The Associations Between Psychopathology Symptoms and Substance Use Across Race/Ethnicity and Gender: A Test of the Cross-Cultural Equivalence of Measurement.
William Rozum, Evelyn M Hernandez Valencia, Jodi M Sutherland Charvis, Chrystal Vergara-Lopez, Hector I Lopez-Vergara
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引用次数: 0
Abstract
Objective: The internalizing (e.g., depression/anxiety) pathway to substance use is a prominent hypothesis, but its evidence critiqued for neglecting correlated dimensions of mental health such as externalizing (e.g., aggressive, rule-breaking) and attention deficit/hyperactivity (ADH) problems. Furthermore, most research has been conducted in predominantly White samples limiting generalizability. We examine associations between substance use and psychopathology symptoms across intersectional race/ethnicity and gender identities.
Method: Participants (n=1,187; 16.26% Black women, 17.61% Latina women, 15.67% White women, 16.68% Black men, 17.10% Latino men, and 16.68% White men) aged 18-26 completed online surveys. Alcohol and cannabis factors were indicated by six pattern of use items (e.g., frequency/quantity); psychopathology symptoms via the Adult Self-Report. Differential item functioning was tested before making comparisons in univariate and multivariate models.
Results: Differential item functioning was detected; the degree of bias was modeled via partial metric invariance allowing for latent inferences. At the univariate level: externalizing symptoms predicted alcohol and cannabis across all groups except Black and Latino men, whereas internalizing and AHD symptoms predicted cannabis use in White women and White men only. In a multivariate model, internalizing symptoms inversely predicted alcohol use for White women and White men, externalizing symptoms predicted alcohol use in all groups except Latino men, and externalizing symptoms predicted cannabis use in all groups except Black women and Latino men. ADH showed no significant associations in the multivariate model.
Conclusions: The conceptualized structure of mental health has implications for research on substance use. Intersectionality minded methods may provide a more generalizable scientific base.
期刊介绍：
The Journal of Studies on Alcohol and Drugs began in 1940 as the Quarterly Journal of Studies on Alcohol. It was founded by Howard W. Haggard, M.D., director of Yale University’s Laboratory of Applied Physiology. Dr. Haggard was a physiologist studying the effects of alcohol on the body, and he started the Journal as a way to publish the increasing amount of research on alcohol use, abuse, and treatment that emerged from Yale and other institutions in the years following the repeal of Prohibition in 1933. In addition to original research, the Journal also published abstracts summarizing other published documents dealing with alcohol. At Yale, Dr. Haggard built a large team of alcohol researchers within the Laboratory of Applied Physiology—including E.M. Jellinek, who became managing editor of the Journal in 1941. In 1943, to bring together the various alcohol research projects conducted by the Laboratory, Dr. Haggard formed the Section of Studies on Alcohol, which also became home to the Journal and its editorial staff. In 1950, the Section was renamed the Center of Alcohol Studies.
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