The association between racial and socioeconomic discrimination and two stages of alcohol use in blacks
The association between racial and socioeconomic discrimination and two stages of alcohol use in blacks
复制标题
DOI：
10.1016/j.drugalcdep.2019.02.026
复制
发表时间：
2019-06-01
影响因子：
4.2
通讯作者：
Bucholz, Kathleen K.
中科院分区：
文献类型：
--
作者：
Haeny, Angela M.;Sartor, Carolyn E.;Bucholz, Kathleen K.
背景：本研究旨在描述种族和社会经济歧视与黑人青少年开始饮酒的时间以及从开始饮酒到问题饮酒的进展之间的关系。方法：数据来自酒精使用障碍的高风险家庭研究。通过电话访谈对母亲及其后代（N = 806；M 年龄 = 17.87，SDage = 3.91；50% 女性）进行评估。 Cox比例风险回归分析用于在两个独立的模型中检查歧视和首次饮酒时间之间的关联以及从首次饮酒到问题饮酒的进展。以逐步方式考虑预测变量，从后代种族和社会经济歧视开始，然后添加（2）母亲种族和/或社会经济歧视经历； (3) 宗教仪式出席率和社会支持作为潜在的调节因素； (4) 精神和社会心理危险因素以及其他物质使用。结果：后代种族歧视（HR：2.01，CI：1.17-3.46）
Background: This study aimed to characterize the associations of racial and socioeconomic discrimination with timing of alcohol initiation and progression from initiation to problem drinking in Black youth.Methods: Data were drawn from a high-risk family study of alcohol use disorder. Mothers and their offspring (N = 806; M-age = 17.87, SDage = 3.91; 50% female) were assessed via telephone interview. Cox proportional hazards regression analyses were used to examine associations between discrimination and timing of first drink and progression from first drink to problem drinking in two separate models. Predictor variables were considered in a step-wise fashion, starting with offspring racial and socioeconomic discrimination, then adding (2) maternal racial and/or socioeconomic discrimination experiences; (3) religious service attendance and social support as potential moderators; and (4) psychiatric and psychosocial risk factors and other substance use.Results: Offspring racial discrimination (HR: 2.01, CI: 1.17-3.46