Biomaterial Database

Tobacco use in a tri-ethnic population of older women in southeastern North Carolina. 2003

John G Spangler, and L Douglas Case, and Ronny A Bell, and Sara A Quandt

Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA. jspangle@wfubmc.edu

OBJECTIVE While many studies have evaluated the epidemiology of tobacco use nationally and among specific populations, less is known about the epidemiology of tobacco use among elderly women. We examined the epidemiology of tobacco use among a tri-racial population of elderly women in southeastern North Carolina. METHODS Survey METHODS Senior centers, community events, and communal meal settings in Robeson County, North Carolina. METHODS Two hundred forty (240) women aged 60 and older, with approximately 80 women recruited from each ethnic group: Native American, African-American, and White. METHODS Demographic information, health history, and use of alcohol, cigarettes, and smokeless tobacco (ST). RESULTS Of the total sample of 240 women, 38 (16%) were current ST users. In logistic regression analysis, current ST use was inversely associated with age and education, but positively associated with Native American or African-American ethnicity. Sixteen (17%) of the total sample were current smokers. In logistic regression, younger age and any alcohol use in the past year were associated with current smoking CONCLUSIONS In a tri-ethnic, community-based sample of older women, rates of current ST use were greater than national rates found among women of all ages in each ethnic group. On the other hand, rates of current smoking among these older women were lower than the national prevalence for women among all ages in these 3 respective ethnic groups. The distinctly different epidemiology of ST use vs cigarette smoking among these women high-lights the need to tailor tobacco interventions to each specific product.

UI	MeSH Term	Description	Entries
D007198	Indians, North American	Members of indigenous North American populations with pre-colonial contact origins.	Amerinds, North American,Indigenous North Americans,American Indian, North,American, Indigenous North,Amerind, North American,Indian, North American,Indigenous North American,North American Amerind,North American Amerinds,North American Indian,North American Indians,North American, Indigenous
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D009657	North Carolina	State bounded on the north by Virginia, on the east and Southeast by the Atlantic Ocean, on the south by Georgia and South Carolina, and on the west by Tennessee.
D001741	Black or African American	A person having origins in any of the black racial groups of Africa (https://www.federalregister.gov/documents/1997/10/30/97-28653/revisions-to-the-standards-for-the classification-of-federal-data-on-race-and-ethnicity). In the United States it is used for classification of federal government data on race and ethnicity. Race and ethnicity terms are self-identified social construct and may include terms outdated and offensive in MeSH to assist users who are interested in retrieving comprehensive search results for studies such as in longitudinal studies.	African American,African Americans,African-American,Afro-American,Afro-Americans,Black Americans,Blacks,Negroes,African-Americans,Negro,Afro American,Afro Americans,American, African,American, Black,Black American
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368	Aged	A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available.	Elderly
D000369	Aged, 80 and over	Persons 80 years of age and older.	Oldest Old
D012424	Rural Population	The inhabitants of rural areas or of small towns classified as rural.	Rural Residence,Rural Communities,Rural Spatial Distribution,Communities, Rural,Community, Rural,Distribution, Rural Spatial,Distributions, Rural Spatial,Population, Rural,Populations, Rural,Residence, Rural,Rural Community,Rural Populations,Rural Residences,Rural Spatial Distributions
D014029	Tobacco Use Disorder	Tobacco used to the detriment of a person's health or social functioning. Tobacco dependence is included.	Nicotine Addiction,Nicotine Dependence,Nicotine Use Disorder,Tobacco Dependence,Tobacco-Use Disorder,Addiction, Nicotine,Dependence, Nicotine,Dependence, Tobacco,Disorder, Nicotine Use,Disorder, Tobacco Use,Disorder, Tobacco-Use,Nicotine Addictions,Nicotine Use Disorders,Tobacco Use Disorders