Patrick Chiu, Jacqueline Limoges, Rebecca Puddester, Andrea Gretchev, Lindsay Carlsson, Kathleen Leslie, Don Flaming, Ann Meyer, April Pike
Developing Policy Infrastructure to Guide Genomics-Informed Oncology Nursing in Canada: An Interpretive Descriptive Study
The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres
structural racism society maintains promotes racial hierarchy discrimination established interconnected systems structural racism theorized promote alcohol tobacco use risk factors adverse health cancerhealth outcomes current study assesses association measures statelevel structural racism alcohol tobacco use among national sample 1946 black americans existing composite index statelevel structural racism including five dimensions subscales ie residential segregation employment economic incarceration educational inequities merged individuallevel data national sample dataset hierarchical linear logistic regression models accounting participant clustering state level assessed associations structural racism frequency alcohol use frequency binge drinking smoking status smoking frequency two models estimated behavioral outcome one using composite structural racism index one modeling dimensions structural racism lieu composite measure controlling individuallevel covariates results indicated positive associations incarceration dimension structural racism index binge drinking frequency smoking status smoking frequency inverse association detected education dimension smoking status results suggest statelevel structural racism expressed incarceration disparities positively associated alcohol tobacco use among black americans addressing structural racism particularly incarceration practices multilevel policy intervention may help reduce populationwide alcohol tobacco use behaviors improve health outcomes black populations