Tobacco And Alcohol Habits of Immigrant Emergency Patients in Queens, NY
Caitlan Anderson, M.D, Kristen Henkel, B.S., Nidhi Garg, M.D., Sanjay Gupta, M.D.
Objective: To determine the prevalence of tobacco and alcohol use in immigrant ED patients.
Methods: The study is prospective, observational survey in an urban 100K visit ED in Queens, NY, the most ethnically diverse county in USA. Research assistants interviewed a convenience sample of patients over 16 months with a 3 page survey recording demographics, tobacco/alcohol use, and knowledge of current male/female preventive health recommendations from the Agency for Healthcare Research and Quality. Alcoholism screening used the CAGE questionnaire. Translation services were available for subjects. Chi-squared analysis and Fisher Exact test were used for significance.
Results: A total of 1380 surveys were collected; 640 male, 217 immigrant, 740 female, 256 immigrant. The male survey; 28% of immigrants and 46% of non-immigrant men use alcohol, P = <0.001. CAGE was positive in 8/60 immigrant and in 13/196 non-immigrant drinkers. For tobacco, 13% of immigrant and 23% of non-immigrant men smoke, P = 0.008. Smoking counseling was done on 67% of immigrant and 85% of non immigrant smokers. All male smokers know tobacco causes disease and 67% of immigrants and 90% of non-immigrants have tried to quit, P = 0.028. Of the female subjects, 8% of immigrants and 19% of non-immigrants use alcohol, P = <0.001. CAGE was positive in 2/21 immigrant and in 6/91 non-immigrant drinkers. In tobacco smoking, 5.6% of immigrant and 17.7% of non-immigrant women smoke tobacco, P = <0.001. Smoking counseling was done on 75% of immigrant smokers, and 85% non-immigrant smokers. 100% of immigrant and 94% of non-immigrant smokers know tobacco causes disease, and 83% of immigrants and 80% non-immigrants have tried to quit. No significance was achieved.
Conclusion: In this population, immigrant men and women drink alcohol and use tobacco less than the native population, but immigrant men and women receive less tobacco cessation counseling.