Background
Experiences of discrimination are associated with tobacco and alcohol
use, and work is a common setting where individuals experience racial/ethnic
discrimination. Few studies have evaluated the association between workplace
discrimination and these behaviors, and none have described associations
across race/ethnicity.
Purpose
To examine the association between workplace discrimination and
tobacco and alcohol use in a large, multistate sample of U.S. adult
respondents to the Behavioral Risk Factor Surveillance System survey
Reactions to Race Module (2004–2010).
Methods
Multivariable logistic regression analyses evaluated cross-sectional
associations between self-reported workplace discrimination and tobacco
(current and daily smoking) and alcohol use (any and heavy use, and binge
drinking) among all participants and stratified by race/ethnicity, adjusting
for relevant covariates. Data were analyzed in 2013.
Results
Among respondents, 70,080 completed the workplace discrimination
measure. Discrimination was more common among black non-Hispanic
(21%), Hispanic (12%), and other race respondents
(11%) than white non-Hispanics (4%)
(p<0.001). In the total sample, discrimination was
associated with current smoking (risk ratio
[RR]=1.32, 95% CI=1.19, 1.47), daily
smoking (RR=1.41, 95% CI=1.24, 1.61), and heavy
drinking (RR=1.11, 95% CI=1.01, 1.22), but not binge
or any drinking. Among Hispanics, workplace discrimination was associated
with increased heavy and binge drinking, but not any alcohol use or smoking.
Workplace discrimination among black non-Hispanics and white Non-Hispanics
was associated with increased current and daily smoking, but not alcohol
outcomes.
Conclusions
Workplace discrimination is common, associated with smoking and
alcohol use, and merits further policy attention given the impact of these
behaviors on morbidity and mortality.