Journal article
Health Care Utilization of Menthol and Non-menthol Cigarette Smokers
Nicotine & tobacco research, Vol.23(1), pp.195-202
07/05/2020
DOI: 10.1093/ntr/ntaa122
PMCID: PMC7789940
PMID: 32623471
Abstract
Abstract Introduction To study the association between health care utilization and menthol cigarette use and whether the association differed between African American (AA) and non-AA smokers. Methods We analyzed the three most recent 2005, 2010, and 2015 National Health Interview Survey Cancer Control Supplements. After incorporating propensity score weights adjusting for observed differences between menthol and non-menthol users, we estimated Zero-Inflated Poisson models on hospital nights, emergency department visits, doctor visits, and home visits as a function of menthol use status and other covariates separately for current cigarette smokers and recent quitters (former smokers quitting cigarette smoking ≤ 4 years). Results Although current menthol smokers smoked fewer cigarettes per day than current non-menthol smokers, they did not differ from current non-menthol smokers in health care utilization. Among recent quitters, those who used to smoke menthol cigarettes had higher odds of having hospital nights than those who used to smoke non-menthol cigarettes. However, we did not find any significant association between menthol use and other health care utilization—emergency department visits, doctor visits, and home visits—among recent quitters. Moreover, compared with non-AA recent quitters, AA recent quitters had higher odds of having home visits, but fewer home visits, if they used to smoke menthol cigarettes. Conclusion Menthol use was associated with greater hospitalization among recent quitters, and the association between home visits and menthol use differed between AA and non-AA recent quitters. Implications This is the first study that used econometric models to study the association between health care utilization and menthol cigarette use and examine whether the association differed between AA and non-AA smokers. Our study found health care utilization did not differ by menthol use status for current smokers, although current menthol smokers smoked fewer cigarettes per day than current non-menthol smokers. However, we found menthol use was associated with higher odds of having hospital nights for recent quitters. We also found AA recent quitters had a different association between home visits and menthol use compared with non-AA recent quitters.
Details
- Title: Subtitle
- Health Care Utilization of Menthol and Non-menthol Cigarette Smokers
- Creators
- Yingning Wang - Institute for Health and Aging, School of Nursing, University of California–San Francisco, San Francisco, CAShannon Lea Watkins - Department of Community and Behavioral Health, College of Public Health, University of Iowa, Iowa City, IAHai-Yen Sung - Institute for Health and Aging, School of Nursing, University of California–San Francisco, San Francisco, CATingting Yao - Institute for Health and Aging, School of Nursing, University of California–San Francisco, San Francisco, CAJim Lightwood - Department of Clinical Pharmacy, School of Pharmacy, University of California–San Francisco, San Francisco, CAWendy Max - Institute for Health and Aging, School of Nursing, University of California–San Francisco, San Francisco, CA
- Resource Type
- Journal article
- Publication Details
- Nicotine & tobacco research, Vol.23(1), pp.195-202
- DOI
- 10.1093/ntr/ntaa122
- PMID
- 32623471
- PMCID
- PMC7789940
- ISSN
- 1469-994X
- eISSN
- 1469-994X
- Grant note
- DOI: 10.13039/100000054, name: National Cancer Institute; DOI: 10.13039/100000002, name: National Institutes of Health; DOI: 10.13039/100000038, name: U.S. Food and Drug Administration; DOI: 10.13039/100000050, name: National Heart, Lung, and Blood Institute; DOI: 10.13039/100010628, name: Center for Tobacco Products, award: U54 HL147127
- Language
- English
- Date published
- 07/05/2020
- Academic Unit
- Community and Behavioral Health
- Record Identifier
- 9984214687402771
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