Journal article
Regional and Racial Differences in Smoking and Exposure to Secondhand Smoke: the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study
Preventing chronic disease, v 8(5), pp A108-A108
01 Sep 2011
PMID: 21843411
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Introduction
Stroke mortality rates differ by race and region, and smoking and exposure to secondhand smoke are associated with stroke. We evaluated regional and racial differences in current smoking and secondhand smoke exposure among participants in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study.
Methods
African American and white adults (n = 26,373) aged 45 years or older were recruited during 2003 through 2007. Logistic regression was used to examine the likelihood of current smoking and secondhand smoke exposure by race (African American vs white) and region. We compared the buckle of the stroke belt (the coastal plain region of North Carolina, South Carolina, and Georgia) with the stroke belt (the remainder of North Carolina, South Carolina, and Georgia, plus Alabama, Mississippi, Tennessee, Arkansas, and Louisiana) and compared each of these regions with the remaining contiguous states.
Results
Among whites, no regional differences in current smoking were seen, but among African Americans, the odds of current smoking were 5% lower in the stroke belt, and 24% lower in the stroke buckle than those in the nonbelt region. Similarly, among whites no regional differences in exposure to secondhand smoke were found, whereas among African Americans, the odds of being exposed to secondhand smoke were 14% lower in the stroke buckle than for nonbelt residents.
Conclusions
These data suggest that rates of current smoking and secondhand smoke exposure are not higher in regions that have higher stroke mortality and therefore cannot contribute to geographic disparities; nevertheless, given that 15% of our participants reported current smoking and 16% reported secondhand smoke exposure, continued implementation of tobacco control policies is needed.
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Details
- Title
- Regional and Racial Differences in Smoking and Exposure to Secondhand Smoke: the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study
- Creators
- Leslie A. McClure - University of AlabamaHeather L. MurphyJeffrey RosemanGeorge HowardAnn Malarcher - Ctr Dis Control & Prevent, Atlanta, GA USA
- Publication Details
- Preventing chronic disease, v 8(5), pp A108-A108
- Publisher
- CENTERS DISEASE CONTROL
- Number of pages
- 8
- Grant note
- U01 NS041588 / National Institute of Neurological Disorders and Stroke, National Institutes of Health, Department of Health and Human Services; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Neurological Disorders & Stroke (NINDS) U01NS041588 / NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Neurological Disorders & Stroke (NINDS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000300562300018
- Scopus ID
- 2-s2.0-84855176006
- Other Identifier
- 991019231648204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health