ArticleCancer2018
Moving toward a true depiction of tobacco behavior among Asian Indians in California: Prevalence and factors associated with cultural smokeless tobacco product use.
Article in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Knowledge, attitudes and practices of South Asian immigrants in developed countries regarding oral cancer: an integrative review.BMC cancer · 2020Pooled it
- The Burden and Factors Associated With Smokeless Tobacco Use Among Adults in Nikki, Benin.Tobacco use insights · 2025Article
- Predictors of Quitting Dual Use of Electronic Cigarettes and Cigarettes During Pregnancy.Journal of women's health (2002) · 2024Article
- Generational perspective on asthma self-management in the Bangladeshi and Pakistani community in the United Kingdom: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Disaggregating Asian American Cigarette and Alternative Tobacco Product Use: Results from the National Health Interview Survey (NHIS) 2006-2018.Journal of racial and ethnic health disparities · 2022Article
- Understanding cognitive and emotional illness representations of South Asian head and neck cancer survivors: a qualitative study.Ethnicity & health · 2022Article
- Marketing exposure and smokeless tobacco use initiation among young adults: A longitudinal analysis.Addictive behaviors · 2019Article
- Prevalence and Correlates of Cultural Smokeless Tobacco Products among South Asian Americans in New York City.Journal of community health · 2019Article
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundAsian Indians (AIs) in the United States exhibit disproportionate burdens of oral cancer and cardiovascular disease, which are potentially linked to smokeless tobacco. However, little is known about the use of cultural smokeless tobacco (CST) products in this population.
methodsCalifornia Asian Indian Tobacco Use Survey data from 2004 (n = 1618) were used to investigate CST prevalence among California's AIs. CST products included paan, paan masala, and gutka. A multivariable logistic regression was conducted to examine factors (socioeconomic status, acculturation measures, and religious affiliation) associated with current CST use versus never use.
resultsThe current CST prevalence was 13.0% (14.0% for men and 11.8% for women). In contrast, the prevalence of current cigarette use was 5.5% (8.7% for men and 1.9% for women), and the prevalence was lower for cultural smoked tobacco (0.1% for bidis and 0.5% for hookahs). Factors associated with CST use included the following: being male, being 50 years old or older, being an immigrant, speaking an AI language at home, having a higher level of education (adjusted odds ratio [AOR] for high school/some college, 2.6; 95% confidence interval [CI], 1.1-6.5; AOR for college degree or higher, 4.0; 95% CI, 1.7-9.5), having a higher income (AOR for $75,000-$100,000, 2.5; 95% CI, 1.3-4.7; AOR for ≥$100,000, 2.6; 95% CI, 1.4-5.0), identifying as non-Sikh (AOR for Hinduism, 10.0; 95% CI, 6.0-16.5; AOR for other faiths, 10.2; 95% CI, 5.9-17.7), and disagreeing that spiritual beliefs are the foundation of life (AOR, 2.1; 95% CI, 1.2-3.5).
conclusionsThe current CST prevalence is relatively high among California's AIs in comparison with the prevalence of smoking, with narrower differences between sexes. The association with a higher socioeconomic status is contrary to typical cigarette smoking patterns. Acculturation and religious affiliation are important factors associated with current use. Health care providers and policymakers should consider such determinants for targeted interventions. Cancer 2018;124:1607-13. © 2018 American Cancer Society.
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