health disparities in tobacco use
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Health Disparities in Tobacco Use. A look at the current findings. Overview. Tobacco Use and Health Disparities: The Data– Dr. Lois Keithly, MTCP The 84 Youth Movement: Empowering Youth Against Tobacco Use Girls Inc of Lynn Policy solutions – Katie King, ALA. - PowerPoint PPT PresentationTRANSCRIPT
Massachusetts Department of Public Health, Tobacco Cessation and Prevention Program
Health Disparities in Tobacco Use
A look at the current findings
Overview
• Tobacco Use and Health Disparities: The Data– Dr. Lois Keithly, MTCP
• The 84 Youth Movement: Empowering Youth Against Tobacco Use– Girls Inc of Lynn
• Policy solutions – Katie King, ALA
Adult Smoking Prevalence Among Subgroups: Massachusetts, 2010
More Likely to Smoke Less Likely to Smoke
14.1%
30.3%
25.7%23.1% 22.6%
19.0%
11.2%8.7%
7.0%
MA Adults MassHealth* <$25Khousehold
income
High schoolor less**
Disabled LGBT* Privatehealth
insurance*
$75K +household
income
Collegedegree**
Source: Massachusetts BRFSS, 2010. * Adults, age 18-64 ** Adults, age 25+
Adult Smoking Prevalence By Race/Ethnicity: Massachusetts, 2008-2010
15%
18%
15%
0%
20%
White Black Hispanic
Source: Behavioral Risk Factor Surveillance System
Adult Smoking Prevalence By Race/Ethnicity: Massachusetts, 2008-2010
16%20%
17%
0%
20%
40%
White Black Hispanic
Male
Source: Behavioral Risk Factor Surveillance System
Adult Smoking Prevalence By Race/Ethnicity: Massachusetts, 2008-2010
Source: Behavioral Risk Factor Surveillance System
14% 15%13%
0%
20%
40%
White Black Hispanic
Female
Immigrant status: Adult Smoking Prevalence By Race/Ethnicity: Massachusetts, 2008-2010
25%
12%
0%
20%
40%
Puerto Rican Other Hispanic
Male
Source: Behavioral Risk Factor Surveillance System
Immigrant status: Adult Smoking Prevalence By Race/Ethnicity: Massachusetts, 2008-2010
23%
6%
0%
20%
40%
Puerto Rican Other Hispanic
Female
Source: Behavioral Risk Factor Surveillance System
Immigrant status: Adult Smoking Prevalence By Race/Ethnicity: Massachusetts, 2008-2010
40%
6%
0%
20%
40%
60%
Cambodian/Vietnamese Other Asian
Male
Source: Behavioral Risk Factor Surveillance System
Immigrant status: Adult Smoking Prevalence By Race/Ethnicity: Massachusetts, 2008-2010
6%4%
0%
20%
40%
Cambodian/Vietnamese Other Asian
Female
Source: Behavioral Risk Factor Surveillance System
Menthol
• Menthol cigarettes are disproportionately smoked by blacks.
• Menthol is the only flavoring not outlawed for use in cigarettes.
• Menthol has numbing qualities that can mask initial irritation from smoking and may affect inhalation behavior (ie. longer and deeper puffs).
• The FDA is investigating banning Menthol in cigarettes.
% who smoke menthol flavored: Massachusetts, 2009-2010
24%
69%61%
0%
20%
40%
60%
80%
White Black Hispanic
Source: National Adult Tobacco Survey
Lung Cancer Incidence By Race/Ethnicity: Massachusetts, 2003-2007
(Age-Adjusted Rate per 100,000)
93
34
86
0
20
40
60
80
100
120
140
White Black Hispanic
Male
Source: Behavioral Risk Factor Surveillance System
Lung Cancer Incidence By Race/Ethnicity: Massachusetts, 2003-2007
(Age-Adjusted Rate per 100,000)
49
20
68
0
20
40
60
80
100
120
140
White Black Hispanic
Female
Source: Behavioral Risk Factor Surveillance System
Other Tobacco Products (OTP)
• Small cigars have long been marketed and available in urban areas.
• They have always been cheap and accessible.
• Tobacco companies are now expanding the range of cheap cigars and cigarillos they offer.
• These products are still flavored, even though cigarettes are not.
• Some types of cigars are nearly indistinguishable from cigarettes; wrapping, price and/or flavoring is the only clue.
• Young people from DPH’s statewide youth movement, The 84, will talk more about how this issue affects their communities.
Other Tobacco Product Use* Among High School Students: Massachusetts, 1999-2009
• Other Tobacco Products (OTP) are beginning to surpass cigarette consumption among adolescents in MA
17.6%
16.0%
0%
10%
20%
30%
40%
1999 2001 2003 2005 2007 2009
Per
cent
of
Stu
dent
s
.
Other Tobacco Products
Cigarettes
Source: Youth Risk Behavior Survey 1993-2009
* Used one or more days during the past 30 days.
The tobacco retail environment
• There is a greater density of tobacco retailers in minority communities
• This may be because of urban setting
• Result: greater exposure to advertising, greater ease of purchase, especially for youth