在巴尔的摩市,黑人美国人减少了对烟草使用的教育成就的回报
Rifath Ara Alam Barsha1, Shervin Assari2,3, Mian B Hossain1,4
1Center for Urban Health Disparities Research and Innovation, Morgan State University, Baltimore, MD, USA.
Journal of racial and ethnic health disparities
|September 27, 2023
概括
学历水平降低了烟草使用,但由于种族主义,黑人成年人减少了这一好处,导致与白人成年人相比风险更高. 需要有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 卫生社会学 卫生社会学
背景情况:
- 社会经济地位 (SES),特别是教育程度,显著影响健康结果.
- 教育通常会减少参与像吸烟这样的高风险行为.
- 与边缘化相关的减少回报 (MDRs) 理论表明,由于系统性种族主义,教育对边缘化群体 (如黑人) 的健康益处可能较弱.
研究的目的:
- 调查教育程度与烟草使用之间的关系的种族差异.
- 为了检查种族如何改变教育和吸烟行为之间的关系在一个社区样本.
主要方法:
- 使用巴尔的摩市 (2012-2013) 社区调查数据进行的横截面研究.
- 分析包括3501名18岁以上的成年人.
- 后勤回归研究了教育与当前吸烟以及使用薄荷烟草制品之间的关联,跨种族群体.
主要成果:
- 更高的教育程度 (研究生学位) 与目前吸烟和薄荷烟草使用的几率较低,相比之下,高中毕业证不到.
- 防止吸烟和薄荷烟草使用的教育的保护性协会在黑人个人中明显弱于白人.
结论:
- 多种抗烟症理论解释了为什么受过高等教育的白人成年人吸烟风险较低,而受过教育的黑人成年人面临的风险不成比例地更高.
- 调查结果强调了需要制定政策和方案,以解决少数群体中烟草使用教育回报的减少的问题.
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