Perceived Discrimination, Psychological Distress, and Current Smoking Status: Results From the Behavioral Risk Factor Surveillance System Reactions to Race Module, 2004-2008

Perceived Discrimination, Psychological Distress, and Current Smoking Status: Results From the Behavioral Risk Factor Surveillance System Reactions to Race Module, 2004-2008
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DOI:
10.2105/ajph.2012.300694
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发表时间:
2012-05-01
影响因子:
12.7
通讯作者:
Morrow, Gary R.
Morrow, Gary R.
中科院分区:
医学2区
文献类型:
--
作者:
Purnell, Jason Q.;Peppone, Luke J.;Morrow, Gary R.

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目标。我们在大量多种族样本中研究了感知歧视与吸烟状况之间的关联,以及心理困扰是否介导了这种关系。方法。我们使用 2004 年至 2008 年行为风险因素监测系统对种族反应模块的数据进行多元逻辑回归分析和中介测试,检查医疗保健和工作场所中感知到的歧视、心理困扰和当前吸烟状况之间的关联。结果。无论种族/民族如何,感知到的歧视与当前吸烟的几率增加有关。心理困扰也是歧视吸烟关联的重要中介因素。结论。我们的研究结果表明,报告在多个领域受到歧视性待遇的个人可能更有可能吸烟,部分原因是与此类待遇相关的心理困扰。 (美国公共卫生杂志。2012;102:844-851。doi:10.2105/AJPH.2012.300694)
Objectives. We examined the association between perceived discrimination and smoking status and whether psychological distress mediated this relationship in a large, multiethnic sample.Methods. We used 2004 through 2008 data from the Behavioral Risk Factor Surveillance System Reactions to Race module to conduct multivariate logistic regression analyses and tests of mediation examining associations between perceived discrimination in health care and workplace settings, psychological distress, and current smoking status.Results. Regardless of race/ethnicity, perceived discrimination was associated with increased odds of current smoking. Psychological distress was also a significant mediator of the discrimination smoking association.Conclusions. Our results indicate that individuals who report discriminatory treatment in multiple domains may be more likely to smoke, in part, because of the psychological distress associated with such treatment. (Am J Public Health. 2012;102:844-851. doi:10.2105/AJPH.2012.300694)