种族/族裔和性别交汇处的年轻人遭受歧视和酗酒的经历。

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Hector Ismael Lopez-Vergara, William Rozum, Jodi M Sutherland Charvis, Sydney Iacoi, Chrystal Vergara-Lopez, L A R Stein
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引用次数: 0

摘要

尽管歧视是导致酗酒的一个重要社会决定因素,但却缺乏对不同种族/民族和性别之间的相关性进行测试的研究。这是一个重要的研究空白,因为种族/民族和性别交叉身份的不同会导致歧视经历的不同,进而与酗酒的关联也会不同。我们测试了歧视和酗酒的测量不变性,并检验了平均值和协方差的群体差异。样本包括 n = 1187 名年轻成年人(18-26 岁;n = 193 名黑人女性、n = 209 名拉丁裔女性、n = 186 名白人女性、n = 198 名黑人男性、n = 203 名拉丁裔男性和 n = 198 名白人男性)。我们发现了歧视和酗酒项目功能差异的证据,这违反了进行明显的组间比较所需的假设。为了对差异项目功能的来源和程度进行建模,我们使用了部分测量不变量,并删除了一个与白人女性潜因子不可靠重叠的歧视项目。在考虑了项目功能差异后,黑人女性和男性报告的歧视程度最高,其次是拉丁裔女性和男性,然后是白人女性和男性。白人女性报告的酗酒情况最多,其次是白人男性、拉丁裔女性、拉丁裔男性、黑人男性和黑人女性。除白人女性外,歧视与酗酒在所有群体中都呈正相关,但影响大小不一,黑人男性的影响最大。要对歧视和酗酒的交叉性进行有效的理解,可能需要在进行组间定量比较之前,采用能够测试(和模拟)不同项目功能的统计方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Experiences of Discrimination and Alcohol Involvement Among Young Adults at the Intersection of Race/Ethnicity and Gender.

Although discrimination is an important social determinant of alcohol involvement, there is a dearth of research testing these associations across race/ethnicity and gender. This is an important research gap given that experiences of discrimination and therefore links with alcohol involvement may vary as a function race/ethnicity and gender intersectional identities. We tested for measurement invariance in discrimination and alcohol involvement and examined group differences in means and covariances. The sample consisted of n = 1187 young adults (ages 18-26; n = 193 Black women, n = 209 Latina women, n = 186 White women, n = 198 Black men, n = 203 Latino men, and n = 198 White men). We found evidence for differential item functioning for discrimination and alcohol involvement that violated assumptions needed to make manifest between-group comparisons. To model the source and degree of differential item functioning, we used partial measurement invariance and dropped a discrimination item that did not reliably overlap with the latent factor for White women. After accounting for differential item functioning, Black women and men reported the highest discrimination, followed by Latinx women and men, and then White women and men. White women reported the most alcohol involvement, followed by White men, Latina women, Latino men, Black men, and Black women. Discrimination and alcohol involvement were positively associated for all groups except White women, though effect sizes varied with Black men exhibiting the largest effect. An intersectionally valid understanding of discrimination and alcohol involvement may necessitate statistical approaches that can test for (and model) differential item functioning prior to making between-group quantitative comparisons.

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来源期刊
Journal of Racial and Ethnic Health Disparities
Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
5.10%
发文量
263
期刊介绍: Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.
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