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Gender differences in the association between perceived discrimination and adolescent smoking

Author

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  • Wiehe, S.E.
  • Aalsma, M.C.
  • Liu, G.C.
  • Fortenberry, J.D.
  • Stultz, L.

Abstract

Objectives. We examined associations between perceived racial/ethnic discrimination, gender, and cigarette smoking among adolescents. Methods. We examined data on Black and Latino adolescents aged 12 to 19 years who participated in the Moving to Opportunity study (N=2561). Perceived discrimination was assessed using survey items asking about unfair treatment because of race/ethnicity in the prior 6 months. We used logistic regression to investigate associations between discrimination and smoking, stratified by gender and controlling for covariates. Results. One fourth of adolescents reported that discrimination had occurred in at least 1 location. Discrimination was associated with increased odds of smoking among boys (odds ratio [OR] = 1.9; 95% confidence interval [CI] = 1.2, 3.0) and decreased odds among girls (OR = 0.6; 95% CI = 0.3, 1.1). Discrimination at school or work contributed to associations for girls (OR = 0.3; 95% CI = 0.1, 0.9), and discrimination at shops (OR = 2.0; 95% CI = 1.1, 3.8) and by police (OR = 2.0; 95% CI = 1.2, 3.4) contributed to associations for boys. Conclusions. Associations between discrimination and smoking differ by gender. Girls' decreased smoking in higher-discrimination settings may be a result of protective factors associated with where they spend time. Boys' increased smoking in higher-discrimination settings may reflect increased stress from gender-specific targeting by police and businesses.

Suggested Citation

  • Wiehe, S.E. & Aalsma, M.C. & Liu, G.C. & Fortenberry, J.D. & Stultz, L., 2010. "Gender differences in the association between perceived discrimination and adolescent smoking," American Journal of Public Health, American Public Health Association, vol. 100(3), pages 510-516.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.169771_2
    DOI: 10.2105/AJPH.2009.169771
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    Cited by:

    1. Pierre-Olivier Robert & Adeline Grard & Nora Mélard & Martin Mlinarić & Arja Rimpelä & Matthias Richter & Anton E Kunst & Vincent Lorant, 2020. "The effect of school smoke-free policies on smoking stigmatization: A European comparison study among adolescents," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-15, July.
    2. Kilic, Dilek & Ozturk, Selcen, 2014. "Gender differences in cigarette consumption in Turkey: Evidence from the Global Adult Tobacco Survey," Health Policy, Elsevier, vol. 114(2), pages 207-214.
    3. Dutra, Lauren M. & Williams, David R. & Gupta, Jhumka & Kawachi, Ichiro & Okechukwu, Cassandra A., 2014. "Human rights violations and smoking status among South African adults enrolled in the South Africa Stress and Health (SASH) study," Social Science & Medicine, Elsevier, vol. 105(C), pages 103-111.
    4. Korous, Kevin M. & Causadias, José M. & Casper, Deborah M., 2017. "Racial discrimination and cortisol output: A meta-analysis," Social Science & Medicine, Elsevier, vol. 193(C), pages 90-100.
    5. Yang, Tse-Chuan & Chen, I-Chien & Choi, Seung-won & Kurtulus, Aysenur, 2019. "Linking perceived discrimination during adolescence to health during mid-adulthood: Self-esteem and risk-behavior mechanisms," Social Science & Medicine, Elsevier, vol. 232(C), pages 434-443.
    6. Chen, Shanting & Mallory, Allen B., 2021. "The effect of racial discrimination on mental and physical health: A propensity score weighting approach," Social Science & Medicine, Elsevier, vol. 285(C).
    7. Gözde Özdikmenli-Demir, 2014. "Ethnic Identities of University Students," SAGE Open, , vol. 4(3), pages 21582440145, June.

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