DESCRIPTION (provided by applicant):
Recent immigrants to the U.S. constitute an increasingly significant
demographic group and overall have lower socioeconomic status (SES) than the
native-born. It is known that tobacco use is a major health risk for groups
with low SES. On the other hand, there is some evidence that within certain
ethnic/racial groups in the U.S., tobacco use is lower among the foreign-born
than among the US-born, and that tobacco use is positively correlated with
measures of immigrant assimilation. Previous analyses of tobacco use among
immigrants have been fragmentary, i.e. have focused on a single
state/community, a single national origin/ethnic group, and/or convenience
samples. Research on tobacco use among immigrants is urgently needed, given
its implications for preventative action and cancer incidence reduction. We
seek to examine tobacco outcomes among immigrants to the United States, and to
investigate the role of assimilation in these outcomes, using the Tobacco Use
Supplement of the Current Population Survey (CPS, 1995-96), a data set that is
representative at the national and state level. The combination of information
on tobacco outcomes and immigrant status makes the CPS a uniquely valuable
resource for studying tobacco outcomes among the U.S. immigrant population. To
the best of our knowledge, there is no previous national-level study of
tobacco outcomes among immigrants. The specific aims of this study are to
assess the role of assimilation in tobacco use; attitudes towards tobacco; and
household, workplace, and community tobacco control among immigrants to the
U.S. We will also examine whether age, gender, race/ethnicity, SES,
state-level tobacco control policy, and smoking prevalence and tobacco control
in the country of origin mediate (moderate) the effect of assimilation on
tobacco outcomes. The proposed multilevel logistic regression analyses are
grounded on the segmented assimilation theory and the context of reception
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