Abstract
Purpose
Exposure to racial insults among youth in Jujuy, Argentina, was examined as a factor associated with smoking behavior.
Methods
Youth sampled from eighth-grade classes in 27 randomly selected middle schools completed annual surveys in the ninth and tenth grades. Demographics, race/ethnicity (Indigenous/Amazonian, Indigenous/Andean, Indigenous unspecified group, Mixed European-Indigenous, European), cigarette smoking, and other attitudinal and behavioral factors were measured. Exposure to racial insults, measured in the ninth grade, was modeled to predict cigarette smoking in the previous 30 days (defined as current) in the tenth grade conditional on ninth grade smoking.
Results
Of the 3,122 respondents, 35.5% reported exposure to racial insults and 33.8% were current smokers. Factors associated with racial insults were being male, indigenous language spoken at home, ever and current smoking, smoking in a ceremonial context, exposure to second-hand smoke at home, number of friends who smoke, having low expectations for the future, low identification with conforming role models, high identification with defiant role models, and depressive symptoms. Reported exposure to racial insults increased the risk of current smoking in the 10th grade among Indigenous Amazonian respondents (OR = 3.8; 95% CI 1.4–10.4) and among the Indigenous-unspecified group (OR = 1.8; 95% CI 1.1–2.8), but not among European or Indigenous Andean youth.
Conclusions
Exposure to racial insults is commonplace among youth in Jujuy. Evidence of a longitudinal effect of ninth-grade racial insults on tenth-grade smoking rates provides support for an association of racial insults with smoking behavior.
Similar content being viewed by others
References
Perry G, Arias O, Lopez H, Maloney W, Serven L (2006) Poverty reduction and growth: virtuous and vicious circles. Washington, DC
Hall G (2005) Indigenous peoples poverty and human development in Latin America 1994–2004. Palgrave MacMillan, New York
Fisher C, Wallace S, Fenton R (2000) Discrimination distress during adolescence. J Youth Adolesc 29:279–695
Borrell L, Jacobs D, Williams D, Pletcher M, Houston T, Kiefe C (2007) Self-reported racial discrimination and substance use in the coronary artery risk development in adults study. Am J Epidemiol 166(9):1068–1079
Cutter G, Burke G, Dyer A, Friedman G, Hilner J, Hughes G et al (1991) Cardiovascular risk factors in young adults. The CARDIA baseline monograph. Control Clin Trials 12(1 suppl):1S–77S
Harris R, Tobias M, Jeffreys M, Waldengrave K, Karlsen S, Nazroo J (2006) Racism and health: the relationship between experience of racial discrimination and health in New Zealand. Soc Sci Med 63(6):1428–1441
Landrine H, Klonoff E (1996) The schedule of racist events: a measure of discrimination and a study of its negative physical and mental health consequences. J Black Psychol 22:144–168
Ahmed A, Mohammed S, Williams D (2007) Racial discrimination and health: pathways and evidence. Indian J Med Res 126:318–327
Krieger N (2008) Does racism harm health? Did child abuse exist before 1962? On explicit questions, critical science, and current controversies: an ecosocial perspective. Am J Public Health 98(9 suppl):S20–S25
Shariff-Marco S, Klassen A, Bowie J (2010) Racial/ethnic differences in self-reported racism and its association with cancer-related health behaviors. Am J Public Health 100(2):264–374
Jackson J, Knight K, Rafferty J (2010) Race and unhealthy behaviors: chronic stress, the HPA axis, and physical and mental health disparities over the life course. Am J Public Health 100:933–939
Landrine H, Klonoff E (2000) Racial discrimination and cigarette smoking among Blacks: findings from two studies. Ethn Dis 10(2):195–202
Martin J, Tuch S, Roman P (2003) Problem drinking patterns among African Americans: the impacts of reports of discrimination, perceptions of prejudice, and “risky” coping strategies. J Health Soc Behav 44(3):408–425
Whitbeck L, Hoyt D, McMorris B, Chen X, Stubben J (2001) Perceived discrimination and early substance abuse among American Indian children. J Heatlh Soc Behav 42:405–424
Whitbeck LB, Chen X, Hoyt D, Adams G (2004) Discrimination, historical loss and enculturation: culturally specific risk and resiliency factors for alcohol abuse among American Indians. J Stud Alcohol 65(4):409–418
Guthrie B, Young A, Williams D, Boyd C, Kintner E (2002) African American girls’ smoking habits and day-to-day experiences with racial discrimination. Nurs Res 51(3):183–190
Tran A, Lee R, Burgess D (2010) Perceived discrimination and substance use in Hispanic/Latino, African-born Black, and Southeast Asian immigrants. Cultur Divers Ethnic Minor Psychol 16(2):226–236
Okamoto J, Ritt-Olson A, Soto D, Baezconde-Garbanati L, Unger J (2009) Perceived discrimination and substance use among Latino adolescents. Am J Health Behav 33(6):718–727
Brook J, Morojele N, Brook D, Zhang C, Whiteman M (2006) Personal, interpersonal, and cultural predictors of stages of cigarette smoking among adolescents in Johannesburg, South Africa. Tob Control 15(suppl 1):i48–i53
Borrell L, Jacobs D, Williams D, Pletcher M, Houston T, Kiefe C (2010) Self-reported racial discrimination and substance use in the coronary artery risk development in adults study. Am J Epidemiol 51(3–4):307–312
Landrine H, Klonoff E, Corral I, Fernandez S, Roesch S (2006) Conceptualizing and measuring ethnic discrimination in health research. J Behav Med 29(1)
Page R, Danielson M (2011) Multi-country, cross-national comparison of youth tobacco use: findings from global school-based health surveys. Addict Behav 36(5):470–478
Alderete E, Kaplan C, Gregorich S, Mejia R, Perez-Stable E (2009) Smoking behavior and ethnicity in Jujuy, Argentina: evidence from a low income youth sample. Subst Use Misuse 44(5):642–646
Global Youth Tobacco Survey Collaborative Group (2002) Tobacco use among youth: a cross country comparison. Tob Control 11(3):252–270
Benjet C BG, Medina-Mora ME, Fleiz C, Blanco J, Zambrano J, Rojas E, Ramirez M (2007) Prevalence and socio-demographic correlates of drug use among adolescents: results from the Mexican adolescent mental health survey risk. Addiction 102:1261–1268
Vega ZR, Warheit GJ, Apospori E, Gil AG (1993) Risk factors for early adolescent drug use in four ethnic and racial groups. Am J Public Health 83:185–189
SAS (2006) SAS Institute Inc. SAS Institute Inc, Cary, NC
Koval J, Pederson L, Chan S (2004) Psychosocial variables in a cohort of students in grades 8 and 11: a comparison of current and never smokers. Prev Med 39(5):1017–1025
Van Den Bree M, Whitmer M, Pickworth W (2004) Predictors of smoking development in a population-based sample of adolescents: a prospective study. J Adolesc Health 35(3):172–181
Biglan A, Duncan T, Ary D, Smolkowski K (1995) Peer and parental influences on adolescent tobacco use. J Behav Med 18(4):315–330
Conrad K, Flay B, Hill D (1992) Why children start smoking cigarettes: predictors of onset. Br J Addict 87(12):1711–1724
Psacharopoulos G, Patrinos H (1994) Indigenous people and poverty in Latin America: an empirical analysis. World Bank Washington DC, Washington DC
Albo X (1994) Ethnic violence: the case of Bolivia. United Nations University Press, New York
Santos-Granero F (2002) Boundaries are made to be crossed: the magic and politics of the long-lasting Amazon/Andes divide. Identities Global Stud Cult Power 9(4):545–569
Rosenbloom S, Way N (2004) Experiences of discrimination among African American, Asian American, and Latino adolescents in an urban high school. Youth Soc 35:420–451
Way N (1998) Everyday courage: the lives and stories of urban teenagers. NYU Press, New York
Greene M, Way N, Pahl K (2006) Trajectories of perceived adult and peer discrimination among Black, Latino, and Asian American adolescents: patterns and psychological correlates. Dev Psychol 42(2):218–236
Willis T, Cleary S (1997) The validity of self-reports of smoking: analyses by race/ethnicity in a school sample of urban adolescents. Am J Public Health 1(1):87
Acknowledgments
This research was funded by grant no. TW05935 from the Tobacco Research Network Program, Fogarty International Center, National Cancer Institute, National Institute of Drug Abuse, and National Institutes of Health and by grant no. 001726-037 from Research on International Tobacco Control, International Development Research Center, Canada. We thank Dana Nickleach for invaluable help in data analysis, Constanza Almiron for critical support in survey development and data management, Marina Bejarano, Susana Durán y Carina Delgado who administered surveys and supported the research work in Jujuy, and Elvira Gomez, Cambria Garrell, and Cecilia Populus-Eudave for administrative and research support at UCSF.
Conflict of interest
There is no conflict of interest for any of the authors.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Alderete, E., Monteban, M., Gregorich, S. et al. Smoking and exposure to racial insults among multiethnic youth in Jujuy, Argentina. Cancer Causes Control 23 (Suppl 1), 37–44 (2012). https://doi.org/10.1007/s10552-012-9906-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10552-012-9906-0