212380 Smoking - Analyzing Multiple Indicators Simulanteously

Monday, November 9, 2009

Sarwat Ajmal, MBBS , School of Graduate Studies, Meharry Medical College, Nashville, TN
Chau-Kuang Chen, EDD , Institutional Research, Meharry Medical College, Nashville, TN
Background: Smoking takes more American lives each year than alcohol, car crashes, suicides, AIDS, homicide, and illegal drugs combined. This study provides insights into common social attributes among smoking populations. By detecting the indicators of smoking, prevention programs can be implemented for at risk population, thereby tackling current as well as future smoking problems.

Methodology: We used the 2000 census report and the data set from the CDC national cancer institute website to cover more than 3000 US counties. In addition to the demographic variables such as gender, level of education, poverty, and marital status, we used four social variables: the percentage of individuals who are immigrants, unemployed, uninsured, and urban. We assessed the association of the variables with smoking by using least square regression method.

Results: Significant variables were assessed by a p-value less than the significance value of 0.05. After adjustment for outliers and collinearity, the research finding showed that immigrants and unemployed individuals had higher smoking prevalence. Moreover, it indicated that the level of education was inversely associated with smoking.

Discussion: Globalization and industrialization have led to migration across geographical borders. There were 28.4 million immigrants for the United States in 2000 alone. Immigrants have led to increase unemployment rates and lower socioeconomic status (SES). Lower SES leads to smoking. Since the demography of smoking has clearly changed over time, efforts to prevent tobacco use should also change to target unemployed and immigrants.

Learning Objectives:
Identify different social factors that lead to smoking prevalence Design prevention programs based on this analysis

Keywords: Smoking, Immigrants

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: MSPH student at Meharry Medical College
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.