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Racial/ethnic differences in self-reported racism and Its association with cancer-related health behaviors

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  • Shariff-Marco, S.
  • Klassen, A.C.
  • Bowie, J.V.

Abstract

Objectives. We used population-based survey data to estimate the prevalence of self-reported racism across racial/ethnic groups and to evaluate the association between self-reported racism and cancer-related health behaviors. Methods. We used cross-sectional data from the 2003 California Health Interview Survey. Questions measured self-reported racism in general and in health care. The cancer risk behaviors we assessed were smoking, binge drinking, not walking, being overweight or obese, and not being up to date with screenings for breast, cervical, colorectal, and prostate cancers. Analyses included descriptive analyses and logistic regression. Results. Prevalences of self-reported racism varied between and within aggregate racial/ethnic groups. In adjusted analyses, general racism was associated with smoking, binge drinking, and being overweight or obese; health care racism was associated with not being up to date with screening for prostate cancer. Associations varied across racial/ethnic groups. Conclusions. Associations between general racism and lifestyle behaviors suggest that racism is a potential stressor that may shape cancer-related health behaviors, and its impact may vary by race/ethnicity.

Suggested Citation

  • Shariff-Marco, S. & Klassen, A.C. & Bowie, J.V., 2010. "Racial/ethnic differences in self-reported racism and Its association with cancer-related health behaviors," American Journal of Public Health, American Public Health Association, vol. 100(2), pages 364-374.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.163899_5
    DOI: 10.2105/AJPH.2009.163899
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    1. Harris, Ricci & Cormack, Donna & Tobias, Martin & Yeh, Li-Chia & Talamaivao, Natalie & Minster, Joanna & Timutimu, Roimata, 2012. "The pervasive effects of racism: Experiences of racial discrimination in New Zealand over time and associations with multiple health domains," Social Science & Medicine, Elsevier, vol. 74(3), pages 408-415.
    2. Manning, Mark & Albrecht, Terrance L. & Yilmaz-Saab, Zeynep & Penner, Louis & Norman, Andria & Purrington, Kristen, 2017. "Explaining between-race differences in African-American and European-American women's responses to breast density notification," Social Science & Medicine, Elsevier, vol. 195(C), pages 149-158.
    3. Whitney E. Zahnd & Cathryn Murphy & Marie Knoll & Gabriel A. Benavidez & Kelsey R. Day & Radhika Ranganathan & Parthenia Luke & Anja Zgodic & Kewei Shi & Melinda A. Merrell & Elizabeth L. Crouch & Hea, 2021. "The Intersection of Rural Residence and Minority Race/Ethnicity in Cancer Disparities in the United States," IJERPH, MDPI, vol. 18(4), pages 1-26, February.
    4. Samuel R. Friedman & Leslie D. Williams & Ashly E. Jordan & Suzan Walters & David C. Perlman & Pedro Mateu-Gelabert & Georgios K. Nikolopoulos & Maria R. Khan & Emmanuel Peprah & Jerel Ezell, 2022. "Toward a Theory of the Underpinnings and Vulnerabilities of Structural Racism: Looking Upstream from Disease Inequities among People Who Use Drugs," IJERPH, MDPI, vol. 19(12), pages 1-19, June.
    5. Ruqaiijah Yearby, 2018. "Racial Disparities in Health Status and Access to Healthcare: The Continuation of Inequality in the United States Due to Structural Racism," American Journal of Economics and Sociology, Wiley Blackwell, vol. 77(3-4), pages 1113-1152, May.
    6. Lynn N. Ibekwe & Maria Eugenia Fernández-Esquer & Sandi L. Pruitt & Nalini Ranjit & Maria E. Fernández, 2021. "Racism and Cancer Screening among Low-Income, African American Women: A Multilevel, Longitudinal Analysis of 2-1-1 Texas Callers," IJERPH, MDPI, vol. 18(21), pages 1-19, October.
    7. Nancy Krieger & Pamela D Waterman & Anna Kosheleva & Jarvis T Chen & Dana R Carney & Kevin W Smith & Gary G Bennett & David R Williams & Elmer Freeman & Beverley Russell & Gisele Thornhill & Kristin M, 2011. "Exposing Racial Discrimination: Implicit & Explicit Measures–The My Body, My Story Study of 1005 US-Born Black & White Community Health Center Members," PLOS ONE, Public Library of Science, vol. 6(11), pages 1-24, November.
    8. Maureen R Benjamins & Megan Middleton, 2019. "Perceived discrimination in medical settings and perceived quality of care: A population-based study in Chicago," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-15, April.

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