Pike Moore Stephanie, Fryer Craig S, Lee Eugenia, Sterling Kymberle L
Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, United States.
Department of Behavioral and Community Health and Maryland Center for Health Equity, School of Public Health, University of Maryland, College Park, MD, United States.
Addict Behav Rep. 2025 Feb 28;21:100593. doi: 10.1016/j.abrep.2025.100593. eCollection 2025 Jun.
There is a general paucity of research describing the relationship between racial and ethnic discrimination (RED) and coping strategies on use of little filtered cigars and cigarillos (LCCs) across racial and ethnic identities. This research sought to unravel some of the complex, multilayered experiences of RED and subsequent coping strategies to examine the impact on LCC use.
Data come from a cross-sectional survey conducted among a nationally representative sample of U.S. young adults (n = 1,178) in May 2022. Respondents were asked about their exposure to LCC marketing (systemic RED), interpersonal experiences of RED, coping strategies, and use of LCCs as-sold (tobacco only) or as a blunt (with marijuana). Multivariable logistic regression was used to examine odds of LCC use examining systemic and interpersonal RED and the relationship between emotion-focused and problem-focused coping strategies among those who have experienced RED.
Exposure to systemic RED was associated with increased odds of blunt use. Interpersonal experiences of RED were associated with increased odds of LCC use as-sold and as blunts. Among those who experienced any RED, the impact of problem-focused and emotion-focused coping was differential across racial and ethnic identities in the impact on LCC use modality.
Systemic and interpersonal RED are independently associated with LCC use. There are considerable differences in how young adults cope with RED which necessitates additional research to further elucidate the complex pathways between RED and product use to more effectively inform strategies to address the undeniable racial and ethnic inequities in tobacco-related health outcomes.
关于种族和民族歧视（RED）与应对策略对不同种族和民族身份人群使用低过滤小雪茄和小雪茄烟（LCCs）的影响，目前普遍缺乏相关研究描述。本研究旨在揭示RED的一些复杂、多层次的经历以及后续的应对策略，以检验其对LCC使用的影响。
数据来自2022年5月对具有全国代表性的美国年轻成年人样本（n = 1178）进行的横断面调查。受访者被问及他们接触LCC营销的情况（系统性RED）、RED的人际经历、应对策略以及使用已售LCC（仅含烟草）或作为钝器（含大麻）的情况。多变量逻辑回归用于检验LCC使用的几率，同时考察系统性和人际RED以及经历过RED的人群中以情绪为中心和以问题为中心的应对策略之间的关系。
接触系统性RED与使用钝器的几率增加有关。RED的人际经历与已售LCC和作为钝器使用LCC的几率增加有关。在经历过任何RED的人群中，以问题为中心和以情绪为中心的应对方式对LCC使用方式的影响在不同种族和民族身份之间存在差异。
系统性和人际RED与LCC使用独立相关。年轻人应对RED的方式存在相当大的差异，这需要进一步研究，以更有效地阐明RED与产品使用之间的复杂途径，从而为解决烟草相关健康结果中不可否认的种族和民族不平等问题提供更有效的策略。
