Influence of experiences of racial discrimination and ethnic identity on prenatal smoking among urban black and Hispanic women
Influence of experiences of racial discrimination and ethnic identity on prenatal smoking among urban black and Hispanic women
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DOI：
10.1136/jech.2009.107516
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发表时间：
2012-04-01
影响因子：
6.3
通讯作者：
Wright, Rosalind J.
中科院分区：
文献类型：
--
作者：
Kim Hanh Nguyen;Subramanian, S. V.;Wright, Rosalind J.
背景：虽然少数民族妇女产前吸烟的流行率超过了2010年的国家目标，但关于少数民族产前吸烟决定因素的数据仍然很少。方法我们调查了18-44岁的城市黑人和西班牙裔妇女(n=677)在产前吸烟方面自我报告的种族歧视经历之间的关联。我们的主要自变量是从经验歧视(EOD)量表创建的。多变量Logistic回归模型被估计来检验整个样本中EOD(中度EOD作为参照组)与吸烟的关系，然后根据社会人口变量调整后的种族/民族分别进行检验。结果黑人和西班牙裔女性吸烟率分别为18.1%和10%(p=0.002)。不同种族的排泄物水平没有显著差异。在多因素回归分析中，与那些报告中度EOD的女性相比，报告高度歧视的女性(OR 2.64，95%CI 1.25至5.60)吸烟的几率更高。在分层分析中，这种关系只有在黑人女性中仍然显著。结果表明，在国外出生的西班牙裔女性中，EI值较高的女性吸烟的可能性较低(3.5%比10.1%；P=0.08)。结论这些数据首次在怀孕的少数民族女性中显示歧视与吸烟风险增加之间的关联，尤其是在黑人女性中。民族认同和出生状态也与吸烟风险有关。戒烟方案应考虑少数民族育龄妇女中的这些因素。
Background Although the prevalence of prenatal smoking among minority women exceeds the projected 2010 national objective, data on the determinants of prenatal smoking among minorities remain sparse.Methods We examined associations between self-reported experiences of racial discrimination on prenatal smoking among urban black and Hispanic women aged 18-44 years (n=677). Our main independent variable was created from the Experiences of Discrimination (EOD) scale. Multivariable logistic regression models were estimated to examine the relationship between EOD (moderate EOD as the referent group) and smoking for the entire sample and then separately by race/ethnicity adjusted for sociodemographic variables. We also examined the role of ethnic identity (EI) as a buffer to racial discrimination (n=405).Results The prevalence of smoking was 18.1% versus 10% for black and Hispanic women, respectively (p=0.002). There were no significant differences in the level of EOD based on race. In multivariate regressions, compared to those reporting moderate EOD, women reporting high discrimination (OR 2.64, 95% CI 1.25 to 5.60) had higher odds of smoking. In stratified analyses, this relationship remained significant only in black women. Results suggest that foreign-born Hispanic women with higher EI were less likely to smoke compared to their low-EI counterparts (3.5 vs 10.1%; p=0.08).Conclusion These are the first data in pregnant minority women showing an association between discrimination and increased risk of smoking particularly among black women. Ethnic identity and nativity status were also associated with smoking risk. Smoking cessation programmes should consider such factors among childbearing minority women.