Current tobacco use patterns associated with healthcare utilization among non-Hispanic Black and Hispanic men with chronic conditions.

Autor: Merianos AL; School of Human Services, University of Cincinnati, Cincinnati, OH, USA. Electronic address: ashley.merianos@uc.edu., Mahabee-Gittens EM; Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Avenue, Cincinnati, OH 45229, USA. Electronic address: melinda.mahabee-gittens@cchmc.org., Montemayor BN; Department of Health Behavior, School of Public Health, Texas A&M University, 212 Adriance Lab Road, College Station, TX 77843, USA. Electronic address: bnmontemayor@tamu.edu., Sherman LD; Department of Health Behavior, School of Public Health, Texas A&M University, 212 Adriance Lab Road, College Station, TX 77843, USA. Electronic address: lsherman@tamu.edu., Goidel RK; Department of Political Science, Texas A&M University, 4348 TAMU, College Station, TX 77843, USA. Electronic address: kgoidel@tamu.edu., Bergeron CD; LIFE Research Institute, University of Ottawa, Ottawa, ON K1N 6N5, Canada. Electronic address: caroline@bergeron.ca., Smith ML; Department of Health Behavior, School of Public Health, Texas A&M University, 212 Adriance Lab Road, College Station, TX 77843, USA. Electronic address: matthew.smith@tamu.edu.
Jazyk: angličtina
Zdroj: Addictive behaviors [Addict Behav] 2023 Aug; Vol. 143, pp. 107695. Date of Electronic Publication: 2023 Mar 17.
DOI: 10.1016/j.addbeh.2023.107695
Abstrakt: Introduction: Tobacco use disparities persist among U.S. adults who are male, racially/ethnically diverse, and have chronic conditions. This study assessed current tobacco use patterns associated with past year healthcare utilization among non-Hispanic Black and Hispanic men ≥40 years old with ≥1 chronic condition.
Methods: Data were collected from a sample of 1,904 non-Hispanic Black and Hispanic men from across the U.S. using an internet-delivered survey. Participants were categorized into four tobacco use groups: nontobacco users, exclusive cigarette smokers, dualtobacco users (cigarettes + one other tobacco product), and polytobacco users (cigarettes + ≥2 other tobacco products). Logistic regression analyses were conducted to assess current tobacco use patterns with past year primary care visits, emergency department (ED) visits, and overnight hospital stays. Adjusted models included participants' age, race/ethnicity, education level, marital status, health insurance coverage, body mass index, and number of chronic conditions.
Results: Relative to nontobacco users, exclusive cigarette smokers were at decreased odds of having a past year primary care visit (adjusted odds ratio [AOR] = 0.68, 95% confidence interval [CI] = 0.47-0.99). Exclusive cigarette smokers (AOR = 1.66, 95%CI = 1.25-2.19), dualtobacco users (AOR = 1.75, 95%CI = 1.23-2.50), and polytobacco users (AOR = 4.10, 95%CI = 2.46-6.84) were at increased odds of having a past year ED visit compared to nontobacco users. Additionally, polytobacco users were at increased odds of having a past year overnight hospital stay (AOR = 2.72, 95%CI = 1.73-4.29) compared to nontobacco users.
Conclusions: Findings suggest current tobacco use patterns are uniquely associated with past year healthcare utilization among non-Hispanic Black and Hispanic men, while taking into consideration important factors including complex disease profiles.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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