Incarceration and Current Tobacco Smoking Among Black and Caribbean Black Americans in the National Survey of American Life.

Publisher: American Public Health Association Country of Publication: United States NLM ID: 1254074 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1541-0048 (Electronic) Linking ISSN: 00900036 NLM ISO Abbreviation: Am J Public Health Subsets: MEDLINE

Publication: Washington, DC : American Public Health Association
Original Publication: New York [etc.]

Black People/*ethnology ; Black People/*statistics & numerical data ; Prisoners/*statistics & numerical data ; Smoking/*ethnology; Adolescent ; Adult ; Black or African American/statistics & numerical data ; Aged ; Caribbean Region ; Ethnicity ; Female ; Humans ; Logistic Models ; Male ; Mental Disorders/ethnology ; Middle Aged ; Prevalence ; Prisons ; Propensity Score ; Risk Factors ; Sex Factors ; Smoking/epidemiology ; Socioeconomic Factors ; United States ; Young Adult

Objectives: We examined the relationship between having a history of incarceration and being a current smoker using a national sample of noninstitutionalized Black adults living in the United States.
Methods: With data from the National Survey of American Life collected between February 2001 and March 2003, we calculated individual propensity scores for having a history of incarceration. To examine the relationship between prior incarceration and current smoking status, we ran gender-specific propensity-matched fitted logistic regression models.
Results: A history of incarceration was consistently and independently associated with a higher risk of current tobacco smoking in men and women. Formerly incarcerated Black men had 1.77 times the risk of being a current tobacco smoker than did their counterparts without a history of incarceration (95% confidence interval [CI] = 1.20, 2.61) in the propensity score-matched sample. The results were similar among Black women (prevalence ratio = 1.61; 95% CI = 1.00, 2.57).
Conclusions: Mass incarceration likely contributes to the prevalence of smoking among US Blacks. Future research should explore whether the exclusion of institutionalized populations in national statistics obscures Black-White disparities in tobacco smoking.

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R25 CA057711 United States CA NCI NIH HHS; U01-MH57716 United States MH NIMH NIH HHS; 3R25CA057711-18S1 United States CA NCI NIH HHS; U01 MH057716 United States MH NIMH NIH HHS; 5R01 AG02020282 United States AG NIA NIH HHS

Date Created: 20150918 Date Completed: 20160126 Latest Revision: 20221207

20221213

PMC4605159

10.2105/AJPH.2015.302772

26378842