Perceived racial/ethnic discrimination, smoking and alcohol consumption in the Multi-Ethnic Study of Atherosclerosis (MESA)

PREVENTIVE MEDICINE

卷:51

Article

Borrell, Luisa N.¹  Roux, Ana V. Diez²  Jacobs, David R., Jr.^3,8  Shea, Steven^4,9  Jackson, Sharon A.⁵  Shrager, Sandi⁶  Blumenthal, Roger S.⁷ 

[1] CUNY, Lehman Coll, Grad Program Publ Hlth, Dept Hlth Sci, Bronx, NY 10468 USA

[2] Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI 48109 USA

[3] Univ Minnesota, Sch Publ Hlth, Div Epidemiol & Community Hlth, Minneapolis, MN USA

[4] Columbia Univ, Dept Med, New York, NY USA

[5] Jona Pl Fdn, Wicomico Church, VA USA

[6] Univ Washington, Seattle, WA 98195 USA

[7] Johns Hopkins Ciccarone Prevent Cardiol Ctr, Baltimore, MD USA

[8] Univ Oslo, Dept Nutr, Oslo, Norway

[9] Columbia Univ, Dept Epidemiol, New York, NY USA

关键词: Racial/ethnic discrimination;    Discrimination;    Smoking;    Alcohol;    Blacks;    Hispanics;    Chinese;    Whites;   

DOI  :  10.1016/j.ypmed.2010.05.017

来源: Elsevier

【 摘 要 】

Objective. To examine the association of perceived racial/ethnic discrimination with smoking and alcohol consumption in adults participating in the Multi-Ethnic Study of Atherosclerosis. Methods. Data on 6680 black, Chinese, Hispanic and white adults aged 45 to 84 years of age recruited from Illinois, New York, Maryland, North Carolina, Minnesota and California during 2000 and 2002 were used for this analysis. Logistic regression was used to estimate the association of perceived racial/ethnic discrimination with smoking status and alcohol consumption for each racial/ethnic group separately. Results. Blacks were more likely to experience racial/ethnic discrimination (43%) than Hispanics (19%), Chinese participants (10%) or whites (4%, P<0.0001). In the fully-adjusted model, blacks reporting racial/ethnic discrimination had 34% and 51% greater odds of reporting smoking and drinking, respectively, than blacks who did not report racial/ethnic discrimination. Hispanics reporting racial/ethnic discrimination had 62% greater odds of heavy drinking. Whites reporting racial/ethnic discrimination had 88% greater odds of reporting being current smokers than whites who did not report racial/ethnic discrimination. Conclusions. Our findings suggest that the experience of discrimination is associated with greater prevalence of unhealthy behaviors. Specifically, the use of smoking and alcohol may be patterned by experience of discrimination. (C) 2010 Elsevier Inc. All rights reserved.

【 授权许可】

Free