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Influence of experiences of racial discrimination and ethnic identity on prenatal smoking among urban black and Hispanic women.

Abstract：

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.

journal_name

J Epidemiol Community Health

journal_title

Journal of epidemiology and community health

authors

Nguyen KH,Subramanian SV,Sorensen G,Tsang K,Wright RJ

doi

10.1136/jech.2009.107516

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

315-21

issue

eissn

0143-005X

issn

1470-2738

pii

jech.2009.107516

journal_volume

pub_type

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Influence of experiences of racial discrimination and ethnic identity on prenatal smoking among urban black and Hispanic women.