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Ethn Dis. 2018 Apr 26;28(2):105-114. doi: 10.18865/ed.28.2.105. eCollection 2018 Spring.

Daily and Nondaily Smoking Varies by Acculturation among English-Speaking, US Latino Men and Women.

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Department of Psychology, California State University San Marcos, San Marcos, CA.
Center for Cancer Disparities, Hackensack Meridian Health, Hackensack, NJ.
Department of Preventive Medicine and Public Health, University of Kansas School of Medicine, Kansas City, KS.
Department of Statistics, University of South Carolina, Columbia, SC.
Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI.



Higher smoking prevalence and quantity (cigarettes per day) has been linked to acculturation in the United States among Latinas, but not Latino men. Our study examines variation between a different and increasingly important target behavior, smoking level (nondaily vs daily) and acculturation by sex.


An online English-language survey was administered to 786 Latino smokers during July through August 2012. The Brief Acculturation Rating Scale for Mexican Americans-II (ARSMA-II) and other acculturation markers were used. Multinomial logistic regression models were implemented to assess the association between smoking levels (nondaily, light daily, and moderate/heavy daily) with acculturation markers.


Greater ARMSA-II scores (relative risk ratio, RRR=.81, 95% CI: .72-.91) and being born inside the United States (RRR=.42, 95% CI: .24-.74) were associated with lower relative risk of nondaily smoking. Greater Latino orientation (RRR=1.29, 95% CI: 1.11-1.48) and preference for Spanish language (RRR=1.06, 95% CI: 1.02-1.10) and media (RRR=1.12, 95% CI: 1.05-1.20) were associated with higher relative risk of nondaily smoking. The relationship between acculturation and smoking level did not differ by sex.


This study found that among both male and female, English-speaking Latino smokers, nondaily smoking was associated with lower acculturation, while daily smoking was linked with higher acculturation.


Culture; Gender; Health; Hispanic Americans; Intermittent Smoking; Tobacco

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