Cigarette smoking and quit attempts among Latinos in substance use disorder treatment. (2nd November 2018)

• Record Type: Journal Article
• Authors: Pagano, Anna; Gubner, Noah; Le, Thao; Guydish, Joseph
• Is Part Of: American journal of drug and alcohol abuse. Volume 44:Number 6(2018:Nov.)
• Page Start: 660
• Page End: 667
• Publication Date: 2018-11-02
• Subjects: Addiction -- treatment -- tobacco -- Latino -- cessation; Drug abuse -- Treatment -- Periodicals; Alcoholism -- Treatment -- Periodicals; Substance-abuse -- Treatment -- Periodicals; Alcoholism -- Periodicals; Substance-Related Disorders -- Periodicals; 616.86
• DOI: 10.1080/00952990.2017.1417417
• Languages: English
• ISSNs: 0095-2990

Abstract

ABSTRACT: Background : Differences in tobacco use behaviors have been identified between Latinos and non-Latino whites in the general US population. Little is known about cigarette smoking and quitting behaviors of Latinos in treatment for substance use disorders (SUDs), who represent two major tobacco-vulnerable groups. Objectives : To compare, in a national sample of persons enrolled in SUD treatment, demographic, drug use, and smoking and quitting prevalence and behaviors between Latinos and non-Latino whites. Methods : We surveyed 777 SUD treatment clients, sampled from 24 clinics selected at random from the National Institute on Drug Abuse Clinical Trials Network (Latino client n = 141; 40% female). We then conducted univariate and multivariate analyses to identify correlates of smoking behaviors by Latino/non-Latino white ethnicity. Results : Latinos' smoking prevalence resembled that of non-Latino whites (78.7% vs. 77.4%). In regression analyses, Latino smokers ( n = 111) tended to smoke fewer cigarettes per day (CPD) than non-Latino white smokers ( n = 492); were more often nondaily smokers and menthol smokers; more often reported a smoking quit attempt in the last year; and tended to report higher numbers of past-year quit attempts. Among Latino smokers, those with less education and those reporting opioids as their primary drug of use reported higher CPD. Conclusions : Latinos in SUD treatment are at equally high risk of being current heavy smokers as compared to non-Latino whites in SUD treatment. At the same time, Latinos in SUD treatment exhibit ethnic-specific smoking and quitting behaviors that should be considered when designing smoking interventions for this group.