ASSOCIATIONS BETWEEN PERCEIVED RACIAL DISCRIMINATION AND TOBACCO CESSATION AMONG DIVERSE TREATMENT SEEKERS

被引:22
作者
Hooper, Monica Webb [1 ,2 ]
Calixte-Civil, Patricia [3 ]
Verzijl, Christina [3 ]
Brandon, Karen O. [3 ]
Asfar, Taghrid [4 ]
Koru-Sengul, Tulay [4 ]
Antoni, Michael H. [5 ]
Lee, David J. [4 ]
Simmons, Vani N. [3 ]
Brandon, Thomas H. [3 ]
机构
[1] Natl Inst Minor Hlth & Hlth Dispar, NIH, Bethesda, MD 20892 USA
[2] Case Western Reserve Univ, Sch Med, Case Comprehens Canc Ctr, Cleveland, OH 44106 USA
[3] H Lee Moffitt Canc Ctr & Res Inst, Hlth Outcomes & Behav, Tampa, FL USA
[4] Univ Miami, Miller Sch Med, Dept Publ Hlth Sci, Miami, FL 33136 USA
[5] Univ Miami, Dept Psychol, POB 248185, Coral Gables, FL 33124 USA
关键词
Racial Discrimination; Ethnic Discrimination; Tobacco; Smoking Cessation; African Americans; Hispanics; AFRICAN-AMERICAN; SMOKING-CESSATION; NICOTINE DEPENDENCE; HEALTH; DISPARITIES; RELIABILITY; EXPERIENCES; CIGARETTES; BEHAVIORS; DISTRESS;
D O I
10.18865/ed.30.3.411
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives: This study investigated a) racial/ethnic differences in past-year discrimination experiences and b) associations between discrimination and smoking abstinence. Design: Prospective, longitudinal analysis of smoking status. Perceived past-year discrimination was assessed at baseline. ANCOVAs and intent-to-treat hierarchical logistic regressions were conducted. Setting: Dual-site (Tampa, FL and Miami, FL) randomized controlled trial testing the effects of a group cessation intervention plus pharmacotherapy. Participants: Treatment-seeking adult smokers (N=347; non-Hispanic White, non-Hispanic African American/Black, or Hispanic). Main Outcome Measures: Biochemically verified 7-day point prevalence abstinence (7-day ppa) was assessed immediately Post-intervention and at 6-month follow-up. Results: After controlling for covariates, African Americans/Blacks reported greater perceived discrimination compared with non-Hispanic Whites (P=.02), and Hispanics (P= .06). Non-Hispanic Whites and Hispanics did not differ in perceived raciaVethnic discrimination experiences over the past year. Irrespective of race/ ethnicity, past-year perceived discrimination was inversely associated with 7-day ppa, both post-intervention (AOR=.97, CI: .95-.99) and at 6-months (AOR=.98, CI: .96-.99). Among African Americans/Blacks, past-year perceived discrimination was inversely associated with 7-day ppa, both post-intervention (AOR= .95, CI: .92-.97) and at 6-months (AOR= .97, CI: .94-.99). Perceived discrimination was unrelated to 7-day ppa among Hispanics. Among non-Hispanic Whites, past-year perceived discrimination was inversely associated with post-intervention 7-day ppa (AOR=.95, CI: .91-.99), but not 6-months. Conclusions: Perceived racial/ethnic discrimination was greater among African American/Black smokers compared with non-Hispanic Whites. Perceived discrimination was negatively associated with tobacco cessation in the full sample, and for African Americans at 6-months post-intervention. These data have implications for intervention delivery and health disparities.
引用
收藏
页码:411 / 420
页数:10
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