Cigarette Smoking among US- and Foreign-Born European and Arab American Non-Hispanic White Men and Women

Using 15 years (2000–2014) of restricted cross-sectional National Health Interview Survey data (n = 276,914), we estimated and compared the age-adjusted and sex-specific prevalence of cigarette smoking between US- and foreign-born Europeans and Arab Americans and examined associations between ethnicity and current smoking. Arab Americans were categorized as non-Hispanic Whites born in 15 countries located in the Middle East. Current smoking, average cigarettes per day, and quit attempts were compared. Collectively, we found that current smoking was highest among males compared to females. Prevalence was highest among Arab American males (26%) compared to other US-born (24%) and foreign-born European males (21%). US-born males smoked more cigarettes per day (20.2) yet more Arab American males (61%) tried to quit in the last year compared to European (41%) and US-born (42%) counterparts. Arab American females were least likely to smoke compared to other groups. In crude analyses, Arab American males had greater odds (OR = 1.33; 95% CI = 1.02, 1.74) of smoking compared to US-born White males. After adjusting for demographics, socioeconomic status, health insurance, comorbidity, and acculturation effects, Arab American males had lower odds (OR = 0.64; 95% CI = 0.46, 0.88) of current smoking compared to US-born males. Arab American females had lower odds (OR = 0.28; 95% CI = 0.15, 0.53) of current smoking compared to US-born White females. This is the first national study to examine smoking among Arab Americans. Our study was limited to cigarette smoking behaviors as opposed to other forms of tobacco consumption. More studies are needed to explore smoking among US- and foreign-born Europeans and Arab Americans.