Deng, S., Webb, J. P., & Bradley, C. (1998). Smoking initiation in youth: The roles of gender, race, socioeconomics, and developmental status. Journal of Adolescent Health, 23(5), 271–279.

    Article  Google Scholar 

  • Hummer, R. A., Nam, C. B., & Rogers, R. G. (1998). Adult mortality differentials associated with cigarette smoking in the USA. Population Research and Policy Review, 17(3), 285–304.

    Article  Google Scholar 

  • Johnson, R. A., & Hoffman, J. P. (2000). Adolescent cigarette smoking in U.S. racial/ethnic subgroups: Findings from the National Education Longitudinal Study. Journal of Health and Social Behavior, 41(4), 392–407.

    Article  Google Scholar 

  • Kiefe, C. I., Williams, O. D., Lewis, C. E., Allison, J. J., Sekar, P., & Wagenknecht, L. E. (2001). Ten-year changes in smoking among young adults: Are racial differences explained by socioeconomic factors in the CARDIA study? American Journal of Public Health, 91(2), 213–218.

    Article  Google Scholar 

  • Kimbro, R. T. (2009). Acculturation in context: Gender, age at migration, neighborhood ethnicity, and health behaviors. Social Science Quarterly, 90(5), 1145–1166.

    Article  Google Scholar 

  • Lariscy, J. T., Hummer, R.A., Rath, J. M., Villanti, A. C., Hayward, M. D., & Vallone, D. M. (2013). Race/ethnicity, nativity, and tobacco use among U.S. young adults: Results from a nationally representative survey. Nicotine & Tobacco Research. doi:10.1093/ntr/nts344.

  • Ling, P. M., Neilands, T. B., & Glantz, S. A. (2009). Young adult smoking behavior: A national survey. American Journal of Preventive Medicine, 36(5), 389–394.

    Article  Google Scholar 

  • Lopez-Gonzalez, L., Aravena, V. C., & Hummer, R. A. (2005). Immigrant acculturation, gender and health behavior: A research note. Social Forces, 84(1), 581–593.

    Article  Google Scholar 

  • Ma, G. X., Tan, Y., Toubbeh, J. I., Su, X., Shive, S. E., & Lan, Y. (2004). Acculturation and smoking behavior in Asian-American populations. Health Education Research, 19(6), 615–625.

    Article  Google Scholar 

  • Markides, K. S., & Coreil, J. (1986). The health of Hispanics in the Southwestern United States: An epidemiologic paradox. Public Health Report, 101(3), 253–265.

    Google Scholar 

  • Nam, C. B., Hummer, R. A., & Rogers, R. G. (1994). Underlying and multiple causes of death related to smoking. Population Research and Policy Review, 13(3), 305–325.

    Article  Google Scholar 

  • National Center for Health Statistics. (2007). Health, United States, 2007 with chartbook on trends in the health of Americans. Hyattsville, MD.

  • Osypuk, T. L., & Acevedo-Garcia, D. (2010). Support for smoke-free policies: A nationwide analysis of immigrants, US-born, and other demographic groups, 1995–2002. American Journal of Public Health, 100(1), 171–181.

    Article  Google Scholar 

  • Pampel, F. C. (2008). Racial convergence in cigarette use from adolescence to the mid-thirties. Journal of Health and Social Behavior, 49(4), 484–498.

    Google Scholar 

  • Preston, S. H., & Wang, H. (2006). Sex mortality differences in the United States: The role of cohort smoking patterns. Demography, 43(4), 631–646.

    Article  Google Scholar 

  • Rogers, R. G., Hummer, R. A., Krueger, P. M., & Pampel, F. C. (2005). Mortality attributable to cigarette smoking in the United States. Population and Development Review, 31(2), 259–292.

    Article  Google Scholar 

  • Rogers, R. G., Nam, C. B., & Hummer, R. A. (1995). Demographic and socioeconomic links to cigarette smoking. Social Biology, 42(1–2), 1–21.

    Google Scholar 

  • Roston, B. L., & Wilmoth, J. R. (2011). Estimating the effect of smoking on slowdowns in mortality declines in developing countries. Demography, 48(2), 461–479.

    Article  Google Scholar 

  • Sepe, E., Ling, P. M., & Glantz, S. A. (2002). Smooth moves: Bar and nightclub tobacco promotions that target young adults. American Journal of Public Health, 92(3), 414–419.

    Article  Google Scholar 

  • Siahpush, M., Singh, G. K., Jones, P. R., & Timsina, L. R. (2010). Racial/ethnic and socioeconomic variations in duration of smoking: Results from 2003, 2006 and 2007 Tobacco Use Supplement of the Current Population Survey. Journal of Public Health, 32(2), 210–218.

    Article  Google Scholar 

  • Stahre, M., Okuyemi, K. S., Joseph, A. M., & Fu, S. S. (2010). Racial/ethnic differences in menthol cigarette smoking, population quit ratios and utilization of evidence-based tobacco cessation treatments. Addiction, 105(Suppl. 1), 75–83.

    Article  Google Scholar 

  • StataCorp. (2011). Stata statistical software: Release 12.0. College Station, TX: StataCorp LP.

  • Trinidad, D. R., Perez-Stable, E. J., Emery, S. L., White, M. M., Grana, R. A., & Messer, K. S. (2009). Intermittent and light daily smoking across racial/ethnic groups in the United States. Nicotine & Tobacco Research, 11(2), 203–210.

    Article  Google Scholar 

  • Trinidad, D. R., Unger, J. B., Chou, C., & Johnson, C. A. (2005). Emotional intelligence and acculturation to the United States: Interactions on the perceived social consequences of smoking in early adolescents. Substance Use and Misuse, 40(11), 1697–1706.

    Article  Google Scholar 

  • U.S. Census Bureau. (2008). Current Population Survey, January 2007. Tobacco Use Supplement file, technical documentation, CPS-07. Washington DC: U.S. Census Bureau.

  • U.S. Department of Health and Human Services. (2004). The health consequences of smoking: A report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.

    Google Scholar 

  • U.S. Department of Health and Human Services. (2012). Preventing tobacco use among youth and young adults: A report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office of Smoking and Health.

    Google Scholar 

  • Weiss, J. W., & Garbanati, J. A. (2006). Effects of acculturation and social norms on adolescent smoking among Asian-American subgroups. Journal of Ethnicity in Substance Abuse, 5(2), 75–90.

    Article  Google Scholar 

  • Zhang, J., & Wang, Z. (2008). Factors associated with smoking in Asian American adults: A systematic review. Nicotine & Tobacco Research, 10(5), 791–801.

    Article  Google Scholar 

Download references

Acknowledgments

We would like to thank the Legacy Foundation for its financial support; Jessica Rath, Andrea Villanti, and Mark Hayward for their valuable input on this topic; and the reviewers and editors of PRPR for their thoughtful comments.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Becky Wade.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wade, B., Lariscy, J.T. & Hummer, R.A. Racial/Ethnic and Nativity Patterns of U.S. Adolescent and Young Adult Smoking. Popul Res Policy Rev 32, 353–371 (2013). https://doi.org/10.1007/s11113-013-9275-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11113-013-9275-8

Keywords

Navigation