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Luis G. Escobedo, MD, SM, MPH; Patrick L. Remington, MD, MPH

JAMA. 1989;261(1):66-69.

Abstract
To investigate historical trends of cigarette smoking among Mexican-Americans, Cuban-Americans, and Puerto Rican—Americans, we conducted a birth cohort analysis of smoking prevalence by using smoking histories of 8286 adults and adolescents from the 1982-1983 Hispanic Health and Nutrition Examination Survey. We constructed smoking prevalence curves for men and women among successive ten-year birth cohorts. Birth cohort—specific prevalence rates were higher for men than for women. Rates, however, decreased among successive cohorts of men. Conversely, rates increased among successive cohorts of Cuban-American and Puerto Rican—American women. For example, peak rates among the 1911 through 1920 cohorts were 26% (Cuban-American women) and 25% (Puerto Rican—American women) compared with peak rates of 43% and 52%, respectively, among comparable groups from 1951 through 1960. These results demonstrate that despite a reduction of cigarette smoking among successive cohorts of Hispanic men, Hispanic women have made little progress or have actually increased their cigarette smoking.

(JAMA 1989;261:66-69)

Author Affiliations
From the Epidemiologic Studies Branch, Division of Reproductive Health (Dr Escobedo), and the Epidemiology Branch, Division of Nutrition (Dr Remington), Center for Health Promotion and Education, Centers for Disease Control, Atlanta.

Footnotes
Presented in part as a poster at the 37th Annual Epidemic Intelligence Service Conference, Atlanta, April 18-22,1988, and read in part before the 46th US-Mexico Border Health Association Conference, Chihuahua, Mexico, June 5-8,1988.

Reprint requests to Mailstop C06, Room 4044, Bldg 1. Centers for Disease Control, 1600 Clifton Rd, Atlanta, GA 30333 (Dr Escobedo).

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