The independent and joint effect of socioeconomic status and Multiracial status on the prevalence and frequency of substance use and depression among U.S. adolescents.
The independent and joint effect of socioeconomic status and Multiracial status on the prevalence and frequency of substance use and depression among U.S. adolescents.
复制标题
社会经济地位和多种族地位对美国青少年物质使用和抑郁的流行率和频率的独立和联合影响。
DOI：
10.1016/j.addbeh.2024.107953
复制
发表时间：
2024
影响因子：
4.4
通讯作者：
Bo,Ai
中科院分区：
文献类型：
--
作者：
Hai,AudreyHang;Lopez-Quintero,Catalina;Elton,Amanda;Curran,Laura;Bo,Ai
目标虽然美国变得越来越多种族，但这些成长中的新一代多种族美国人的行为健康状况仍然未知。为了缩小这一研究差距，本研究调查了非西班牙裔多种族 [NHM] 青少年与非西班牙裔白人 [NHW] 青少年相比，药物使用和重度抑郁发作 [MDE] 的患病率/频率，以及种族差异是否因社会经济地位而异。方法我们分析了 2015-2019 年全国药物使用和健康调查的数据（N = 3,645 NHM 和 34,776 NHW 青少年） 12-17 岁）。使用逻辑回归和负二项式回归得出的平均边际效应来检查（1）按多种族身份划分的六种结果（过去一个月使用酒精、大麻或大麻以外的药物 [DOTC]、过去一年的 MDE 以及过去一个月使用者使用酒精和大麻的频率）的差异； (2)家庭收入对这些关联的调节作用。结果与高收入 NHW 青少年相比，高收入 NHM 青少年报告过去一个月大麻和 DOTC 使用率以及过去一年 MDE 的流行率显着更高。在其他收入水平上没有观察到种族差异。此外，适度分析表明，与最低收入组相比，多种族状况对最高收入组的 MDE 的影响更大。结论我们的研究结果表明，NHM 青少年，特别是来自高收入家庭的青少年，吸毒和抑郁症的患病率高于 NHW 青少年。随着美国变得更加多元化，有必要进一步研究驱动已确定的种族差异的社会和结构因素。
AimWhile the United States is becoming increasingly Multiracial, much is still unknown about the behavioral health of these growing new generations of Multiracial Americans. To narrow this research gap, this study investigated the prevalence/frequency of substance use and major depressive episodes [MDE] among non-Hispanic Multiracial [NHM] adolescents compared to their non-Hispanic White [NHW] counterparts and whether racial differences vary by socioeconomic status.MethodsWe analyzed data from the 2015–2019 National Survey on Drug Use and Health (N = 3,645 NHM and 34,776 NHW adolescents aged 12–17). Average Marginal Effects derived from logistic regression and negative binomial regression were used to examine (1) differences in six outcomes (past-month use of alcohol, cannabis, or drugs other than cannabis [DOTC], past-year MDE, and the frequency of alcohol and cannabis use among past-month users) by Multiracial status; (2) the moderation effect of family income on these associations.ResultsCompared to high-income NHW adolescents, high-income NHM adolescents reported significantly higher prevalence of past-month cannabis and DOTC use, and past-year MDE. No racial differences were observed at other income levels. Furthermore, moderation analyses indicated that the effect of Multiracial status on MDE was larger in the highest income group compared to the lowest income group.ConclusionOur findings suggested that NHM adolescents, particularly those from high income families, exhibit increased prevalence of drug use and depression than NHW adolescents. As the US becomes more diverse, there is a need to further examine the social and structural factors driving the identified racial differences.