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Tobacco Use Data Disparities

Tobacco Use Data Disparities. Icilda Dickerson, MSA Assistant Director March 15, 2007. www.otpf.org. Tobacco Use: African American Communities. Over 70% of African-American adults and 90% of African-American youth prefer menthol cigarettes.

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Tobacco Use Data Disparities

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  1. Tobacco Use Data Disparities Icilda Dickerson, MSA Assistant Director March 15, 2007 www.otpf.org

  2. Tobacco Use: African American Communities • Over 70% of African-American adults and 90% of African-American youth prefer menthol cigarettes. • Ohio African-American males have higher rates of lung and bronchus cancer incidence and mortality than Ohioans in general.

  3. American Indians/Native Americans • 3 out of 5 deaths in Native American and American Indian communities can be attributed to tobacco use. • CDC 2005 estimates: 43.2% AI/NA adults smoke. • Ceremonial use of tobacco.

  4. Amish Communities • 24,100 Amish in Ohio • Tobacco use is a masked behavior • Difficult to outreach • Use of snuff or chew among males • 10.8% of 18-34 year olds • 13.0% of 35-54 year olds • 11.1% of 55-64 year olds

  5. Regional Tobacco Use Disparity

  6. Tobacco Use: Asian Americans • 40% Cambodian • 32% Laotian • 29% Hmong • 23% Korean .

  7. Tobacco Use: Deaf and Hard of Hearing • 18.4% adults smoke cigarettes; 1.3% smoke cigars; approx. 1% use dip (snuff) or chew tobacco. • Of those who smoke; 10% reported smoking regularly.

  8. Hispanic/Latino Communities • 26% of Ohio’s Hispanic households reported someone smoking cigarettes, cigars, or pipes inside their homes. • Higher rates of menthol cigarette use.

  9. Immigrant/Refugee (Somalis) • 40,000 + Somalis in Ohio; most reside in Central Ohio. • Lack of tobacco use prevalence data. • Anecdotally 60% or more adults smoke. • In Somalia, 16% of youth smoke. • Adults/youth chew dried Khat (Qat), a harmful narcotic substance.

  10. LGBT Population • Nationally, the LGBT community is estimated to have a smoking rate of up to 50% for adults ad 60% for youth. • OTPF funded LGBT Pilot Study (’04-’05) found targeted advertising, hard-to-resist free cigarettes at bars, ineffective channels for outreach as main barriers for tobacco control.

  11. Medicaid Population • Ohio’s Medicaid population has a smoking rate of 50.1 percent, and Ohio’s uninsured smoke at a rate of 55 percent. • Smoking among pregnant women on Medicaid ranged from 24% - 40%. • Of all infants born with low birth weight, 25% were born to tobacco users.

  12. Chemically Dependent and Severe Mental Illness • Ohio Dept. of Alcohol and Drug Addiction Services (ODADAS) estimates 70% - 90% tobacco use prevalence among individuals with alcohol and drug use disorders. • The smoking rate for people with both physical and mental illness is 33% higher than those without. • Smoking rates are as high as 90% among individuals with severe mental illness.

  13. Policy Implications • Significant and improved understanding of the need to reach out to address diverse tobacco use disparities. • Low SES could be one cross-cutting approach to address the multiple diverse populations. • OTPF is addressing tobacco use disparities by funding various grantees reaching diverse communities.

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