Associations Among Experiences With Racial Discrimination, Religion/Spirituality, and Cigarette Smoking Among African American Adults: The Jackson Heart Study.

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Title: Associations Among Experiences With Racial Discrimination, Religion/Spirituality, and Cigarette Smoking Among African American Adults: The Jackson Heart Study.
Authors: Cottrell-Daniels, Cherell (AUTHOR), Aycock, Dawn M (AUTHOR), Pecháček, Terry F (AUTHOR), Sims, Mario (AUTHOR), Spears, Claire A (AUTHOR)
Source: Annals of Behavioral Medicine. Jan2025, Vol. 59 Issue 1, p1-11. 11p.
Subjects: African Americans, Race discrimination, Smoking, Religions, Spirituality, Stress management, Health equity
Geographic Terms: Jackson (Miss.)
Abstract: Background African American adults exhibit disproportionately high rates of tobacco-related diseases and associated death. Experiences with racial discrimination contribute to health disparities among African Americans, but more research is needed to understand associations between perceived discrimination and tobacco use as well as potential protective factors. Purpose This study examined associations between perceived racial discrimination and cigarette smoking, as well as religion and spirituality as moderators of any associations. Methods Cross-sectional data were drawn from the Jackson Heart Study, a study of cardiovascular disease risk factors among African American adults in Jackson, MS. Measures included perceived everyday discrimination and major life events discrimination that was attributed to race. Participants also reported religious attendance, prayer, spirituality, and whether they prayed in response to discriminatory experiences. Logistic regression models tested associations between perceived racial discrimination and cigarette smoking status, and interactions between religiosity/spirituality and discrimination in predicting smoking status. Results A total of 2,972 participants were included in the analysis (62.7% female, mean age 55.1 years). Thirteen percent reported currently smoking cigarettes. Everyday racial discrimination was associated with a higher likelihood of current smoking (p =.01). The association between lifetime racial discrimination and current smoking status was weaker for those who reported prayer as a reaction compared to those who did not report prayer as a reaction (adjusted odds ratio = 0.32, 95% confidence interval: 0.11 to 0.91) while adjusting for demographics and covariates. Conclusions Stressful experiences with racial discrimination may create risks for health behaviors like smoking. However, prayer may act as a coping strategy to help buffer the effects of racial discrimination on smoking behavior. [ABSTRACT FROM AUTHOR]
Copyright of Annals of Behavioral Medicine is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Associations Among Experiences With Racial Discrimination, Religion/Spirituality, and Cigarette Smoking Among African American Adults: The Jackson Heart Study.
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  Data: <searchLink fieldCode="AR" term="%22Cottrell-Daniels%2C+Cherell%22">Cottrell-Daniels, Cherell</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Aycock%2C+Dawn+M%22">Aycock, Dawn M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pecháček%2C+Terry+F%22">Pecháček, Terry F</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sims%2C+Mario%22">Sims, Mario</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Spears%2C+Claire+A%22">Spears, Claire A</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Annals+of+Behavioral+Medicine%22">Annals of Behavioral Medicine</searchLink>. Jan2025, Vol. 59 Issue 1, p1-11. 11p.
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  Data: <searchLink fieldCode="DE" term="%22African+Americans%22">African Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Race+discrimination%22">Race discrimination</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking%22">Smoking</searchLink><br /><searchLink fieldCode="DE" term="%22Religions%22">Religions</searchLink><br /><searchLink fieldCode="DE" term="%22Spirituality%22">Spirituality</searchLink><br /><searchLink fieldCode="DE" term="%22Stress+management%22">Stress management</searchLink><br /><searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Jackson+%28Miss%2E%29%22">Jackson (Miss.)</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background African American adults exhibit disproportionately high rates of tobacco-related diseases and associated death. Experiences with racial discrimination contribute to health disparities among African Americans, but more research is needed to understand associations between perceived discrimination and tobacco use as well as potential protective factors. Purpose This study examined associations between perceived racial discrimination and cigarette smoking, as well as religion and spirituality as moderators of any associations. Methods Cross-sectional data were drawn from the Jackson Heart Study, a study of cardiovascular disease risk factors among African American adults in Jackson, MS. Measures included perceived everyday discrimination and major life events discrimination that was attributed to race. Participants also reported religious attendance, prayer, spirituality, and whether they prayed in response to discriminatory experiences. Logistic regression models tested associations between perceived racial discrimination and cigarette smoking status, and interactions between religiosity/spirituality and discrimination in predicting smoking status. Results A total of 2,972 participants were included in the analysis (62.7% female, mean age 55.1 years). Thirteen percent reported currently smoking cigarettes. Everyday racial discrimination was associated with a higher likelihood of current smoking (p =.01). The association between lifetime racial discrimination and current smoking status was weaker for those who reported prayer as a reaction compared to those who did not report prayer as a reaction (adjusted odds ratio = 0.32, 95% confidence interval: 0.11 to 0.91) while adjusting for demographics and covariates. Conclusions Stressful experiences with racial discrimination may create risks for health behaviors like smoking. However, prayer may act as a coping strategy to help buffer the effects of racial discrimination on smoking behavior. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Annals of Behavioral Medicine is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1093/abm/kaae066
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        Text: English
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        Type: general
      – SubjectFull: Race discrimination
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      – SubjectFull: Smoking
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      – SubjectFull: Religions
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      – SubjectFull: Spirituality
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      – SubjectFull: Stress management
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      – SubjectFull: Health equity
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      – SubjectFull: Jackson (Miss.)
        Type: general
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      – TitleFull: Associations Among Experiences With Racial Discrimination, Religion/Spirituality, and Cigarette Smoking Among African American Adults: The Jackson Heart Study.
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              Text: Jan2025
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              Y: 2025
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