Skip to main content
Log in

Perceived Discrimination and Smoking Among Rural-to-Urban Migrant Women in China

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

Smoking may be a coping mechanism for psychosocial stress caused by discrimination. We conducted a cross-sectional survey of rural-to-urban migrant women working as restaurant/hotel workers (RHWs) and those working as sex workers (FSWs) in 10 Chinese cities to investigate whether perceived discrimination is associated with smoking. We interviewed RHWs at medical examination clinics and FSWs at entertainment venues. Modified Poisson regression was used to estimate prevalence ratios. Of the 1,696 RHWs and 532 FSWs enrolled, 155 (9.1%) and 63 (11.8%) reported perceived discrimination, respectively. Perceived discrimination was independently associated with ever tried smoking (prevalence ratio [PR], 1.71; 95% confidence interval [CI], 1.31–2.23) and current smoking (PR, 2.52; 95% CI, 1.32–4.79) among RHWs and ever tried smoking (PR, 1.36; 95% CI, 1.16–1.61) and current smoking (PR, 1.63; 95% CI, 1.28–2.06) among FSWs. Perceived discrimination is associated with higher prevalence of smoking among rural-to-urban migrant women in China.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Fernander AF, Shavers VL, Hammons GJ. A biopsychosocial approach to examining tobacco-related health disparities among racially classified social groups. Addiction. 2007;102(Suppl 2):43–57.

    Article  PubMed  Google Scholar 

  2. Fagan P, et al. Identifying health disparities across the tobacco continuum. Addiction. 2007;102(Suppl 2):5–29.

    Article  PubMed  Google Scholar 

  3. Novotny TE, et al. Smoking by blacks and whites: socioeconomic and demographic differences. Am J Public Health. 1988;78:1187–9.

    Article  PubMed  CAS  Google Scholar 

  4. Thomas D. Smoking prevalence trends in Indigenous Australians, 1994–2004: a typical rather than an exceptional epidemic. Int J Equity Health. 2009;8:37.

    Article  PubMed  Google Scholar 

  5. Levy DT, et al. SimSmoke model evaluation of the effect of tobacco control policies in Korea: the unknown success story. Am J Public Health. 2010;100:1267–73.

    Article  PubMed  Google Scholar 

  6. Dressler WW, Oths KS, Gravlee CC. Race and ethnicity in public health research: models to explain health disparities. Annu Rev Anthropol. 2005;34:231–52.

    Article  Google Scholar 

  7. National Population and Family Planning Commission of P.R.China. http://www.chinapop.gov.cn/xwzx/rkxw/201006/t20100628_208418.html. Accessed 11 Mar 2011.

  8. Hu X, Cook S, Salazar MA. Internal migration and health in China. Lancet. 2008;372:1717–9.

    Article  PubMed  Google Scholar 

  9. Zhang L. Reconfigurations of space, power, and social networks within China’s floating population. Stanford, CA: Stanford University Press; 2001.

    Google Scholar 

  10. Li X, et al. Social stigma and mental health among rural-to-urban migrants in China: a conceptual framework and future research needs. World Health Popul. 2006;8:14–31.

    PubMed  Google Scholar 

  11. Wang JW, et al. Quality of life associated with perceived stigma and discrimination among the floating population in Shanghai, China: a qualitative study. Health Promot Int. 2010;25:394–402.

    Article  PubMed  Google Scholar 

  12. Zhang J, et al. Discrimination experience and quality of life among rural-to-urban migrants in China: the mediation effect of expectation-reality discrepancy. Qual Life Res. 2009;18:291–300.

    Article  PubMed  Google Scholar 

  13. Wen M, Wang G. Demographic, psychological, and social environmental factors of loneliness and satisfaction among rural-to-urban migrants in Shanghai, China. Int J Comp Sociol. 2009;50:155–82.

    Article  Google Scholar 

  14. Guo J. Family and parent correlates of educational achievement: migrant children in China. Asian Soc Work Policy Rev. 2011;5:123–37.

    Article  Google Scholar 

  15. Qiu P, et al. Rural-to-urban migration and its implication for New Cooperative Medical Scheme coverage and utilization in China. BMC Public Health 2011;11:520. http://www.biomedcentral.com/1471-2458/11/520. Accessed 1 Sept 2011.

  16. Global Adult Tobacco Survey. GATS fact sheet: China. 2010. http://www.cdc.gov/tobacco/global/gats/countries/wpr/fact_sheets/china/2010/pdfs/china_2010.pdf. Accessed 1 Feb 2011.

  17. Ho MG, et al. Perceptions of tobacco advertising and marketing that might lead to smoking initiation among Chinese high school girls. Tob Control. 2007;16:359–60.

    Article  PubMed  Google Scholar 

  18. World Health Organization. Women and health: today’s evidence, tomorrow’s agenda. Geneva, Switzerland: WHO; 2009.

    Google Scholar 

  19. Novotny TE, Levintova M, Lee K. An analysis of multinational tobacco industry efforts to stimulate the female smoker market in China. Paper presented at world conference on tobacco or health, 12–15 July 2006, Washington, DC; 2006.

  20. Finch K, et al. Smoking knowledge, attitudes, and behaviors among rural-to-urban migrant women in Beijing. China. Asia Pac J Public Health. 2010;22:342–53.

    Article  Google Scholar 

  21. Ho MG, et al. Smoking among rural and urban young women in China. Tob Control. 2010;19:13–8.

    Article  PubMed  Google Scholar 

  22. Taylor A, et al. The impact of trade liberalization on tobacco consumption. In: Jha P, Chaloupka FJ, editors. Tobacco control in developing countries. Oxford, England: Oxford University Press; 2000. p. 343–64.

    Google Scholar 

  23. The Central Intelligence Agency: The World Fact Book—China. https://www.cia.gov/library/publications/the-world-factbook/geos/ch.html. Accessed 3 Mar 2011.

  24. Wan X, et al. Smoking among young rural to urban migrant women in china: a cross-sectional survey. PLoS ONE 2011;6:e23028. http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0023028;jsessionid=C7A233EDB0B257554255498DE64D311A.ambra02. Accessed 1 Sept 2011.

  25. Li X, et al. Health indicators and geographic mobility among young rural to urban migrants in China. World Health Pop. 2006;8:5–21.

    CAS  Google Scholar 

  26. Pierce JP, et al. Validation of susceptibility as a predictor of which adolescents take up smoking in the United States. Health Psychol. 1996;15:355–61.

    Article  PubMed  CAS  Google Scholar 

  27. Finch BK, et al. The role of discrimination and acculturative stress in the physical health of Mexican-origin adults. Hispanic J Behav Sci. 2001;23:399–429.

    Article  Google Scholar 

  28. Skov T, et al. Prevalence proportion ratios: estimation and hypothesis testing. Int J Epidemiol. 1998;27:91–5.

    Article  PubMed  CAS  Google Scholar 

  29. Barros AJ, Hirakata VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol 2003;3:21. http://www.biomedcentral.com/1471-2288/3/21. Accessed 1 Sept 2011.

  30. Kleinbaum DG, et al. Applied regression analysis and other multivariable methods. 4th ed. North Scituate, MA: Duxbury Press; 2008.

    Google Scholar 

  31. Krieger N, et al. Combining explicit and implicit measures of racial discrimination in health research. Am J Public Health. 2010;100:1485–92.

    Article  PubMed  Google Scholar 

  32. Bennett GG, et al. Perceived racial/ethnic harassment and tobacco use among African American young adults. Am J Public Health. 2005;95:238–40.

    Article  PubMed  Google Scholar 

  33. Chae DH, et al. Unfair treatment, racial/ethnic discrimination, ethnic identification, and smoking among Asian Americans in the National Latino and Asian American Study. Am J Public Health. 2008;98:485–92.

    Article  PubMed  Google Scholar 

  34. Guthrie BJ, et al. African American girls’ smoking habits and day-to-day experiences with racial discrimination. Nurs Res. 2002;51:183–90.

    Article  PubMed  Google Scholar 

  35. Nguyen KH, et al. Influence of experiences of racial discrimination and ethnic identity on prenatal smoking among urban black and Hispanic women. J Epidemiol Community Health. Published online first: 25 Oct 2010. doi:10.1136/jech.2009.107516.

  36. Chen X, et al. Cigarette smoking among rural-to-urban migrants in Beijing, China. Prev Med. 2004;39:666–73.

    Article  PubMed  Google Scholar 

  37. Hong Y, Li X. Behavioral studies of female sex workers in China: a literature review and recommendation for future research. AIDS Behav. 2008;12:623–36.

    Article  PubMed  Google Scholar 

  38. Hong Y, et al. Self-perceived stigma, depressive symptoms, and suicidal behaviors among female sex workers in China. J Transcult Nurs. 2010;21:29–34.

    Article  PubMed  CAS  Google Scholar 

  39. Hong Y, et al. Depressive symptoms and condom use with clients among female sex workers in China. Sex Health. 2007;4:99–104.

    Article  PubMed  Google Scholar 

  40. Migrant Resource Network website. http://www.mrn-china.org/site/index.php. Accessed 21 Aug 2011.

Download references

Acknowledgments

We are grateful for the China Centers for Disease Control staff who conducted data collection. This study was supported by the US National Institute of Health grant 1 R03 TW008361-01. The funding agency had no role in study design and the collection, analysis, and interpretation of data and the writing of the article and the decision to submit it for publication.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Thomas E. Novotny.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shin, S.S., Wan, X., Wang, Q. et al. Perceived Discrimination and Smoking Among Rural-to-Urban Migrant Women in China. J Immigrant Minority Health 15, 132–140 (2013). https://doi.org/10.1007/s10903-012-9599-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-012-9599-1

Keywords

Navigation