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Anna V. Wilkinson, PhD, Margaret R. Spitz, MD, MPH, Sara S. Strom, PhD, Alexander V. Prokhorov, MD, PhD, Carlos H. Barcenas, MD, MS, Yumei Cao, MS, Katherine C. Saunders, BA and Melissa L. Bondy, PhD

With the exception of Alexander V. Prokhorov, the authors are with the Department of Epidemiology, The University of Texas M.D. Anderson Cancer Center, Houston. Alexander V. Prokhorov is with the Department of Behavioral Science, The University of Texas M.D. Anderson Cancer Center.

Correspondence: Requests for reprints should be sent to Anna V. Wilkinson, Department of Epidemiology, Unit 1340, The University of Texas M. D. Anderson Cancer Center, PO Box 301439, Houston, TX 77230-1439 (e-mail: awilkins{at}mdanderson.org).

Objectives. We investigated differences in smoking behaviors between US-and Mexican-born ever smokers and examined the influence of US culture on smoking initiation.

Methods. Participants were 5030 adults of Mexican descent enrolled in an ongoing population-based cohort in Houston, Tex.

Results. More men than women reported current smoking; rates among US-born women were higher than those among Mexican-born women. Smoking rates among US-born men were higher than earlier published rates among Hispanics and non-Hispanic Whites but similar to rates among African Americans. Current smoking rates among Mexican-born women were lower than published rates for Hispanics, non-Hispanic Whites, and African Americans. Older age, male gender, a higher level of acculturation, more than a high school education, and residing in a census tract with a higher median age predicted history of smoking among US-born participants. Among Mexican-born participants, older age, male gender, a higher level of acculturation, and younger age at migration predicted history of smoking.

Conclusions. Smoking interventions for people of Mexican descent should be tailored according to gender, nativity, and acculturation level and should target all ages, not just young people.

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