Self-reported racial discrimination and substance use in the coronary artery risk development in adults study
Self-reported racial discrimination and substance use in the coronary artery risk development in adults study
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DOI：
10.1093/aje/kwm180
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发表时间：
2007-11-01
影响因子：
5
通讯作者：
Kiefe, Catarina I.
中科院分区：
文献类型：
--
作者：
Borrell, Luisa N.;Jacobs, David R., Jr.;Kiefe, Catarina I.
作者调查了物质使用和自我报告的种族歧视是否与年轻人冠状动脉风险发展（CARDIA）研究有关。在2000-2001年，即基线（1985-1986）后15年，确定了吸烟状况、饮酒量和大麻、安非他明和阿片类药物的终生使用情况。在1,507名非裔美国人中，大多数人报告说经历过种族歧视，第7年为79.5%，第15年为74.6%，而在1,813名白人中，这一比例为29.7%和23.7%。与没有受到歧视的非裔美国人相比，报告受到歧视的非裔美国人的教育程度和收入更多，而白人则相反（所有p < 0.001）。在这两年中，在七个领域中至少有三个领域受到种族歧视的非裔美国人报告当前吸烟和过去一年中饮酒的几率分别为1.87（95%置信区间（CI）：1.18，2.96）和2.12（95% CI：1.42，3.17），高于没有受到歧视的同龄人。在控制收入和教育的情况下，非裔美国人在这两年中报告在三个或更多领域受到歧视，相对于非裔美国人报告没有歧视，他们一生中使用大麻100次或更多次的几率高出3.31（95% CI：1.90，5.74）。这些关联在白人中也同样是积极的，但不显着。物质使用可能是一种不健康的应对反应，对某些人来说，无论他们的种族/民族如何。
The authors investigated whether substance use and self-reported racial discrimination were associated in the Coronary Artery Risk Development in Young Adults (CARDIA) Study. Smoking status, alcohol consumption, and lifetime use of marijuana, amphetamines, and opiates were ascertained in 2000-2001, 15 years after baseline (1985-1986). Most of the 1,507 African Americans reported having experienced racial discrimination, 79.5% at year 7 and 74.6% at year 15, compared with 29.7% and 23.7% among the 1,813 Whites. Compared with African Americans experiencing no discrimination, African Americans reporting any discrimination had more education and income, while the opposite was true for Whites (all p < 0.001). African Americans experiencing racial discrimination in at least three of seven domains in both years had 1.87 (95% confidence interval (Cl): 1.18, 2.96) and 2.12 (95% Cl: 1.42, 3.17) higher odds of reporting current tobacco use and having any alcohol in the past year than did their counterparts experiencing no discrimination. With control for income and education, African Americans reporting discrimination in three or more domains in both years had 3.31 (95% Cl: 1.90, 5.74) higher odds of using marijuana 100 or more times in their lifetime, relative to African Americans reporting no discrimination. These associations were similarly positive in Whites but not significant. Substance use may be an unhealthy coping response to perceived unfair treatment for some individuals, regardless of their race/ethnicity.