Introduction
U.S. data on adult tobacco use and the relationship
between such use and tobacco-related health disparities are primarily limited to
broad racial or ethnic populations. To monitor progress in tobacco control among
adults living in the United States, we present information on tobacco use for
both aggregated and disaggregated racial and ethnic subgroups.
Methods
We used data from the nationally representative sample of
adults aged 18 years or older who participated in the National Survey on Drug
Use and Health conducted 4 times during 2002–2005. We calculated 2 outcome
measures: 1) use of any tobacco product (cigarettes, chewing or snuff tobacco,
cigars, or pipes) during the 30 days before each survey and 2) cigarette smoking
during the 30 days before each survey.
Results
The prevalence of tobacco use among adults aged 18 years or
older varied widely across racial or ethnic groups or subgroups. Overall, about
3 of 10 adults living in the United States were tobacco users during the 30 days
before being surveyed. The population groups or subgroups with a tobacco-use
prevalence of 30% or higher were African Americans, American Indians or Alaska
Natives, Native Hawaiians or other Pacific Islanders, Puerto Ricans, and
whites.
Conclusion
These results indicate that the prevalence of adult
tobacco use is still high among several U.S. population groups or subgroups. Our
results also support the need to design and evaluate interventions to prevent or
control tobacco use that would reach distinct U.S. adult population groups or
subgroups.