Evidence map›Paper›PMID 37755685›Full record

ArticleJournal of racial and ethnic health disparities2023

Black Americans' Diminished Return of Educational Attainment on Tobacco Use in Baltimore City.

Rifath Ara Alam Barsha, Shervin Assari, Mian B Hossain, Jummai Apata, Payam Sheikhattari

Open access · hybridAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
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

15 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Trauma Erodes Financial Returns of Educational Attainment.Open journal of educational research · 2025
    Article
  5. "To Be Twice as Good to Get Half": Minorities' Diminished Returns.Journal of biomedical and life sciences · 2025
    Article
  6. Article
  7. Article
  8. Education Does Not Equally Increase Financial Well-being for All.Journal of social mathematical & human engineering sciences · 2024
    Article
  9. Educated but Unhealthy? Examining Minorities' Diminished Returns.Global journal of epidemiology and infectious disease · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Walking the Divide: A Public Health Journey from Manhattan to Harlem.Journal of social mathematical & human engineering sciences · 2024
    Article
  14. Article
  15. Article
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

5 authors at 2 institutions in 1 country.

Rifath Ara Alam BarshaCenter for Urban Health Disparities Research and Innovation, Morgan State University, Baltimore, MD, USA.
Shervin AssariDepartment of Family Medicine, Charles R Drew University of Medicine and Science, Los Angeles, CA, USA. assari@umich.edu.ORCID 0000-0002-5054-6250
Mian B HossainCenter for Urban Health Disparities Research and Innovation, Morgan State University, Baltimore, MD, USA.
Jummai ApataCenter for Urban Health Disparities Research and Innovation, Morgan State University, Baltimore, MD, USA.
Payam SheikhattariCenter for Urban Health Disparities Research and Innovation, Morgan State University, Baltimore, MD, USA.
Morgan State University · USCharles R. Drew University of Medicine and Science · US

Funding

Implementation and Dissemination of the CEASE Intervention to Reduce Tobacco UseR24MD002803 · NIMHD · MORGAN STATE UNIVERSITY · PI SHEIKHATTARI, PAYAM · 2008 to 2015
$3.7M
HBCU RESEARCH SCIENTIST AWARDU24DA012390 · NIDA · MORGAN STATE UNIVERSITY · PI BROWNE, DOROTHY C. · 1998 to 2005
$2.5M
The Center for the Study and Prevention of Drug UseR24DA019805 · NIDA · MORGAN STATE UNIVERSITY · PI WAGNER, FERNANDO ANTONIO · 2005 to 2009
$2.0M
NIDA NIH HHS R24 DA019805NIDA NIH HHS U24 DA012390NIMHD NIH HHS R24 MD002803
6 · The paper itself

Abstract

backgroundSocioeconomic status (SES) indicators such as educational attainment are fundamental factors affecting health. One mechanism through which education affects health is by reducing the likelihood of engaging in high-risk behaviors such as smoking. However, according to the marginalization-related diminished returns (MDRs) theory, the association between education and health may be weaker for marginalized populations such as Black than White, primarily due to racism and discrimination. However, little is known about the racial variations in the differential associations between educational attainment and tobacco use in a local setting.

aimThis study aimed to investigate the differential association between educational attainment and tobacco use among racial groups in a community sample in Baltimore City.

methodsThis cross-sectional study used data from a community survey conducted in 2012-2013 in Baltimore City among adults aged 18 years or older. The participants were 3501 adults. Univariate, bivariate, and logistic regression analyses were performed using Stata to investigate the racial difference in the association between education and two outcomes: current smoking status and menthol tobacco product use.

resultsThe study found that adults with a graduate degree were less likely to be current smokers (adjusted odds ratio [AOR]: 0.10, 95% confidence interval [CI]: 0.08-0.13) and menthol tobacco users (AOR: 0.10, 95% CI: 0.07-0.14) compared to those with less than high school diploma. The inverse associations between educational attainment and current smoking (AOR: 1.83, 95% CI: 1.05-3.21) and menthol tobacco product use (AOR: 4.73, 95% CI: 2.07-10.80) were weaker for Back individuals than those who were White.

conclusionDue to MDRs of educational attainment, while highly educated White adults show a low risk of tobacco use, educated Black adults remain at a disproportionately increased risk. The study emphasizes the need for better policies and programs that address minorities' diminished return of education for tobacco use.

Indexed as

Black or African AmericanMentholAdultBaltimoreCross-Sectional StudiesEducational StatusHumansSurveys and QuestionnairesTobacco UseMentholEducational attainmentFlavored tobaccoMarginalized groupsSmokingSocial determinants

Identifiers

PMID37755685
PMCPMC10645619
OpenAlexW4387077764

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.