Racial discrimination's influence on smoking rates among American Indian Alaska Native two-spirit individuals: does pain play a role?

Racial discrimination's influence on smoking rates among American Indian Alaska Native two-spirit individuals: does pain play a role?
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种族歧视对美洲印第安人阿拉斯加本地双人二手人群吸烟率的影响:痛苦起作用吗?

DOI:
10.1353/hpu.2014.0193
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发表时间:
2014-11
影响因子:
1.4
通讯作者:
Walters, Karina L.
Walters, Karina L.
中科院分区:
医学4区
文献类型:
--
作者:
Johnson-Jennings, Michelle D.;Belcourt, Annie;Town, Matthew;Walls, Melissa L.;Walters, Karina L.

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美国印第安人/阿拉斯加原住民(AIAN)双灵/LGBT(女同性恋,男同性恋,双性恋,变性人)人口中存在很高的种族歧视和非礼仪性吸烟率。作者研究了疼痛是否在两种精神之间的种族歧视和吸烟之间起中介作用。在荣誉项目期间,对来自美国七个城市地点的双灵成年人(n=447)进行了调查。土著人的压力应对模式作为框架,进行描述性,双变量和回归分析。大多数参与者报告吸烟(45.2%)和疼痛(57%)。疼痛被发现调解种族歧视和吸烟之间的联系。种族歧视似乎是影响吸烟和健康行为的一个重要因素。有效的戒烟和/或预防计划的双精神和其他经历频繁的种族歧视,压力和创伤也应该考虑疼痛的影响。疼痛可能是歧视的体现,这种可能性需要进一步的研究。
High rates of racial discrimination and non-ceremonial tobacco smoking exist among American Indian/Alaska Native (AIAN) Two-Spirit/LGBT (Lesbian, Gay, Bisexual, Transgender) populations. The authors examined whether or not pain mediates between racial discrimination and smoking among Two-Spirits. Two-Spirit adults (n=447) from seven urban U.S. locations were surveyed during the HONOR project. The Indigenist stress coping model was used as framework in which to conduct descriptive, bivariate and regression analyses. A majority of the participants reported smoking (45.2%) and pain (57%). Pain was found to mediate the association between racial discrimination and smoking. Racial discrimination appears to be a significant factor influencing tobacco smoking and health behaviors within Two-Spirit populations. Effective tobacco cessation and/or prevention planning for Two-Spirits and others who experience frequent racial discrimination, stress, and trauma should also consider the influence of pain. Pain may serve as the embodiment of discrimination, and this possibility requires future research.
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