ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2008
Tobacco use among the Amish in Holmes County, Ohio.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 21 citations in OpenAlex.
- The GGLEAM Study: Understanding Glaucoma in the Ohio Amish.International journal of environmental research and public health · 2021Article
- Article
- Familial aggregation of tobacco use behaviors among Amish men.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2014Article
- Health literacy among the Amish: measuring a complex concept among a unique population.Journal of community health · 2013Article
- Living the good life? Mortality and hospital utilization patterns in the Old Order Amish.PloS one · 2012Article
- The use of daily aspirin, nutritional supplements and alternative medications among Amish and non-Amish living in Ohio Appalachia.Nutrition and cancer · 2012Article
- Dietary intake, food processing, and cooking methods among Amish and non-Amish adults living in Ohio Appalachia: relevance to nutritional risk factors for cancer.Nutrition and cancer · 2011Article
- Cancer screening practices among Amish and non-Amish adults living in Ohio Appalachia.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2011Article
- The Ohio Cross-Cultural Tobacco Control Alliance: understanding and eliminating tobacco-related disparities through the integration of science, practice, and policy.American journal of public health · 2010Article
- Low cancer incidence rates in Ohio Amish.Cancer causes & control : CCC · 2010Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
purposeThe objective of this study was to estimate tobacco use prevalence among the Amish in Holmes County, Ohio, using both self-report and a biochemical marker of nicotine exposure.
methodsAmish adults (n=134) were interviewed as part of a lifestyle study. Self-reported tobacco use was measured using standardized questions, and cotinine was measured from a saliva sample. The prevalence of smoking, total tobacco use, and misclassification were estimated separately by gender, and then compared to 2 non-Amish groups. One group was selected from 2 counties contained within the Holmes County Amish settlement (n=154) and the other was representative of non-Hispanic whites in the United States (n=4,099).
findingsNo Amish women reported current tobacco use and only 2 reported former use. This was significantly different (P<.0001) from the patterns observed among non-Amish in the settlement counties (15.7%) and US white (23.3%) women. The prevalence of tobacco use among Amish men was 17.6% and this was significantly lower than estimates from non-Amish in the settlement counties (38.8%, P=.04) and US white (32.2%, P=.005) men. No Amish women and only 2 Amish men underreported tobacco use and misclassification was similar in the comparison groups.
conclusionsTobacco use is significantly lower among adults in the largest Amish settlement in the world compared to their non-Amish neighbors in Appalachia Ohio and US whites. A strength of this study is that self report was verified with a marker of nicotine, a critical measure to include in any study conducted in a group that stigmatizes tobacco use.
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