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Nativity Status and Poly Tobacco Use among Young Adults in the United States

Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC 27412, USA
Department of Epidemiology & Biostatistics, Texas A&M University, College Station, TX 77843, USA
Author to whom correspondence should be addressed.
Academic Editors: Krystyna Gutkowska, Dominika Głąbska, Dominika Guzek and Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2022, 19(3), 1230;
Received: 4 December 2021 / Revised: 17 January 2022 / Accepted: 19 January 2022 / Published: 22 January 2022
(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)
Introduction: Young adults are the second largest segment of the immigrant population in the United States (US). Given recent trends in later age of initiation of tobacco use, we examined variation in use of tobacco products by nativity status for this population group. Methods: Our study included young adults 18–30 years of age sampled in the National Health Interview Survey (2015–2019), a nationally representative sample of the US population. We calculated prevalence of use of any and two or more tobacco products (cigarettes, cigars, pipes, e-cigarettes, and smokeless tobacco) for foreign-born (n = 3096) and US-born (n = 6811) young adults. Logistic regression models were adjusted for age, sex, race-ethnicity, education, and poverty, while accounting for the complex survey design. Results: Foreign-born young adults were significantly less likely to use any tobacco product (Cigarette = 7.3% vs. 10.7%; Cigar = 1.8% vs. 4.8%; E-cigarette = 2.3% vs. 4.5%, respectively; p < 0.01) or poly tobacco use (1.9% vs. 4.2%; p < 0.01) than US-born young adults. Adjusted regression models showed lower odds of poly tobacco use among the foreign-born than their US-born counterparts (Odds Ratio = 0.41, (95% Confidence Interval: 0.26–0.63)). Conclusions: The findings highlight the importance of targeted interventions by nativity status and further tobacco prevention efforts needed for the US-born. View Full-Text
Keywords: poly tobacco; nativity; young adults poly tobacco; nativity; young adults
MDPI and ACS Style

Okpala, P.C.; Rosario, C.; Dupont-Reyes, M.J.; Martin Romero, M.Y.; Alam, M.T.; Paivanas, H.; Echeverria, S.E. Nativity Status and Poly Tobacco Use among Young Adults in the United States. Int. J. Environ. Res. Public Health 2022, 19, 1230.

AMA Style

Okpala PC, Rosario C, Dupont-Reyes MJ, Martin Romero MY, Alam MT, Paivanas H, Echeverria SE. Nativity Status and Poly Tobacco Use among Young Adults in the United States. International Journal of Environmental Research and Public Health. 2022; 19(3):1230.

Chicago/Turabian Style

Okpala, Peace C., Carrie Rosario, Melissa J. Dupont-Reyes, Michelle Y. Martin Romero, Md T. Alam, Hailey Paivanas, and Sandra E. Echeverria. 2022. "Nativity Status and Poly Tobacco Use among Young Adults in the United States" International Journal of Environmental Research and Public Health 19, no. 3: 1230.

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