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Perceived discrimination, psychological distress, and current smoking status: Results from the behavioral risk factor surveillance system reactions to race module, 2004-2008

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Listed:
  • Purnell, J.Q.
  • Peppone, L.J.
  • Alcaraz, K.
  • McQueen, A.
  • Guido, J.J.
  • Carroll, J.K.
  • Shacham, E.
  • Morrow, G.R.

Abstract

Objectives: We examined the association between perceived discrimination and smoking status and whether psychological distress mediated this relationship in a large, multiethnic sample. Methods: We used 2004 through 2008 data from the Behavioral Risk Factor Surveillance System Reactions to Race module to conduct multivariate logistic regression analyses and tests of mediation examining associations between perceived discrimination in health care and workplace settings, psychological distress, and current smoking status. Results: Regardless of race/ethnicity, perceived discrimination was associated with increased odds of current smoking. Psychological distress was also a significant mediator of the discrimination-smoking association. Conclusions: Our results indicate that individuals who report discriminatory treatment in multiple domains may be more likely to smoke, in part, because of the psychological distress associated with such treatment.

Suggested Citation

  • Purnell, J.Q. & Peppone, L.J. & Alcaraz, K. & McQueen, A. & Guido, J.J. & Carroll, J.K. & Shacham, E. & Morrow, G.R., 2012. "Perceived discrimination, psychological distress, and current smoking status: Results from the behavioral risk factor surveillance system reactions to race module, 2004-2008," American Journal of Public Health, American Public Health Association, vol. 102(5), pages 844-851.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.300694_6
    DOI: 10.2105/AJPH.2012.300694
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    Cited by:

    1. Christopher E. Clarke & Jeff Niederdeppe & Helen C. Lundell, 2012. "Narratives and Images Used by Public Communication Campaigns Addressing Social Determinants of Health and Health Disparities," IJERPH, MDPI, vol. 9(12), pages 1-24, November.
    2. Alexandria Jones-Patten & Sanghyuk S. Shin & Dawn T. Bounds & Adeline Nyamathi, 2023. "Discrimination, Mental Health, and Readiness to Quit Smoking," Clinical Nursing Research, , vol. 32(8), pages 1081-1091, November.
    3. T. Janevic & D. Gundersen & K. Stojanovski & J. Jankovic & Z. Nikolic & B. Kasapinov, 2015. "Discrimination and Romani health: a validation study of discrimination scales among Romani women in Macedonia and Serbia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(6), pages 669-677, September.
    4. 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.
    5. Dian-Jeng Li & Shiou-Lan Chen & Yu-Ping Chang & Cheng-Fang Yen, 2020. "Factors Affecting Painkillers, Sedatives/Hypnotics, Nicotine, and Unhealthy Alcohol Use Among Gay and Bisexual Men in Taiwan," IJERPH, MDPI, vol. 17(3), pages 1-13, January.
    6. Larrell L. Wilkinson & Olivio J. Clay & Anthony C. Hood & Eric P. Plaisance & Lakesha Kinnerson & Brandon D. Beamon & Dominique Hector, 2020. "The Association of Emotional and Physical Reactions to Perceived Discrimination with Depressive Symptoms Among African American Men in the Southeast," IJERPH, MDPI, vol. 17(1), pages 1-16, January.
    7. Alexander, Adam C. & Nollen, Nicole L. & Ahluwalia, Jasjit S. & Hébert, Emily T. & Businelle, Michael S. & Kendzor, Darla E., 2019. "Darker skin color is associated with a lower likelihood of smoking cessation among males but not females," Social Science & Medicine, Elsevier, vol. 240(C).

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