Contextual Factors Related to Conventional and Traditional Tobacco Use Among California Asian Indian Immigrants

Patel, Minal; Mistry, Ritesh; Maxwell, Annette E.; Divan, Hozefa A.; McCarthy, William J.

doi:10.1007/s10900-017-0419-3

Cited by 8 publications

(21 citation statements)

References 41 publications

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“…Past research has found males to have higher prevalence or odds of SLT use when compared to women (18,19,27), and our study was no exception. In our study, a longer percentage of time lived in the US was significantly associated with ever use of SLT among females, and speaking English very well was significantly associated with ever and current use of SLT among males.…”

Section: Discussionsupporting

confidence: 61%

“…South Asians are the second largest Asian group in the United States (US), and are one of the fastest growing racial/ethnic groups (15). While the prevalence of SLT among South Asians in the US is largely unknown and potentially underestimated, often because traditional health surveillance measures for tobacco do not capture traditional Asian products (16), the current published prevalence rates remain high (16)(17)(18)(19). However, a limited number of studies have focused on SLT use among the large South Asian communities in New York City (20)(21)(22), despite some suggestion of its high prevalence (16).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Correlates of Cultural Smokeless Tobacco Products among South Asian Americans in New York City

et al. 2019

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Despite the high prevalence of smokeless tobacco (SLT) use in South Asia, little is known about the use of cultural smokeless tobacco among South Asians in the United States (US). This study examines the prevalence and correlates of SLT products among South Asians living in New York City (NYC). A total of 602 South Asians living in NYC completed a community health needs and resource assessment and answered questions about the use of SLT. Multivariable logistic regression models were run to examine predictors of SLT use (ever and current use). A total of 28.2% South Asian individuals reported ever use of SLT (35.9% among men and 21.5% among women) and a total of 12.9% reported current use of SLT (16.5% among men and 9.7% among women). Logistic regression models were stratified by sex. Among men, factors associated with ever or current use included: Bangladeshi and Himalayan ethnic subgroup, speaking English very well, attending a religious service a few times a year (ever use only), and current or former cigarette smoking. Among women, factors associated with ever use included: Bangladeshi ethnic subgroup, self-reporting condition of mouth and teeth as fair/poor, and at risk for depression. No factors were significant among women for current use. Overall, prevalence of current and ever use of SLT is high, and important differences exist by sex. Future studies are needed to better

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Section: Discussionsupporting

confidence: 61%

Section: Introductionmentioning

confidence: 99%

Prevalence and Correlates of Cultural Smokeless Tobacco Products among South Asian Americans in New York City

et al. 2019

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“…The main result of the present investigation is the significantly lower risk of being a current smoker and for drinking alcohol in highly religious individuals in comparison with less religious or non-religious people. This result is consistent with findings from previous studies with immigrant samples ([ 23 , 24 , 25 , 26 , 27 , 28 ] and with the results of the Polish General Social Survey ( n = 1526) [ 49 ] and the Survey of Health, Ageing, and Retirement in Europe ( n = 16,557) ([ 50 ]. Several possible explanations can be provided for the protective role of religiosity against substance consumption.…”

Section: Discussionsupporting

confidence: 92%

“…Most of the studies on this topic have been conducted in the USA in Latino and Asian Indian immigrants. In sum, the scarce literature on the association between religiosity and health-related behaviors in immigrants has consistently shown an inverse relationship between religiosity and tobacco [ 23 , 24 , 25 ] as well as alcohol consumption or alcohol use disorders ([ 25 , 26 , 27 , 28 ]; a positive association between religiosity and physical activity (however, only one study has examined this topic [ 25 ]); and mixed results concerning religiosity and being overweight/obese—one survey reported no significant relationship [ 25 ] and one [ 29 ] demonstrated a positive association (found only for Asian Indians practicing Hinduism or Sikhism, but not for Muslims).…”

Section: Introductionmentioning

confidence: 99%

Health-Related Lifestyle Behavior and Religiosity among First-Generation Immigrants of Polish Origin in Germany

Morawa

Erim

2018

IJERPH

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Background: Health-related lifestyle behaviors such as smoking, alcohol consumption, physical inactivity and obesity are major cardiovascular risk factors. Previous studies have mostly demonstrated a favorable association between religiosity and these cardiovascular risk factors; however, no studies have investigated this relationship in Polish immigrants. The aim of this cross-sectional study was to examine the association between health-related lifestyle behaviors and religiosity in Polish immigrants in Germany. Methods: The smoking patterns, frequency of alcohol consumption, physical activity, and presence of overweight/obesity were assessed in 257 first-generation immigrants of Polish origin living in Germany. Religiosity was measured with the Centrality of Religiosity Scale (CRS, Huber, 2003) consisting of 15 items that categorized the respondents into intrinsically, extrinsically, and not/marginally religious. Results: After adjusting for various sociodemographic, migration, and health-related characteristics, intrinsic religiosity was significantly associated with a lower risk of being a smoker (odds ratios (OR) = 0.34, confidence intervals (CI) = 0.15–0.76) and was also associated with a lower risk of alcohol consumption (OR = 0.33, CI = 0.15–0.71), but a higher risk of being overweight/obese (OR = 2.53, CI = 1.15–5.56) in comparison with extrinsic/marginal religiosity. No significant relationship was found between religiosity and physical activity. Conclusions: In Polish immigrants, intrinsic religiosity acts as a protective factor against some cardiovascular risk factors (smoking and alcohol consumption).

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“…By comparison, a study with 2140 participants in California noted that Indian immigrants had lower past-30-day use of conventional tobacco products (4.2%) compared to the general California adult population (14.6%). Conversely, Indian immigrants had higher ever use of traditional tobacco products (64.9%) and a majority (96.6%) had already used these products prior to immigrating to the U.S. [19].…”

Section: Introductionmentioning

confidence: 98%

A qualitative study of gutka and paan masala use among Bhutanese and Burmese migrants in Georgia

Thanh

2020

PLoS ONE

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The city of Clarkston (Georgia) is home to many refugees and immigrants, including Bhutanese and Burmese populations. Use of gutka and paan masala is common in these populations. While gutka and paan masala contain toxic ingredients including carcinogens, little research has examined general use, perceptions of risk, cultural norms, and access to these products among Bhutanese and Burmese populations in the southern U.S. This study uses focus groups and key informant interviews to develop an understanding of gutka and paan masala use among Bhutanese and Burmese refugee populations residing in Clarkston, focusing in particular on knowledge and perceptions of harm, patterns of and reasons for use, access to gutka and paan masala, and resources for cessation and prevention of gutka and paan masala use. We conducted 21 focus groups with Bhutanese and Burmese youths and adults and 11 key informant interviews. We analyzed data using MAXQDA and a grounded theory approach. Emerging themes included mixed understandings of ingredients and harms associated with gutka and paan masala use. The continued use of paan masala was perceived to be due to cultural traditions. Youths, particularly Bhutanese, were perceived as a rising group of users of gutka and paan masala. Widespread availability and accessibility in Clarkston made it easy for both adults and youths to acquire and use gutka and paan masala. Few participants knew about prevention efforts or resources in their communities. In conclusion, culturally-relevant awareness and education programs as well as health promotion materials regarding gutka and paan masala are much needed in Bhutanese and Burmese communities. More regulatory actions are needed, such as better warning signs in businesses to inform customers of ingredients in these products and their health risks, age restrictions on gutka and paan masala purchase, and compliance checks.

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Contextual Factors Related to Conventional and Traditional Tobacco Use Among California Asian Indian Immigrants

Cited by 8 publications

References 41 publications

Prevalence and Correlates of Cultural Smokeless Tobacco Products among South Asian Americans in New York City

Prevalence and Correlates of Cultural Smokeless Tobacco Products among South Asian Americans in New York City

Health-Related Lifestyle Behavior and Religiosity among First-Generation Immigrants of Polish Origin in Germany

A qualitative study of gutka and paan masala use among Bhutanese and Burmese migrants in Georgia

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