种族歧视和物质使用:2023年美国种族主义和公共卫生调查的结果。

IF 1.7 4区 医学 Q3 PSYCHIATRY
Saba Rouhani, Jemar R Bather, Adolfo G Cuevas, Isaiah Omari, Adrian Harris, Anna-Michelle McSorley, Brennan Rhodes-Bratton, Melody S Goodman
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引用次数: 0

摘要

背景:在美国,药物使用结果的种族/民族差异继续扩大。尽管越来越多的证据表明种族主义影响健康的方式多种多样,但在药物使用结果方面尚未进行广泛研究。目前的研究探讨了美国成年人在整个生命过程中自我报告的种族歧视暴露与物质使用障碍之间的关系。方法:我们分析了一项基于网络的横断面调查数据,该调查于2023年3月至4月在13个州和波多黎各进行。在儿童期、青春期、成年期和过去一年内对种族主义的暴露程度采用累积生命历程量表(范围0-4)进行测量。分析仅限于白人、黑人和/或西班牙裔受访者(N = 4,338)。多变量模型估计了累积种族歧视与终生物质使用障碍(SUD)诊断之间的调整关联。在那些遭受过种族歧视的人中(N = 1895),我们探讨了通过使用物质来应对任何形式的歧视的相关性。结果:我们发现了种族/民族和累积种族歧视之间相互作用的证据,在被种族化为黑人(非西班牙裔黑人和非洲裔西班牙裔)的人群中,SUD与歧视相关的预测概率更高。有证据表明,累积的种族歧视与通过增加物质使用来应对的可能性之间存在剂量-反应关系。结论:生命过程中种族歧视的经历可能导致物质使用结果的差异。需要更多的研究来解开使用不同物质的人所面临的多种重叠形式的歧视,以及它们如何解释它们之间结果的差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Racial Discrimination and Substance Use: Results from a 2023 Survey of Racism and Public Health in the United States.

Background: Racial/ethnic disparities in substance use outcomes continue to widen in the US. Despite increasing evidence of the myriad ways that racism impacts health, this has not been extensively studied with respect to substance use outcomes. The current study explores the association between self-reported exposure to racial discrimination across the life course and substance use disorders among US adults.

Methods: We analyzed data from a web-based cross-sectional survey of adults in 13 states and Puerto Rico in March-April 2023. Exposure to racism in childhood, adolescence, adulthood, and within the past year was measured on a cumulative life course scale (range 0-4). Analyses were restricted to respondents identifying as White, Black, and/or Hispanic (N = 4,338). Multivariable models estimated the adjusted association between cumulative racial discrimination and lifetime substance use disorder (SUD) diagnosis. Among those with exposure to racial discrimination (N = 1,895), we explored correlates of coping with any form of discrimination by using substances.

Results: We detected evidence of an interaction between race/ethnicity and cumulative racial discrimination, with a higher predicted probability of SUD associated with discrimination among those racialized as Black (non-Hispanic Black and Afro-Hispanic). There was evidence of a dose-response relationship between cumulative racial discrimination and the likelihood of coping through increased substance use.

Conclusions: Experiences of racial discrimination over the life course may contribute to disparities in substance use outcomes. More research is needed to disentangle multiple, overlapping forms of discrimination faced by people who use different substances and how they may explain variation in outcomes among them.

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来源期刊
Substance Use & Misuse
Substance Use & Misuse 医学-精神病学
CiteScore
3.20
自引率
5.00%
发文量
200
审稿时长
3 months
期刊介绍: For over 50 years, Substance Use & Misuse (formerly The International Journal of the Addictions) has provided a unique international multidisciplinary venue for the exchange of original research, theories, policy analyses, and unresolved issues concerning substance use and misuse (licit and illicit drugs, alcohol, nicotine, and eating disorders). Guest editors for special issues devoted to single topics of current concern are invited. Topics covered include: Clinical trials and clinical research (treatment and prevention of substance misuse and related infectious diseases) Epidemiology of substance misuse and related infectious diseases Social pharmacology Meta-analyses and systematic reviews Translation of scientific findings to real world clinical and other settings Adolescent and student-focused research State of the art quantitative and qualitative research Policy analyses Negative results and intervention failures that are instructive Validity studies of instruments, scales, and tests that are generalizable Critiques and essays on unresolved issues Authors can choose to publish gold open access in this journal.
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