Description
Background: Immigrant smoking behavior differs from that of the native-born population in France and is associated with factors such as region of origin and other determinants more routinely assessed in epidemiology. This study aims to describe multiple tobacco products (MTP) use prevalence and assess the corresponding determinants in immigrants and descendants of immigrants (IDI) in the French context. Methods: A sample of immigrants and descendant of immigrant(s) in France completed a cross-sectional online survey in 2020. Data was collected on demographic, social and religious factors hypothesized to be determinants of tobacco use. Data on products, frequency and intensity of tobacco use was also analyzed. Prevalence according to tobacco product type and MTP use was quantified, as were associations between selected factors and current MTP use. Results: Smoked tobacco is the most prevalent product used among immigrants (32%) and descendants (60%), followed by shisha (12% and 35%) and smokeless tobacco (10% and 32%). Univariate regression analysis shows that in both IDI groups, smoked tobacco use is found to be significantly associated with use of shisha. Conclusion: The results of this study highlight high prevalence of tobacco use in IDI as well as combination of use of tobacco products. As these results differ from actual tobacco use in the general population, it can be hypothesized that tobacco use - in all its forms - may represent a different social function in these subgroups of the population. Furthermore, these particular tobacco use profiles are likely not to benefit from the general population prevention strategies and tobacco control policies, therefore deserving tailored tobacco use prevention and cessation programs in France.
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