Substance Abuse: Research and Treatment
Volume 13, 2019

Association Between E-Cigarette Use and Acculturation Among Adult Immigrants in the United States (Article) (Open Access)

Wang Y. , Laestadius L. , Stimpson J.P. , Wilson F.A.*
  • a Public Health Policy & Administration, Joseph J. Zilber School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, WI, United States
  • b Public Health Policy & Administration, Joseph J. Zilber School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, WI, United States
  • c Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United States
  • d Department of Health Services Research & Administration, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States

Abstract

Despite a dramatic increase in e-cigarette popularity in recent years, the relationship between acculturation and e-cigarette use among immigrants largely remains unknown. We investigated the association between acculturation, measured by both self-reported English proficiency and length of stay in the United States, and immigrants’ use of e-cigarettes using data from the 2016-2017 National Health Interview Survey. Multivariate logistic regressions were used to examine the associations of acculturation factors with ever and current use of e-cigarettes. We found that high English proficiency increased the odds of ever using e-cigarettes among immigrants (adjusted odds ratios: “well,” 2.22; “very well,” 3.24; with the reference group being “not well”). The association was significant among only men. However, we did not find a significant association between length of stay in the United States and e-cigarette use after adjusting for English proficiency. Future research is warranted to investigate how peer use, family-level factors, country of origin, and marketing strategies jointly influence e-cigarette use among immigrants, especially men. © The Author(s) 2019.

Author Keywords

Male immigrants electronic nicotine delivery systems vaping electronic cigarettes (e-cigarettes) Acculturation Female smoking

Index Keywords

male controlled study immigrant marketing length of stay cultural factor Article vaping interview United States human adult public health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85071320751&doi=10.1177%2f1178221819855086&partnerID=40&md5=859e12b646f149f8da1b84f165f8c128
DOI: 10.1177/1178221819855086
ISSN: 11782218
Original Language: English