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The Influence of Racial/Ethnic Discrimination Experiences on Cigarette Craving for African American and Hispanic
Darius B Dawson1,2,3,4, Terri L Fletcher5,6,7
1Houston VA HRS&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center (MEDVAMC 152), 2002 Holcombe Blvd., Houston, TX, 77030, USA. dariusd@bcm.edu.
Background:
Despite African Americans and Hispanics smoking equal or fewer cigarettes than White smokers, they experience more smoking-related diseases and have lower cessation rates, possibly due to cultural stress. This study examined the influence of racial/ethnic discrimination experiences in comparison to a general negative affect experience on cigarette craving among African American and Hispanic smokers.
Methods:
African American and Hispanic smokers (N = 34) completed two writing tasks: one to elicit distressing experiences of racial/ethnic discrimination and another to elicit distressing experiences of academic/job-related failure. Participants completed both tasks after being randomized into two groups to counterbalance order of tasks. Participants completed pre- and post-task measurements of cigarette craving and negative affect and were asked to retrospectively rate the level of distress produced by each experience about which they wrote. A series of ANOVAs were computed to assess differences in each condition.
Results:
Cigarette craving significantly increased from baseline to post racial/ethnic discrimination task and post academic/job failure task (ps < 0.05). Negative affect did not increase from baseline to post-task for either group (ps > 0.05). The post academic/job-related failure writing task cigarette craving was significantly related to the distress rating of this task when controlling for negative affect (p < 0.05) but not the racial/ethnic discrimination task.
Conclusions:
Results suggest recollection of racial/ethnic discrimination experiences has a similar impact on cigarette craving as recollection of academic/job-related failure experiences. It is important to examine cultural experiences linked to cigarette use among racial/ethnic minorities and continue experimental research among racial/ethnic minority smokers.
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