TY - JOUR
T1 - The influence of discrimination on smoking cessation among Latinos
AU - Kendzor, Darla E.
AU - Businelle, Michael S.
AU - Reitzel, Lorraine R.
AU - Castro, Yessenia
AU - Vidrine, Jennifer I.
AU - Mazas, Carlos A.
AU - Cinciripini, Paul M.
AU - Lam, Cho Y.
AU - Adams, Claire E.
AU - Correa-Fernández, Virmarie
AU - Cano, Miguel Ángel
AU - Wetter, David W.
N1 - Funding Information:
Funding for this study was provided by the National Center on Minority Health and Health Disparities grant P60MD000503 (to DWW). Data analysis and manuscript preparation were additionally supported through American Cancer Society grants MRSGT-10-104-01-CPHPS (to DEK) and MRSGT-12-114-01-CPPB (to MSB), National Cancer Institute grant K01CA157689 (to YC), National Cancer Institute diversity supplement grant U54CA153505 (to MAC), the University of Texas MD Anderson Cancer Center Duncan Family Institute for Cancer Prevention and Risk Assessment faculty fellowship (to CEA), a National Cancer Institute CURE Diversity Supplement grant R25T CA57730 (to VCF), and National Institutes of Health Support Grant P30CA016672 to the MD Anderson Cancer Center . The funding sources had no role in the design of the study; the collection, analysis or interpretation of data; the writing of the report; or the decision to submit the paper for publication.
Funding Information:
We would like to acknowledge the financial support of the National Center on Minority Health and Health Disparities, the American Cancer Society, the National Cancer Institute, and the University of Texas MD Anderson Cancer Center (including the Duncan Family Institute for Cancer Prevention and Risk Assessment). We are grateful for the contributions of all study team members including Shanna Barnett, Erica Cantu, Gloria Cortez, Ellen Cromley, Patricia Figueroa, Araceli Flores, Jeannie Flores, Evelin McCombs, Luz Mejia, Devin Olivares-Reed, Veronica Paredes, Jewel Rawls, Maria Salazar, Eric Sanchez, and Rocio Tharp.
PY - 2014/3/1
Y1 - 2014/3/1
N2 - Background: Although studies have shown a cross-sectional link between discrimination and smoking, the prospective influence of discrimination on smoking cessation has yet to be evaluated. Thus, the purpose of the current study was to determine the influence of everyday and major discrimination on smoking cessation among Latinos making a quit attempt. Methods: Participants were 190 Spanish speaking smokers of Mexican Heritage recruited from the Houston, TX metropolitan area who participated in the study between 2009 and 2012. Logistic regression analyses were conducted to evaluate the associations of everyday and major discrimination with smoking abstinence at 26 weeks post-quit. Results: Most participants reported at least some everyday discrimination (64.4%), and at least one major discrimination event (56%) in their lifetimes. Race/ethnicity/nationality was the most commonly perceived reason for both everyday and major discrimination. Everyday discrimination was not associated with post-quit smoking status. However, experiencing a greater number of major discrimination events was associated with a reduced likelihood of achieving 7-day point prevalence smoking abstinence, OR. = .51, p= .004, and continuous smoking abstinence, OR. = .29, p= .018, at 26 weeks post-quit. Conclusions: Findings highlight the high frequency of exposure to discrimination among Latinos, and demonstrate the negative impact of major discrimination events on a smoking cessation attempt. Efforts are needed to attenuate the detrimental effects of major discrimination events on smoking cessation outcomes.
AB - Background: Although studies have shown a cross-sectional link between discrimination and smoking, the prospective influence of discrimination on smoking cessation has yet to be evaluated. Thus, the purpose of the current study was to determine the influence of everyday and major discrimination on smoking cessation among Latinos making a quit attempt. Methods: Participants were 190 Spanish speaking smokers of Mexican Heritage recruited from the Houston, TX metropolitan area who participated in the study between 2009 and 2012. Logistic regression analyses were conducted to evaluate the associations of everyday and major discrimination with smoking abstinence at 26 weeks post-quit. Results: Most participants reported at least some everyday discrimination (64.4%), and at least one major discrimination event (56%) in their lifetimes. Race/ethnicity/nationality was the most commonly perceived reason for both everyday and major discrimination. Everyday discrimination was not associated with post-quit smoking status. However, experiencing a greater number of major discrimination events was associated with a reduced likelihood of achieving 7-day point prevalence smoking abstinence, OR. = .51, p= .004, and continuous smoking abstinence, OR. = .29, p= .018, at 26 weeks post-quit. Conclusions: Findings highlight the high frequency of exposure to discrimination among Latinos, and demonstrate the negative impact of major discrimination events on a smoking cessation attempt. Efforts are needed to attenuate the detrimental effects of major discrimination events on smoking cessation outcomes.
KW - Discrimination
KW - Ethnicity
KW - Latinos
KW - Smoking cessation
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UR - http://www.scopus.com/inward/citedby.url?scp=84893754458&partnerID=8YFLogxK
U2 - 10.1016/j.drugalcdep.2014.01.003
DO - 10.1016/j.drugalcdep.2014.01.003
M3 - Article
C2 - 24485880
AN - SCOPUS:84893754458
SN - 0376-8716
VL - 136
SP - 143
EP - 148
JO - Drug and alcohol dependence
JF - Drug and alcohol dependence
IS - 1
ER -