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This Article Figures Only Full Text Full Text (PDF) All Versions of this Article: AJPH.2006.102012v1 98/3/485    most recent Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Google Scholar Articles by Chae, D. H. Articles by Krieger, N. PubMed PubMed Citation Articles by Chae, D. H. Articles by Krieger, N. Related Collections Tobacco Control Social Science Community Health Asians

David H. Chae, ScD, David T. Takeuchi, PhD, Elizabeth M. Barbeau, ScD, Gary G. Bennett, PhD, Jane Lindsey, ScD and Nancy Krieger, PhD.

At the time of the study, David H. Chae was with the Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, Mass, and the University of Washington School of Social Work, Seattle. David T. Takeuchi is with the University of Washington School of Social Work. Seattle. Elizabeth M. Barbeau and Gary G. Bennett are with the Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, and the Center for Community-Based Research, Dana-Farber Cancer Institute, Boston. Nancy Krieger is with the Department of Society, Human Development, and Health, Harvard School of Public Health, Boston. Jane Lindsey is with the Department of Biostatistics, Harvard School of Public Health, Boston.

Correspondence: Requests for reprints should be addressed to David H. Chae or David T. Takeuchi, University of Washington, School of Social Work, Box 354900, 4101 15th Ave NE, Seattle, WA 98105 (e-mail: dhchae{at}post.harvard.edu; dt5{at}u.washington.edu).

Objectives. We examined the relations of self-report of general unfair treatment and self-report of race/ethnicity-specific discrimination with current smoking among Asian Americans. We investigated whether ethnic identification moderated either association.

Methods. Weighted logistic regressions were performed among 1977 Asian Americans recruited to the National Latino and Asian American Study (2002–2003).

Results. In weighted multivariate logistic regression models including both general unfair treatment and racial/ethnic discrimination, odds of current smoking were higher among Asian Americans who reported high levels of unfair treatment (odds ratio [OR]=2.80; 95% confidence interval [CI]=1.13, 6.95) and high levels of racial/ethnic discrimination (OR=2.40; 95% CI=0.94, 6.12) compared with those who reported no unfair treatment and discrimination, respectively. High levels of ethnic identification moderated racial/ethnic discrimination (F₃ =3.25; P =.03). High levels of ethnic identification were associated with lower probability of current smoking among participants reporting high levels of racial/ethnic discrimination.

Conclusions. Our findings suggest that experiences of unfair treatment and racial/ethnic discrimination are risk factors for smoking among Asian Americans. Efforts to promote ethnic identification may be effective in mitigating the influence of racial/ethnic discrimination on smoking in this population.