Discrimination experiences and problematic alcohol and cannabis use in young adulthood.

IF 2.5 4区 医学 Q2 SUBSTANCE ABUSE
Lilian G Perez, Wendy M Troxel, Joan S Tucker, Michael S Dunbar, Anthony Rodriguez, David J Klein, Elizabeth J D'Amico
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引用次数: 0

Abstract

Background and objectives: Limited research has examined how discrimination in young adulthood relates to substance use. We examined how multiple and specific types (e.g., race-based) of experiences of unfair treatment are related to problematic alcohol and cannabis use.

Methods: We analyzed cross-sectional data from a diverse cohort of young adults (mean age 24.7) predominantly residing in southern California (n = 2303) to examine associations of multiple (count) and specific experiences (race-, sexual orientation-, gender-based) of perceived everyday discrimination with self-reported alcohol and cannabis use outcomes (consequences, use disorders, and solitary use). We also tested interactions between the three specific discrimination experiences and sociodemographic characteristics (e.g., race-based discrimination × race/ethnicity).

Results: In this diverse sample (e.g., 47% Latinx/o and 22% Asian; 22% sexual/gender diverse; 56% female) of young adults, about 46% reported up to four different discrimination experiences and 27% reported race-, 26% gender-, and 5% sexual orientation-based discrimination. Race- and gender-based discrimination and experiencing more types of discrimination were associated with worse cannabis use outcomes. Race-based discrimination was associated with fewer alcohol consequences and lower Alcohol Use Disorders Identification Test (AUDIT) scores. Associations with sexual orientation-based discrimination and the interactions were not significant.

Discussion and conclusions: Findings build on limited research on associations of discrimination with cannabis use in young adults. More work is needed to understand the mechanisms by which discrimination influences drinking behaviors.

Scientific significance: This study advances the field by examining the unique contributions of specific and multiple types of discrimination experiences in young adulthood, a critical developmental period in which substance use peaks.

歧视经历与青年时期酗酒和吸食大麻的问题。
背景和目的:对青年时期的歧视与药物使用之间关系的研究十分有限。我们研究了多重和特定类型(如基于种族的)的不公平待遇经历与有问题的酒精和大麻使用之间的关系:我们分析了主要居住在加利福尼亚州南部的年轻成年人(平均年龄为 24.7 岁)的横截面数据(n = 2303),以研究感知到的日常歧视的多重(计数)和特定经历(种族、性取向、性别)与自我报告的酒精和大麻使用结果(后果、使用障碍和单独使用)之间的关联。我们还测试了三种特定歧视经历与社会人口特征(如基于种族的歧视 × 种族/族裔)之间的交互作用:在这个多样化的年轻成年人样本中(如 47% 拉丁美洲裔/其他族裔和 22% 亚裔;22% 性取向/性别多样化;56% 女性),约 46% 的人报告了多达四种不同的歧视经历,27% 的人报告了基于种族的歧视,26% 的人报告了基于性别的歧视,5% 的人报告了基于性取向的歧视。基于种族和性别的歧视以及经历更多类型的歧视与吸食大麻的不良后果有关。基于种族的歧视与较少的酒精后果和较低的酒精使用障碍鉴定测试 (AUDIT) 分数有关。与基于性取向的歧视和交互作用的相关性不显著:研究结果建立在对歧视与青壮年吸食大麻相关性的有限研究基础之上。要了解歧视影响饮酒行为的机制,还需要做更多的工作:这项研究通过考察特定和多种类型的歧视经历对青壮年的独特影响,推动了该领域的研究,而青壮年正是药物使用达到高峰的关键发育时期。
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来源期刊
CiteScore
5.00
自引率
0.00%
发文量
118
期刊介绍: The American Journal on Addictions is the official journal of the American Academy of Addiction Psychiatry. The Academy encourages research on the etiology, prevention, identification, and treatment of substance abuse; thus, the journal provides a forum for the dissemination of information in the extensive field of addiction. Each issue of this publication covers a wide variety of topics ranging from codependence to genetics, epidemiology to dual diagnostics, etiology to neuroscience, and much more. Features of the journal, all written by experts in the field, include special overview articles, clinical or basic research papers, clinical updates, and book reviews within the area of addictions.
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