At risk alcohol consumption with smoking by national background: Results from the Hispanic community health study/study of Latinos

Addict Behav. 2019 Dec:99:106087. doi: 10.1016/j.addbeh.2019.106087. Epub 2019 Aug 13.


Introduction: Tobacco smoking and binge or excess drinking are unhealthy behaviors that frequently co-occur. Studies of Hispanics/Latinos have mostly been of Mexican Americans although there are substantial differences in smoking and drinking by heritage background. Associated with co-use by 5 subpopulations.

Methods: Cross-sectional data of 16,412 Hispanics/Latinos from Miami, the Bronx, Chicago and San Diego collected between 2008 and 2011 as part of the HCHS/SOL were analyzed. Smoking and alcohol consumption and demographic data were measured by self-report. Prevalence of smoking and alcohol consumption and co-use were reported. Logistic regression models examined the odds of co-use of smoking and binge or excess alcohol use by Hispanic/Latino background group.

Results: Men of Cuban (10.3%), Puerto Rican (8.9%), and Mexican (8.9%) background had the highest prevalence of co-use of smoking and binge drinking compared to men of Central American (6.1%) and Dominican (6.6%) background. Women of Dominican (16.4%) and Puerto Rican (19.7%) background had the highest prevalence of binge drinking compared to women of Central American (10%) and Cuban (8%) background and Puerto Rican (34.1%) and Cuban (21.8%) women were the most likely to report current smoking compared to women of Central American (8.3%) and Mexican (10.4%) background. Acculturation was not associated with co-use among men and women. Elevated depressive symptoms were positively associated with smoking and binge drinking among men, OR = 1.5 [1.2-2.0], and women, OR = 1.5 [1.1-2.2]. Puerto Rican women had increased odds of co-use of smoking and binge or excess drinking compared to Mexican American women, OR = 3.2 [1.5-6.6].

Conclusions: Puerto Rican and Dominican Latinas and Central American and South American men have a higher prevalence of co-use.

Keywords: Alcohol; Hispanics/Latinos; Smoking.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acculturation
  • Adolescent
  • Adult
  • Aged
  • Alcohol Drinking / epidemiology
  • Alcohol Drinking / ethnology*
  • Binge Drinking / epidemiology
  • Binge Drinking / ethnology*
  • Caribbean Region / ethnology
  • Central America / ethnology
  • Cigarette Smoking / epidemiology
  • Cigarette Smoking / ethnology*
  • Cuba / ethnology
  • Depression / epidemiology
  • Depression / ethnology
  • Dominican Republic / ethnology
  • Female
  • Hispanic or Latino / statistics & numerical data*
  • Humans
  • Male
  • Mexican Americans / statistics & numerical data
  • Middle Aged
  • Puerto Rico / ethnology
  • Sex Factors
  • South America / ethnology
  • United States / epidemiology
  • Young Adult