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首页> 外文期刊>Journal of health care for the poor and underserved >Racial Discrimination's Influence on Smoking Rates among American Indian Alaska Native Two-Spirit Individuals: Does Pain Play a Role?
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Racial Discrimination's Influence on Smoking Rates among American Indian Alaska Native Two-Spirit Individuals: Does Pain Play a Role?

机译：种族歧视对美洲印第安人阿拉斯加土著两精神个体中吸烟率的影响：疼痛是否起作用？

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摘要

High rates of racial discrimination and non-ceremonial tobacco smoking exist among American Indian/Alaska Native (AIAN) Two-Spirit/LGBT (Lesbian, Gay, Bisexual, Transgender) populations. The authors examined whether or not pain mediates between racial discrimination and smoking among Two-Spirits. Two-Spirit adults (n=447) from seven urban U.S. locations were surveyed during the HONOR project. The Indigenist stress coping model was used as framework in which to conduct descriptive, bivariate and regression analyses. A majority of the participants reported smoking (45.2%) and pain (57%). Pain was found to mediate the association between racial discrimination and smoking. Racial discrimination appears to be a significant factor influencing tobacco smoking and health behaviors within Two-Spirit populations. Effective tobacco cessation and/or prevention planning for Two-Spirits and others who experience frequent racial discrimination, stress, and trauma should also consider the influence of pain. Pain may serve as the embodiment of discrimination, and this possibility requires future research.
机译：在美洲印第安人/阿拉斯加土著人（AIAN）的两个精神/ LGBT（女同性恋，男同性恋，双性恋，变性者）人群中，种族歧视和非礼仪吸烟的发生率很高。作者研究了在两次精神分裂之间的种族歧视和吸烟之间是否存在痛苦。在HONOR项目期间，对来自美国七个城市地点的两名精神成年人（n = 447）进行了调查。土著压力应对模型被用作进行描述性，双变量和回归分析的框架。大多数参与者报告吸烟（45.2％）和疼痛（57％）。人们发现疼痛可以介导种族歧视与吸烟之间的联系。种族歧视似乎是影响两精神人口内吸烟和健康行为的重要因素。有效的戒烟和/或预防计划，对于“双精神”和其他经常遭受种族歧视，压力和创伤的人，还应考虑疼痛的影响。疼痛可能是歧视的体现，这种可能性需要进一步研究。

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