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Ten-year changes in smoking among young adults: Are racial differences explained by socioeconomic factors in the CARDIA study?

Author

Listed:
  • Kiefe, C.I.
  • Williams, D.
  • Lewis, C.E.
  • Allison, J.J.
  • Sekar, P.
  • Wagenknecht, L.E.

Abstract

Objectives. This study investigated whether socioeconomic factors explain racial/ethnic differences in regular smoking initiation and cessation. Methods. Data were derived from the CARDIA study, a cohort of 5115 healthy adults aged 18 to 30 years at baseline (1985-1986) and recruited from the populations of 4 US cities. Respondents were followed over 10 years. Results. Among 3950 respondents reexamined in 1995-1996, 20% of Whites and 33% of African Americans were smokers, as compared with 25% and 32%, respectively, in 1985-1986. On average, African Americans were of lower socioeconomic status. Ten-year regular smoking initiation rates for African American women, White women, African American men, and White men were 7.1%, 3.5%, 13.2%, and 5.1%, respectively, and the corresponding cessation rates were 25%, 35.1%, 19.2%, and 31.3%. After adjustment for socioeconomic factors, most 95% confidence intervals of the odds ratios for regular smoking initiation and cessation in African Americans vs Whites included 1. Conclusions. Less beneficial 10-year changes in smoking were observed in African Americans, but socioeconomic factors explained most of the racial disparity.

Suggested Citation

  • Kiefe, C.I. & Williams, 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, American Public Health Association, vol. 91(2), pages 213-218.
    • Handle: RePEc:aph:ajpbhl:2001:91:2:213-218_4
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    Cited by:

    1. Jessica Ho & Irma Elo, 2013. "The Contribution of Smoking to Black-White Differences in U.S. Mortality," Demography, Springer;Population Association of America (PAA), vol. 50(2), pages 545-568, April.
    2. Gabriel Picone & Joe MacDougald & Frank Sloan & Alyssa Platt & Stefan Kertesz, 2010. "The effects of residential proximity to bars on alcohol consumption," International Journal of Health Economics and Management, Springer, vol. 10(4), pages 347-367, December.
    3. Becky Wade & Joseph Lariscy & Robert Hummer, 2013. "Racial/Ethnic and Nativity Patterns of U.S. Adolescent and Young Adult Smoking," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 32(3), pages 353-371, June.

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