Human rights violations and smoking status among South African adults enrolled in the South Africa Stress and Health (SASH) study

Details

• Alternative Title:
  Soc Sci Med
• Personal Author:
  Dutra, Lauren M ; Williams, David R ; Gupta, Jhumka ; Kawachi, Ichiro ; Okechukwu, Cassandra A
• Description:
  Despite South Africa's history of violent political conflict, and the link between stressful experiences and smoking in the literature, no public health study has examined South Africans' experiences of human rights violations and smoking. Using data from participants in the nationally representative cross-sectional South Africa Stress and Health study (SASH), this analysis examined the association between respondent smoking status and both human rights violations experienced by the respondent and violations experienced by the respondents' close friends and family members. SAS-Callable SUDAAN was used to construct separate log-binomial models by political affiliation during apartheid (government or liberation supporters). In comparison to those who reported no violations, in adjusted analyses, government supporters who reported violations of themselves but not others (RR = 1.76, 95% CI: 1.25-2.46) had a significantly higher smoking prevalence. In comparison to liberation supporters who reported no violations, those who reported violations of self only (RR = 1.56, 95%CI: 1.07-2.29), close others only (RR = 1.97, 95%CI: 1.12-3.47), or violations of self and close others due to close others' political beliefs and the respondent's political beliefs (RR = 2.86, 95%CI: 1.70-4.82) had a significantly higher prevalence of smoking. The results of this analysis suggest that a relationship may exist between human rights violations and smoking among South Africa adults. Future research should use longitudinal data to assess causality, test the generalizability of these findings, and consider how to apply these findings to smoking cessation interventions.
• Subjects:
  Adult Aged Article Cross-Sectional Studies Family Female Friends Human Rights Abuses Humans Male Middle Aged Politics Prevalence Smoking Stress, Psychological

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• Source:
  Soc Sci Med. 2014; 105:103-111.
• Pubmed ID:
  24509050
• Pubmed Central ID:
  PMC3981189
• Document Type:
  Journal Article
• Funding:
  1R01DP000097-01/DP/NCCDPHP CDC HHS/United States ; L60 MD003645/MD/NIMHD NIH HHS/United States ; R25 CA057711/CA/NCI NIH HHS/United States ; R25CA057711-18S1/CA/NCI NIH HHS/United States
• Place as Subject:
  South Africa
• Volume:
  105
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:92d90c68ba0e7b64d853b3b868504bee91e2ee67e9c623b9314a363fb401706c
• Download URL:
  https://stacks.cdc.gov/view/cdc/29917/cdc_29917_DS1.pdf
• File Type:
  [PDF - 539.74 KB ]