Nativity Status and Poly Tobacco Use among Young Adults in the United States.

Introduction: Young adults are the second largest segment of the immigrant population in the United States (US). Given recent trends in later age of initiation of tobacco use, we examined variation in use of tobacco products by nativity status for this population group. Methods: Our study included young adults 18-30 years of age sampled in the National Health Interview Survey (2015-2019), a nationally representative sample of the US population. We calculated prevalence of use of any and two or more tobacco products (cigarettes, cigars, pipes, e-cigarettes, and smokeless tobacco) for foreign-born (n = 3096) and US-born (n = 6811) young adults. Logistic regression models were adjusted for age, sex, race-ethnicity, education, and poverty, while accounting for the complex survey design. Results: Foreign-born young adults were significantly less likely to use any tobacco product (Cigarette = 7.3% vs. 10.7%; Cigar = 1.8% vs. 4.8%; E-cigarette = 2.3% vs. 4.5%, respectively; p < 0.01) or poly tobacco use (1.9% vs. 4.2%; p < 0.01) than US-born young adults. Adjusted regression models showed lower odds of poly tobacco use among the foreign-born than their US-born counterparts (Odds Ratio = 0.41, (95% Confidence Interval: 0.26-0.63)). Conclusions: The findings highlight the importance of targeted interventions by nativity status and further tobacco prevention efforts needed for the US-born.

Identifying Local Level Strategies: North Carolina County Commissioners' Perceptions of Firearm Violence Prevention Interventions.

Firearm violence continues to be a national public health issue. The objective of this study was to collect baseline data regarding North Carolina County Commissioners' perceptions of firearm violence and potential local level interventions. A cross-sectional study of NC County Commissioners (n = 582) was conducted to investigate the research questions. The top 5 firearm violence prevention interventions that would be supported by NC County Commissioners included offering gun safety classes for adults (88.5%), implementing public education campaigns to promote responsible firearm storage (86.0%), developing courtroom processes that ensure domestic abusers turn in their guns as required by law (83.2%), adopting a standard policy of tracing all crime guns (79.4%), and providing firearm violence prevention programs for at-risk neighborhoods and individuals (72.2%). North Carolina County Commissioners perceived lack of understanding regarding which interventions would be most effective as the greatest barrier to supporting various types of firearm violence prevention interventions (50.3%).