The role of perceived discrimination in predicting changes in health behaviours among African Americans in the Jackson Heart Study.
The role of perceived discrimination in predicting changes in health behaviours among African Americans in the Jackson Heart Study.
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DOI：
10.1136/jech-2020-215998
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发表时间：
2021-12
影响因子：
6.3
通讯作者：
Diez Roux AV
中科院分区：
文献类型：
--
作者：
Forde AT;Sims M;Wang X;Barber S;Diez Roux AV
这项研究考察了随着时间的推移，感知到的歧视是否与健康行为有关，以及歧视与行为的关联是否因歧视的归因而不同。在杰克逊心脏研究中的3050名非裔美国人中，使用多项Logistic回归方法估计了随着时间的推移歧视(每天、终生、因终生歧视而产生的压力)与健康行为(吸烟、饮酒)之间的关系的OR和CI。吸烟状况分为持续吸烟者、当前吸烟者和以前/从未吸烟者。重度饮酒者的酒精使用状态分为持续性重度、持续性中度/无、重度至中度/无和中度/无。与持续不吸烟相比，日常生活中较高的辨别度与持续的当前吸烟(OR值为1.26，95%可信区间为1.11，1.43)和持续吸烟史(高/低比值比1.32，95%可信区间为1.02，1.70)有关。在终生歧视和持续当前吸烟(高与低OR 1.85，95%CI为1.15，2.95)和持续既往吸烟(高与低OR 1.45，95%CI为1.06，1.98)方面也观察到了类似的结果。报告终身歧视非常有压力的参与者比没有压力的参与者更有可能是坚持不懈的吸烟者(OR 1.44，95%CI 1.04，1.99)。关联并不因歧视归属而异。歧视并不能预测吸烟状况或饮酒情况的变化。歧视与持续的当前吸烟状况有关，这可能提供一种貌似合理的机制，通过这种机制歧视影响非裔美国人的健康。
This study examined whether perceived discrimination was associated with health behaviours over time and whether associations of discrimination with behaviours varied by attribution of discrimination. Multinomial logistic regression was used to estimate ORs and CIs for the associations of discrimination (everyday, lifetime, stress from lifetime discrimination) with health behaviours (cigarette smoking, alcohol use) over time among 3050 African Americans in the Jackson Heart Study from visit 1 (2000–2004) to visit 3 (2009–2013). Smoking status was classified as persistent current, persistent former, persistent never, current to former and former/never to current smokers. Alcohol use status was classified as persistent heavy, persistent moderate/none, heavy to moderate/none and moderate/none to heavy alcohol users. Higher everyday discrimination was associated with persistent current smoking (OR per SD higher discrimination 1.26, 95% CI 1.11,1.43) and with persistent former smoking (high vs low OR 1.32, 95% CI 1.02,1.70) relative to persistent never smoking. Similar findings were observed for lifetime discrimination and persistent current smoking (high vs low OR 1.85, 95% CI 1.15,2.95) and with persistent former smoking (high vs low OR 1.45, 95% CI 1.06,1.98). Participants reporting lifetime discrimination as very stressful compared with not stressful were more likely to be persistent former smokers (OR 1.44, 95% CI 1.04,1.99). Associations did not vary by discrimination attribution. Discrimination did not predict changes in smoking status or alcohol use. Discrimination was associated with persistent current smoking status, which may provide a plausible mechanism through which discrimination impacts the health of African Americans.
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影响因子：
12.7
作者：
Krieger, N;Sidney, S
通讯作者：
Sidney, S
影响因子：
5.1
作者：
Borrell, Luisa N.;Roux, Ana V. Diez;Jacobs, David R., Jr.;Shea, Steven;Jackson, Sharon A.;Shrager, Sandi;Blumenthal, Roger S.
通讯作者：
Blumenthal, Roger S.
影响因子：
12.7
作者：
Jackson JS;Knight KM;Rafferty JA
通讯作者：
Rafferty JA
影响因子：
12.7
作者：
Bennett, GG;Wolin, KY;Edwards, CL
通讯作者：
Edwards, CL
影响因子：
8.3
作者：
Howard, G;Manolio, TA;OLeary, DH
通讯作者：
OLeary, DH