Association between exposure to household cigarette smoking behavior and cigarette smoking in Hispanic adults: Findings from the Hispanic Community Health Study/Study of Latinos

Prev Med. 2015 Aug:77:35-40. doi: 10.1016/j.ypmed.2015.04.011. Epub 2015 Apr 24.


Background: Cigarette smoking behavior is highly determined by social influences during childhood and adolescence. This phenomenon has not been fully evaluated in the Hispanic/Latino population.

Purpose: To examine the association between exposure to household cigarette smoking behavior (HCSB) and adult cigarette smoking among a diverse Hispanic/Latino population living in four US urban centers. The effect of acculturation on cigarette smoking was also evaluated.

Methods: Data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) (n=13,231, ages 18-74years, collected between March 2008 and June 2011) were analyzed using logistic regression.

Results: HCSB exposure was an independent risk factor for adult current cigarette smoking in Hispanic/Latinos (OR 1.7; 95% CI 1.4, 2.1) after controlling for relevant confounders including socio-demographic and cultural factors. Cubans and Puerto Ricans had the highest prevalence of HCSB exposure (59% and 47% respectively) and highest prevalence of current cigarette smoking (26% and 32%) compared with other Hispanic/Latino groups, (p<.01).

Conclusions: Our data suggest that exposure to HCSB in Hispanics/Latinos living in the US is an independent predictor of adult cigarette smoking, and this association appears to be strongest in Cubans and Puerto Ricans.

Keywords: Cigarette smoking; Ethnocultural groups; Hispanics; Household; Latinos; Social influences; Tobacco use.

Publication types

  • Observational Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Acculturation*
  • Adolescent
  • Adult
  • Aged
  • Child
  • Cross-Sectional Studies
  • Environmental Exposure / adverse effects
  • Female
  • Hispanic or Latino*
  • Humans
  • Male
  • Middle Aged
  • Risk Factors
  • Smoking / ethnology*
  • Smoking / psychology
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • United States
  • Urban Population
  • Young Adult