Evidence map›Paper›PMID 24789604›Full record

ArticleTobacco control2014

Racial and non-racial discrimination and smoking status among South African adults 10 years after apartheid.

Lauren M Dutra, David R Williams, Ichiro Kawachi, Cassandra A Okechukwu

Abstract read
In one paragraph

Article in Tobacco control, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Meta-analysis of interpersonal discrimination and health-related behaviors.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022
    Pooled it
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Lauren M DutraThe Center for Tobacco Control Research and Education, University of California San Francisco, San Francisco, California, USA.
David R WilliamsDepartment of Social and Behavioral Sciences, Harvard School of Public Health, Boston, Massachusetts, USA.
Ichiro KawachiDepartment of Social and Behavioral Sciences, Harvard School of Public Health, Boston, Massachusetts, USA.
Cassandra A OkechukwuDepartment of Social and Behavioral Sciences, Harvard School of Public Health, Boston, Massachusetts, USA.

Funding

Harvard Education Program in Cancer Prevention Control (R25T)R25CA057711 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI DAVISON, KIRSTEN · 1992 to 2018
$8.5M
TOBACCO ADVOCACY AT THE STATE LEVELR01CA061021 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GLANTZ, STANTON ARNOLD · 1994 to 2015
$7.4M
Postdoctoral training in tobacco controlR25CA113710 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GLANTZ, STANTON ARNOLD · 2006 to 2015
$5.4M
Smoking Cessation Intervention with Building Trade UnionR01DP000097 · DP · DANA-FARBER CANCER INSTITUTE · PI BARBEAU, ELIZABETH M · 2004 to 2006
$497k
NCCDPHP CDC HHS 1R01DP000097-01NCCDPHP CDC HHS R01 DP000097NCI NIH HHS 3R25CA057711-18S1NCI NIH HHS R01 CA061021NCI NIH HHS R25 CA057711NCI NIH HHS R25 CA113710NCI NIH HHS R25CA-113710
6 · The paper itself

Abstract

backgroundDespite a long history of discrimination and persisting racial disparities in smoking prevalence, little research exists on the relationship between discrimination and smoking in South Africa.

methodsThis analysis examined chronic (day-to-day) and acute (lifetime) experiences of racial and non-racial (eg, age, gender or physical appearance) discrimination and smoking status among respondents to the South Africa Stress and Health study. Logistic regression models were constructed using SAS-Callable SUDAAN.

resultsBoth chronic racial discrimination (RR=1.45, 95% CI 1.14 to 1.85) and chronic non-racial discrimination (RR=1.69, 95% CI 1.37 to 2.08) predicted a higher risk of smoking, but neither type of acute discrimination did. Total (sum of racial and non-racial) chronic discrimination (RR=1.46, 95% CI 1.20 to 1.78) and total acute discrimination (RR=1.28, 95% CI 1.01 to 1.60) predicted a higher risk of current smoking.

conclusionsRacial and non-racial discrimination may be related to South African adults' smoking behaviour, but this relationship likely varies by the timing and frequency of these experiences. Future research should use longitudinal data to identify the temporal ordering of the relationships studied, include areas outside of South Africa to increase generalisability and consider the implications of these findings for smoking cessation approaches in South Africa.

Indexed as

Black PeopleHealth Status DisparitiesRacial GroupsRacismAdolescentAdultAgedAgeismEthnicityFemaleHumansIndiaLogistic ModelsMaleMiddle AgedPrevalenceDisparitiesGlobal healthPriority/special populations

Identifiers

PMID24789604
PMCPMC4214915

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.