Influence of experiences of racial discrimination and ethnic identity on prenatal smoking among urban black and Hispanic women

Kim Hanh Nguyen, S. V. Subramanian, Glorian Sorensen, Kathy Tsang, Rosalind J. Wright

Research output: Contribution to journalArticlepeer-review

37 Scopus citations

Abstract

Background: Although the prevalence of prenatal smoking among minority women exceeds the projected 2010 national objective, data on the determinants of prenatal smoking among minorities remain sparse. Methods: We examined associations between selfreported experiences of racial discrimination on prenatal smoking among urban black and Hispanic women aged 18-44 years (n=677). Our main independent variable was created from the Experiences of Discrimination (EOD) scale. Multivariable logistic regression models were estimated to examine the relationship between EOD (moderate EOD as the referent group) and smoking for the entire sample and then separately by race/ ethnicity adjusted for sociodemographic variables. We also examined the role of ethnic identity (EI) as a buffer to racial discrimination (n=405). Results: The prevalence of smoking was 18.1% versus 10% for black and Hispanic women, respectively (p=0.002). There were no significant differences in the level of EOD based on race. In multivariate regressions, compared to those reporting moderate EOD, women reporting high discrimination (OR 2.64, 95% CI 1.25 to 5.60) had higher odds of smoking. In stratified analyses, this relationship remained significant only in black women. Results suggest that foreign-born Hispanic women with higher EI were less likely to smoke compared to their low-EI counterparts (3.5 vs 10.1%; p=0.08). Conclusion: These are the first data in pregnant minority women showing an association between discrimination and increased risk of smoking particularly among black women. Ethnic identity and nativity status were also associated with smoking risk. Smoking cessation programmes should consider such factors among childbearing minority women.

Original languageEnglish
Pages (from-to)315-321
Number of pages7
JournalJournal of Epidemiology and Community Health
Volume66
Issue number4
DOIs
StatePublished - Apr 2012
Externally publishedYes

Fingerprint

Dive into the research topics of 'Influence of experiences of racial discrimination and ethnic identity on prenatal smoking among urban black and Hispanic women'. Together they form a unique fingerprint.

Cite this