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Journal of Immigrant and Minority Health

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01-08-2008 | Original Paper

Nativity and Cigarette Smoking among Lower Income Blacks: Results from the Healthy Directions Study

Authors: Gary G. Bennett, Kathleen Y. Wolin, Cassandra A. Okechukwu, Carlotta M. Arthur, Sandy Askew, Glorian Sorensen, Karen M. Emmons

Published in: Journal of Immigrant and Minority Health | Issue 4/2008

Abstract

Blacks in the United States bear the greatest disease burden associated with cigarette smoking. Previous studies have shown that the rapidly increasing population of foreign-born Blacks has lower smoking rates compared to their native-born counterparts. However, less is known about whether cigarette smoking among Blacks varies by region of birth (US, Africa, or the Caribbean), generational status, or acculturation. We examined the association between nativity and cigarette smoking among 667 Black adult men and women enrolled in the Harvard Cancer Prevention Program project. In multi-variable analyses, US-born Blacks were more likely to be smokers compared to those born in the Caribbean (OR = 0.16, 95% CI 0.08, and 0.34) or in Africa (OR = 0.24, 95% CI 0.08, and 0.74). Language acculturation was positively associated with cigarette smoking (OR = 2.62, 95% CI 1.17, and 5.85). We found that US-born Blacks were more likely to be current cigarette smokers than those born in either Caribbean or African countries. Our findings highlight the importance of intervening early new Black immigrants to stem the uptake of cigarette smoking behaviors as individuals become acculturated.

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Title: Nativity and Cigarette Smoking among Lower Income Blacks: Results from the Healthy Directions Study
Authors: Gary G. Bennett
Kathleen Y. Wolin
Cassandra A. Okechukwu
Carlotta M. Arthur
Sandy Askew
Glorian Sorensen
Karen M. Emmons
Publication date: 01-08-2008
Publisher: Springer US
Published in: Journal of Immigrant and Minority Health / Issue 4/2008
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI: https://doi.org/10.1007/s10903-007-9088-0

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Nativity and Cigarette Smoking among Lower Income Blacks: Results from the Healthy Directions Study

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Keynote webinar | Spotlight on medication adherence

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