Dataset Information

The Influence of Racial Discrimination on Smoking among Young Black Men: A Prospective Analysis.

ABSTRACT: Racial discrimination is a documented risk factor for smoking among Black men; mechanisms of effect and protective processes remain to be investigated. This study examined the mediating effect of anger/hostility on the association between racial discrimination and smoking and the influence of protective social ties in buffering the effects of racial discrimination. Hypotheses were tested using longitudinal data from a study of 505 Black men ages 19-22. Data collected for the study occurred at three timepoints, each 12?months apart. Racial discrimination is associated with increases in cigarette smoking between baseline and follow-up. Anger/hostility partially mediated this association. Moderational analyses indicated that discrimination had little or no impact on men's smoking in the presence of protective social ties. Study findings suggest that supportive networks make crucial contributions to the reduction of cigarette smoking and feelings of anger within this population. Intervention developers should consider targeting relationship dynamics with supportive networks to understand coping mechanisms and to reduce substance use among young black men.

SUBMITTER: Hicks MR

PROVIDER: S-EPMC6488444 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature

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Publications

The influence of racial discrimination on smoking among young black men: A prospective analysis.

Hicks Megan R MR Kogan Steven M SM

Journal of ethnicity in substance abuse 20181029 2

Racial discrimination is a documented risk factor for smoking among Black men; mechanisms of effect and protective processes remain to be investigated. This study examined the mediating effect of anger/hostility on the association between racial discrimination and smoking and the influence of protective social ties in buffering the effects of racial discrimination. Hypotheses were tested using longitudinal data from a study of 505 Black men ages 19-22. Data collected for the study occurred at th ...[more]

PMID: 30372370

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Project description:Testing hypotheses from the emerging Identity Pathology (IP) framework, we assessed race-gender differences in the effects of reporting experiences of racial and gender discrimination simultaneously compared with racial or gender discrimination alone, or no discrimination, on future cardiovascular health (CVH). Data were from a sample of 3758 black or white adults in CARDIA, a community-based cohort recruited in Birmingham, AL; Chicago, IL; Minneapolis, MN, and Oakland, CA in 1985-6 (year 0). Racial and gender discrimination were assessed using the Experiences of Discrimination scale. CVH was evaluated using a 12-point composite outcome modified from the Life's Simple 7, with higher scores indicating better health. Multivariable linear regressions were used to evaluate the associations between different perceptions of discrimination and CVH scores two decades later by race and gender simultaneously. Reporting racial and gender discrimination in ≥2 settings were 48% of black women, 42% of black men, 10% of white women, and 5% of white men. Year 30 CVH scores (mean, SD) were 7.9(1.4), 8.1(1.6), 8.8(1.6), and 8.7(1.3), respectively. Compared with those of their race-gender groups reporting no discrimination, white women reporting only gender-based discrimination saw an adjusted score difference of +0.3 (95% CI: 0.0,0.6), whereas white men reporting only racial discrimination had on average a 0.4 (95% CI: 0.1,0.8) higher score, and scores among white men reporting both racial and gender discrimination were on average 0.6 (95% CI: 1.1,-0.1) lower than those of their group reporting no discrimination. Consistent with predictions of the IP model, the associations of reported racial and gender discrimination with future CVH were different for different racially-defined gender groups. More research is needed to understand why reported racial and gender discrimination might better predict deterioration in CVH for whites than blacks, and what additional factors associated with gender and race contribute variability to CVH among these groups.

Dataset Information

The Influence of Racial Discrimination on Smoking among Young Black Men: A Prospective Analysis.

Publications

The influence of racial discrimination on smoking among young black men: A prospective analysis.

Similar Datasets

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