Gender Differences in the Association Between Perceived Discrimination and Adolescent Smoking

Overview

Journal Am J Public Health

Specialty Public Health

Date 2010 Jan 16

PMID 20075313

Citations 42

Authors

Sarah E Wiehe

Matthew C Aalsma

Gilbert C Liu

J Dennis Fortenberry

Affiliations

Soon will be listed here.

Abstract

Objectives: We examined associations between perceived racial/ethnic discrimination, gender, and cigarette smoking among adolescents.

Methods: We examined data on Black and Latino adolescents aged 12 to 19 years who participated in the Moving to Opportunity study (N = 2561). Perceived discrimination was assessed using survey items asking about unfair treatment because of race/ethnicity in the prior 6 months. We used logistic regression to investigate associations between discrimination and smoking, stratified by gender and controlling for covariates.

Results: One fourth of adolescents reported that discrimination had occurred in at least 1 location. Discrimination was associated with increased odds of smoking among boys (odds ratio [OR] = 1.9; 95% confidence interval [CI] = 1.2, 3.0) and decreased odds among girls (OR = 0.6; 95% CI = 0.3, 1.1). Discrimination at school or work contributed to associations for girls (OR = 0.3; 95% CI = 0.1, 0.9), and discrimination at shops (OR = 2.0; 95% CI = 1.1, 3.8) and by police (OR = 2.0; 95% CI = 1.2, 3.4) contributed to associations for boys.

Conclusions: Associations between discrimination and smoking differ by gender. Girls' decreased smoking in higher-discrimination settings may be a result of protective factors associated with where they spend time. Boys' increased smoking in higher-discrimination settings may reflect increased stress from gender-specific targeting by police and businesses.

Citing Articles

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References

Krieger N, Sidney S . Racial discrimination and blood pressure: the CARDIA Study of young black and white adults. Am J Public Health. 1996; 86(10):1370-8. PMC: 1380646. DOI: 10.2105/ajph.86.10.1370. View

Borrell L, Jacobs Jr D, Williams D, Pletcher M, Houston T, Kiefe C . Self-reported racial discrimination and substance use in the Coronary Artery Risk Development in Adults Study. Am J Epidemiol. 2007; 166(9):1068-79. DOI: 10.1093/aje/kwm180. View

Meyer I . Prejudice as stress: conceptual and measurement problems. Am J Public Health. 2003; 93(2):262-5. PMC: 1447727. DOI: 10.2105/ajph.93.2.262. View

Broman C . The health consequences of racial discrimination: a study of African Americans. Ethn Dis. 1996; 6(1-2):148-53. View

Paradies Y . A systematic review of empirical research on self-reported racism and health. Int J Epidemiol. 2006; 35(4):888-901. DOI: 10.1093/ije/dyl056. View

Landrine H, Klonoff E, Corral I, Fernandez S, Roesch S . Conceptualizing and measuring ethnic discrimination in health research. J Behav Med. 2006; 29(1):79-94. DOI: 10.1007/s10865-005-9029-0. View

. Cigarette use among high school students--United States, 1991-2007. MMWR Morb Mortal Wkly Rep. 2008; 57(25):686-8. View

Whitbeck L, Hoyt D, McMorris B, Chen X, Stubben J . Perceived discrimination and early substance abuse among American Indian children. J Health Soc Behav. 2002; 42(4):405-24. View

Blum R, Beuhring T, Shew M, Bearinger L, Sieving R, Resnick M . The effects of race/ethnicity, income, and family structure on adolescent risk behaviors. Am J Public Health. 2000; 90(12):1879-84. PMC: 1446419. DOI: 10.2105/ajph.90.12.1879. View

10.

Krieger N . Refiguring "race": epidemiology, racialized biology, and biological expressions of race relations. Int J Health Serv. 2000; 30(1):211-6. DOI: 10.2190/672J-1PPF-K6QT-9N7U. View

11.

Lantz P, Lynch J, House J, Lepkowski J, Mero R, Musick M . Socioeconomic disparities in health change in a longitudinal study of US adults: the role of health-risk behaviors. Soc Sci Med. 2001; 53(1):29-40. DOI: 10.1016/s0277-9536(00)00319-1. View

12.

Williams D, Neighbors H, Jackson J . Racial/ethnic discrimination and health: findings from community studies. Am J Public Health. 2003; 93(2):200-8. PMC: 1447717. DOI: 10.2105/ajph.93.2.200. View

13.

Kessler R, Mickelson K, Williams D . The prevalence, distribution, and mental health correlates of perceived discrimination in the United States. J Health Soc Behav. 1999; 40(3):208-30. View

14.

Major B, Gramzow R, McCoy S, Levin S, Schmader T, Sidanius J . Perceiving personal discrimination: the role of group status and legitimizing ideology. J Pers Soc Psychol. 2002; 82(3):269-82. View

15.

Krieger N . Racial and gender discrimination: risk factors for high blood pressure?. Soc Sci Med. 1990; 30(12):1273-81. DOI: 10.1016/0277-9536(90)90307-e. View

16.

Brook J, Morojele N, Brook D, Zhang C, Whiteman M . Personal, interpersonal, and cultural predictors of stages of cigarette smoking among adolescents in Johannesburg, South Africa. Tob Control. 2006; 15 Suppl 1:i48-53. PMC: 2563542. DOI: 10.1136/tc.2005.014878. View

17.

Wiemann C, Rickert V, Berenson A, Volk R . Are pregnant adolescents stigmatized by pregnancy?. J Adolesc Health. 2005; 36(4):352.e1-8. DOI: 10.1016/j.jadohealth.2004.06.006. View

18.

Williams D, Yu Y, Jackson J, Anderson N . Racial Differences in Physical and Mental Health: Socio-economic Status, Stress and Discrimination. J Health Psychol. 2011; 2(3):335-51. DOI: 10.1177/135910539700200305. View

19.

Clark R, Anderson N, Clark V, Williams D . Racism as a stressor for African Americans. A biopsychosocial model. Am Psychol. 1999; 54(10):805-16. DOI: 10.1037//0003-066x.54.10.805. View

20.

Cairns R, Cairns B, Neckerman H . Early school dropout: configurations and determinants. Child Dev. 1989; 60(6):1437-52. DOI: 10.1111/j.1467-8624.1989.tb04015.x. View