Minority Health and Health Equity Archive
Permanent URI for this collectionhttp://hdl.handle.net/1903/21769
Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.
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Item Gender Differences in the Association Between Perceived Discrimination and Adolescent Smoking(2010) Wiehe, S. E.; Aalsma, M. C.; Liu, G. C.; Fortenberry, J. D.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.Item Acculturation and Cigarette Smoking Among Pregnant Hispanic Women Residing in the United States(2007) Detjen, M. Gabrielle; Nieto, F. Javier; Trentham-Dietz, Amy; Fleming, Michael; Chasan-Taber, LisaObjectives. We explored whether higher levels of acculturation were associated with higher rates of cigarette smoking among pregnant Hispanic women residing in the United States. Methods. We evaluated data from the Latina Gestational Diabetes Mellitus Study, a prospective study of 1231 Hispanic prenatal care patients conducted from 2000 to 2004 in Massachusetts. Self-reported data on acculturation, cigarette smoking, and covariates were collected by bilingual interviewers using a questionnaire. We conducted logistic regression multivariate analyses to examine the impact of acculturation level on the odds of smoking. Results. Overall, 21% of women reported smoking during pregnancy. Acculturation was associated with elevated smoking rates in pregnant Hispanic women. US-born Hispanic women who preferred English had more than twice the odds of smoking compared with Puerto Rican or foreign-born Hispanic women who preferred Spanish (odds ratio [OR]=2.76, 95% confidence interval [CI] 1.36, 5.63). Conclusions. Our findings suggest that higher-acculturated Hispanic women living in the United States are more likely to smoke cigarettes during pregnancy than are less-acculturated Hispanic women. These results will inform interventions aimed at reducing cigarette smoking during pregnancy among US Hispanic women.Item The cigarette century. The rise, fall and deadly persistence of the product that defined America, Brandt, A.M. (2007), Perseus, NY(2008) Morabia, AlfredoThe Cigarette Century (Brandt, 2007) is the perfect title for a history of cigarette smoking in the United States. The conquest of western societies by the cigarette between 1900 and 1950 is one of the most characterizing traits of the 20th century. Its author, Allan M. Brandt, has been a fixture in the history of public health at Harvard where he directs the Program in the History of Medicine and the Division of Medical Ethics. The book comprises four geometrically assembled chapters (‘Culture’, ‘Science’, ‘Politics’ and ‘Law’), of 100 pages each. Each chapter flows chronologically and covers around a quarter of a century. The body of the text is sandwiched between an introduction and a conclusion of 50 pages each, both of which are written in a more personal tone with the author recalling his impressions upon discovering the Camel Man in Times Square as a child, and his experiences as an expert witness for anti-tobacco litigation.Item African Americans at Greater Risk for Stroke than Other Ethnic Groups(2004) Dawson, GeorgeAccording to the American Stroke Association, a division of the American Heart Association, African Americans are at greater risk of death from cardiovascular disease and stroke than any other ethnic group. Cardiovascular disease, including stroke, is the leading cause of death for African-American men and women—claiming the lives of over 100,000 annually. In 2000, cardiovascular disease accounted for 37% of all African-American deaths. It's estimated that 40% of African-American women and 41% of African- American men have cardiovascular disease, according to the Centers for Disease Control and Prevention of the National Center for Health Statistics. Stroke is the third leading cause of death in America today and a leading cause of severe long-term disability. The American Stroke Association is reminding African Americans this May—American Stroke Month—to learn their risk for stroke and take action to lower their risk.