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Tobacco Use Data Disparities Icilda Dickerson, MSA Assistant Director March 15, 2007 www.otpf.org
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Tobacco Use: African American Communities Over 70% of African-American adults and 90% of African-American youth prefer menthol cigarettes. Ohio African-American males have higher rates of lung and bronchus cancer incidence and mortality than Ohioans in general.
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American Indians/Native Americans 3 out of 5 deaths in Native American and American Indian communities can be attributed to tobacco use. CDC 2005 estimates: 43.2% AI/NA adults smoke. Ceremonial use of tobacco.
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Amish Communities 24,100 Amish in Ohio Tobacco use is a masked behavior Difficult to outreach Use of snuff or chew among males 10.8% of 18-34 year olds 13.0% of 35-54 year olds 11.1% of 55-64 year olds
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Regional Tobacco Use Disparity
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Tobacco Use: Asian Americans 40% Cambodian 32% Laotian 29% Hmong 23% Korean.
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Tobacco Use: Deaf and Hard of Hearing 18.4% adults smoke cigarettes; 1.3% smoke cigars; approx. 1% use dip (snuff) or chew tobacco. Of those who smoke; 10% reported smoking regularly.
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Hispanic/Latino Communities 26% of Ohio’s Hispanic households reported someone smoking cigarettes, cigars, or pipes inside their homes. Higher rates of menthol cigarette use.
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Immigrant/Refugee (Somalis) 40,000 + Somalis in Ohio; most reside in Central Ohio. Lack of tobacco use prevalence data. Anecdotally 60% or more adults smoke. In Somalia, 16% of youth smoke. Adults/youth chew dried Khat (Qat), a harmful narcotic substance.
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LGBT Population Nationally, the LGBT community is estimated to have a smoking rate of up to 50% for adults ad 60% for youth. OTPF funded LGBT Pilot Study (’04-’05) found targeted advertising, hard-to-resist free cigarettes at bars, ineffective channels for outreach as main barriers for tobacco control.
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Medicaid Population Ohio’s Medicaid population has a smoking rate of 50.1 percent, and Ohio’s uninsured smoke at a rate of 55 percent. Smoking among pregnant women on Medicaid ranged from 24% - 40%. Of all infants born with low birth weight, 25% were born to tobacco users.
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Chemically Dependent and Severe Mental Illness Ohio Dept. of Alcohol and Drug Addiction Services (ODADAS) estimates 70% - 90% tobacco use prevalence among individuals with alcohol and drug use disorders. The smoking rate for people with both physical and mental illness is 33% higher than those without. Smoking rates are as high as 90% among individuals with severe mental illness.
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Policy Implications Significant and improved understanding of the need to reach out to address diverse tobacco use disparities. Low SES could be one cross-cutting approach to address the multiple diverse populations. OTPF is addressing tobacco use disparities by funding various grantees reaching diverse communities.
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