Tobacco Use Data Disparities

Icilda Dickerson, MSA Assistant Director

March 15, 2007www.otpf.org

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.

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.

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

Regional Tobacco Use Disparity

Tobacco Use: Asian Americans

• 40% Cambodian

• 32% Laotian

• 29% Hmong

• 23% Korean

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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.

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.

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.

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.

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.

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.

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.