health disparities in tobacco use

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Massachusetts Department of Public Health, Tobacco Cessation and Prevention Program Health Disparities in Tobacco Use A look at the current findings

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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 Presentation

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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+

Who Smokes in Massachusetts?

2008 Estimate

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

Massachusetts Department of Public Health, Tobacco Cessation and Prevention Program