Use of cigarettes, cannabis, and alcohol among Asian American, Native Hawaiian, and Pacific Islander adults (Preprint)
Published: April 23, 2025
BACKGROUND
Asian
American,
Native
Hawaiian,
and
Pacific
Islander
(AANHPI)
populations
have
diverse
cultural,
immigration,
sociodemographic
characteristics.
Aggregated
data
could
mask
substantial
differences
in
substance
use
between
cultural
subgroups
this
population.
Yet,
studies
examining
among
the
AANHPI
population
are
limited.
OBJECTIVE
This
study
aimed
to
describe
cigarette,
cannabis,
alcohol
Hawaiian
adults
by
subgroup
sex.
METHODS
We
analyzed
from
3,411
respondents
of
a
multilingual
national
survey
“COMPASS”
during
December
2021-
May
2022.
Primary
outcomes
were
self-report
current
(every
day
or
some
days)
cigarettes,
alcohol.
Cultural
included
Indian,
Ethnic
Chinese,
Filipino,
Japanese,
Korean,
(NHPI),
Vietnamese,
Other
groups,
mixed
groups.
covariates
include
sex,
other
sociodemographics,
experiences
discrimination
(Every
Day
Discrimination
Scale),
mental
health
(PHQ-4).
Multivariable
logistic
regressions
used
examine
correlates
each
AANHPI.
RESULTS
The
prevalence
cannabis
was
4.2%,
5.5%
37.6%,
respectively.
Cigarette
ranged
1.0%
Indian
females
14.8%
multicultural
males.
Cannabis
1.9%
Vietnamese
males
15.7%
females.
Alcohol
varied
6.6%%
NHPI
56.3%
Male
participants
with
elevated
depression
anxiety
symptoms
more
likely
report
using
all
three
substances
than
minimal
symptoms.
However,
only
associated
female
participants.
US-born
compared
foreign-born
females,
while
being
higher
odds
Perceived
discriminatory
experience
smoking
both
sexes
drinking
CONCLUSIONS
smoking,
widely
across
within
These
findings
underscore
necessity
disaggregate
for
behaviors
guide
policy
intervention
programs
AANHPIs.
Language: Английский