社会经济地位部分调节了结构性种族主义对青少年开始吸烟的影响。

Shervin Assari, Hossein Zare
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引用次数: 0

摘要

背景:最近的研究发现,结构性种族主义--使种族不平等永久化的系统政策和做法--是影响人口健康的重要社会决定因素。利用青少年大脑认知发展(ABCD)研究的数据进行的研究表明,在美国,州一级较高水平的结构性种族主义与青少年烟草使用增加之间存在关联。然而,对这种关系的社会心理中介因素的探讨却很有限,尤其是在 10-16 岁青少年的背景下:本研究旨在评估社会经济地位(SES)、烟草易感性和感知到的歧视在州一级结构性种族主义与青少年烟草使用率之间的潜在中介作用:我们分析了 ABCD 研究的数据,这是一项具有全国代表性的纵向调查,对 11,698 名 9/10 岁至 15/16 岁的青少年进行了跟踪调查。这些数据与州一级的结构性种族主义指标相结合。我们采用结构方程模型(SEM)研究了结构性种族主义与自我报告的开始吸烟之间关系的中介因素,同时控制了个人和国家层面的协变量:我们的研究结果表明,结构性种族主义程度越高,青少年开始吸烟的比例越高。这种关系部分受较低社会经济地位的影响,但与感知到的歧视或烟草易感性无关:结论:结构性种族主义与青少年开始吸烟之间的关系似乎部分受到种族主义程度较高的州中普遍存在的较低社会经济地位的影响。这些结果突出表明,有必要将解决种族主义和社会经济地位不平等问题作为缩小青少年烟草差异的关键策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Socioeconomic Status Partially Mediates the Effects of Structural Racism on Youth Tobacco Use Initiation.

Background: Recent research has identified structural racism-systemic policies and practices that perpetuate racial inequalities-as a significant social determinant of population health. Studies utilizing data from the Adolescent Brain Cognitive Development (ABCD) study have shown an association between higher levels of state-level structural racism and increased tobacco use among youth in the United States. However, there has been limited exploration of the psychosocial mediators of this relationship, particularly in the context of youth aged 10-16 years.

Objective: This study aimed to assess the roles of socioeconomic status (SES), tobacco susceptibility, and perceived discrimination as potential mediators in the relationship between state-level structural racism and youth tobacco initiation rates.

Methods: We analyzed data from the ABCD study, a nationally representative longitudinal survey of 11,698 youth followed from ages 9/10 to 15/16. These data were combined with state-level indicators of structural racism. We employed structural equation modeling (SEM) to investigate the mediators of the association between structural racism and self-reported initiation of tobacco use, while controlling for individual and state-level covariates.

Results: Our findings indicate that higher levels of structural racism were associated with increased rates of tobacco initiation among youth. This relationship was partially mediated by lower SES, but not by perceived discrimination or tobacco susceptibility.

Conclusion: The association between structural racism and youth tobacco initiation appears to be influenced in part by the lower SES prevalent in states with higher levels of racism. These results highlight the need for addressing both racism and SES inequalities as key strategies for reducing tobacco disparities among youth.

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