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Racial Disparities in Cigarette Smoking Behaviors and Differences Stratified by Metropolitan Area of Residence

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  • Rony F. Arauz

    (Laboratory of Human Carcinogenesis, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA
    These authors contributed equally to this work.)

  • Margaret Mayer

    (Tobacco Control Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD 20892, USA
    These authors contributed equally to this work.)

  • Carolyn Reyes-Guzman

    (Tobacco Control Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD 20892, USA)

  • Bríd M. Ryan

    (Laboratory of Human Carcinogenesis, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA)

Abstract

Background: Black cigarette smokers experience a disproportionate burden of non-small cell lung cancer (NSCLC) compared to other racial and ethnic groups, despite starting to smoke later in life, smoking less frequently, and smoking fewer cigarettes per day compared with White smokers. Research has shown that these disparities in NSCLC are wider in rural areas. Objective: To examine differences in smoking behaviors between Black and White individuals living in non-metropolitan areas and metropolitan areas. Methods: Using harmonized data from the Tobacco Use Supplement to the Current Population Survey (TUS-CPS) years 2010–2011, 2014–2015, and 2018–2019, we compared smoking behaviors between Black and White current and former smokers by metropolitan status (i.e., whether an individual lives in a densely populated area or not) and by both metropolitan status and sex. Results: Smoking prevalence was higher among White participants living in non-metropolitan versus Black participants. Further, in non-metropolitan areas, Black individuals reported smoking fewer cigarettes per day, fewer years of smoking, and a later age of initiation compared to White individuals. Additionally, Black individuals, especially men, were more likely than White individuals to be current non-daily smokers. Conclusions: Our findings show that Black individuals living in non-metropolitan areas do not, in aggregate, have more cigarette smoking exposure relative to White individuals. Additional research is needed to further understand smoking-related exposures and other factors that may contribute to lung cancer disparities, especially in non-metropolitan areas.

Suggested Citation

  • Rony F. Arauz & Margaret Mayer & Carolyn Reyes-Guzman & Bríd M. Ryan, 2022. "Racial Disparities in Cigarette Smoking Behaviors and Differences Stratified by Metropolitan Area of Residence," IJERPH, MDPI, vol. 19(5), pages 1-13, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:2910-:d:762432
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    References listed on IDEAS

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    1. Trinidad, D.R. & Pérez-Stable, E.J. & White, M.M. & Emery, S.L. & Messer, K., 2011. "A nationwide analysis of US racial/ethnic disparities in smoking behaviors, smoking cessation, and cessation-related factors," American Journal of Public Health, American Public Health Association, vol. 101(4), pages 699-706.
    2. Roberts, M.E. & Doogan, N.J. & Stanton, C.A. & Quisenberry, A.J. & Villanti, A.C. & Gaalema, D.E. & Keith, D.R. & Kurti, A.N. & Lopez, A.A. & Redner, R. & Cepeda-Benito, A. & Higgins, S.T., 2017. "Rural versus urban use of traditional and emerging tobacco products in the United States, 2013-2014," American Journal of Public Health, American Public Health Association, vol. 107(10), pages 1554-1559.
    3. repec:aph:ajpbhl:10.2105/ajph.2017.303967_2 is not listed on IDEAS
    4. Houston, T.K. & Scarinci, I.C. & Person, S.D. & Greene, P.G., 2005. "Patient smoking cessation advice by health care providers: The role of ethnicity, socioeconomic status, and health," American Journal of Public Health, American Public Health Association, vol. 95(6), pages 1056-1061.
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