Unmet Health-Related Social Needs Among US Adults by Commercial Tobacco Use Status and Race/Ethnicity

BACKGROUND: Health-related social needs (HRSN) are social and economic needs that affect health and well-being. This study examined the associations between commercial tobacco use and unmet HRSNs, their variation by race and/or ethnicity, and the joint relationships of commercial tobacco use and race and/or ethnicity with unmet HRSNs. METHODS: = 3,200) between March-May 2024. Weighted logistic regression models and predicted marginal probability differences were used to investigate the associations between unmet HRSNs and current commercial tobacco use. RESULTS: US adults who used commercial tobacco had higher prevalence of all eight unmet HRSNs compared to those not using commercial tobacco, both as a whole and when stratified by race and/or ethnicity. Unmet HRSNs are prevalent among adults using commercial tobacco products, with varying racial and/or ethnic groups using commercial tobacco being more susceptible to certain HRSN as compared to general adults who do not use commercial tobacco. CONCLUSION: Interventions addressing HRSN may have positive implications for tobacco control.