Discrimination and alcohol-related problems among college students: a prospective examination of mediating effects.

Discrimination and alcohol-related problems among college students: a prospective examination of mediating effects.
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大学生的歧视和与酒精有关的问题:对中介作用的前瞻性检查。

DOI:
10.1016/j.drugalcdep.2010.11.002
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发表时间:
2011-06-01
影响因子:
4.2
通讯作者:
Fromme, Kim
Fromme, Kim
中科院分区:
医学2区
文献类型:
--
作者:
Hatzenbuehler, Mark L.;Corbin, William R.;Fromme, Kim

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歧视是包括酗酒在内的危害健康行为的一个风险因素。人们对歧视导致酒精相关问题的机制知之甚少,特别是在青年等高风险发展时期。本研究使用来自1,539名大学生的大样本的前瞻性数据测试中介模型。该模型假设,歧视将与酒精相关问题的既定认知(积极的酒精预期)和情感(消极影响和应对动机)风险因素相关,这将解释歧视和酒精问题之间的前瞻性关联。结构方程模型表明,歧视与横截面的负面影响和更多的应对饮酒的动机,但没有更大的酒精预期。应对动机介导的歧视和酒精相关的问题之间的前瞻性关系。此外,研究结果表明,显着的间接影响,从歧视酒精相关的问题,通过消极影响和应对动机。这些关联在面临基于身份的歧视的多个群体中很明显,包括妇女、种族/族裔少数群体和女同性恋/男同性恋/双性恋个人。这项研究确定了将歧视与酒精相关问题联系起来的潜在情感机制。结果表明,预防和干预工作与社会弱势群体的个人的几种途径。
Discrimination is a risk factor for health-risk behaviors, including alcohol abuse. Far less is known about the mechanisms through which discrimination leads to alcohol-related problems, particularly during high-risk developmental periods such as young adulthood. The present study tested a mediation model using prospective data from a large, diverse sample of 1,539 college students. This model hypothesized that discrimination would be associated with established cognitive (positive alcohol expectancies) and affective (negative affect and coping motives) risk factors for alcohol-related problems, which would account for the prospective association between discrimination and alcohol problems. Structural Equation Modeling indicated that discrimination was associated cross-sectionally with negative affect and more coping motives for drinking, but not with greater alcohol expectancies. Coping motives mediated the prospective relationship between discrimination and alcohol-related problems. Additionally, results indicated significant indirect effects from discrimination to alcohol-related problems through negative affect and coping motives. These associations were evident for multiple groups confronting status-based discrimination, including women, racial/ethnic minorities, and lesbian/gay/bisexual individuals. This study identified potential affective mechanisms linking discrimination to alcohol-related problems. Results suggest several avenues for prevention and intervention efforts with individuals from socially disadvantaged groups.
DOI: 10.1016/0272-7358(96)00017-7
发表时间: 1996-01-01
影响因子: 12.8
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期刊: JOURNAL OF STUDIES ON ALCOHOL
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发表时间: 2000-03-01
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