Racial and nonracial discrimination and smoking status among South African adults ten years after apartheid

Details

• Alternative Title:
  Tob Control
• Personal Author:
  Dutra, Lauren M ; Williams, David R ; Kawachi, Ichiro ; Okechukwu, Cassandra A
• Description:
  Background
  
  Despite a long history of discrimination and persisting racial disparities in smoking prevalence, little research exists on the relationship between discrimination and smoking in South Africa.
  
  Methods
  
  This analysis examined chronic (day to day) and acute (lifetime) experiences of racial and nonracial (e.g., age, gender, or physical appearance) discrimination and smoking status among respondents to the South Africa Stress and Health Study (SASH). Logistic regression models were constructed using SAS-Callable SUDAAN.
  
  Results
  
  Both chronic racial discrimination (RR=1.45, 95%CI: 1.14–1.85) and chronic nonracial discrimination (RR=1.69, 95%CI: 1.37–2.08) predicted a higher risk of smoking, but neither type of acute discrimination did. Total (sum of racial and nonracial) chronic discrimination (RR=1.46, 95%CI: 1.20–1.78) and total acute discrimination (RR=1.28, 95%CI: 1.01–1.60) predicted a higher risk of current smoking.
  
  Conclusions
  
  Racial and nonracial discrimination may be related to South African adults’ smoking behavior, but this relationship likely varies by the timing and frequency of these experiences. Future research should use longitudinal data to identify the temporal ordering of the relationships studied, include areas outside of South Africa to increase generalizability, and consider the implications of these findings for smoking cessation approaches in South Africa.
  
  
• Subjects:
  Adolescent Adult Aged Ageism Black People Ethnicity Female Health Status Disparities Humans Logistic Models Male Middle Aged Prevalence Racial Groups Racism Sexism Smoking Young Adult

  More +
• Source:
  Tob Control. 23(0):e114-e121
• Pubmed ID:
  24789604
• Pubmed Central ID:
  PMC4214915
• Document Type:
  Journal Article
• Funding:
  R01 CA061021/CA/NCI NIH HHSUnited States/ ; 1R01DP000097-01/DP/NCCDPHP CDC HHSUnited States/ ; R25 CA113710/CA/NCI NIH HHSUnited States/ ; R25CA-113710/CA/NCI NIH HHSUnited States/ ; R25 CA057711/CA/NCI NIH HHSUnited States/ ; R01 DP000097/DP/NCCDPHP CDC HHSUnited States/ ; 3R25CA057711-18S1/CA/NCI NIH HHSUnited States/
• Place as Subject:
  South Africa
• Volume:
  23
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:ff7006d6c649263d0f1aacbc0e254ce409c4dc0f6988c242f886e756b572ff12
• Download URL:
  https://stacks.cdc.gov/view/cdc/30159/cdc_30159_DS1.pdf
• File Type:
  [PDF - 188.76 KB ]