Perceived discrimination and longitudinal increases in adolescent substance use: gender differences and mediational pathways.

Perceived discrimination and longitudinal increases in adolescent substance use: gender differences and mediational pathways.
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DOI:
10.2105/ajph.2011.300588
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发表时间:
2012-05
影响因子:
12.7
通讯作者:
Chen YF
Chen YF
中科院分区:
医学2区
文献类型:
--
作者:
Brody GH;Kogan SM;Chen YF

文献摘要

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本研究旨在检验关于青少年对歧视的看法与物质使用增加的前瞻性关联以及介导这种关联的过程的假设。居住在农村格鲁吉亚(n = 573,平均年龄= 16.0岁)的非洲裔美国青年提供了纵向数据,他们的经验与歧视,物质使用,学校参与,并与物质使用的同龄人的联系。对于男性青年,感知歧视显着相关的物质使用的增加,并假设,这种协会介导的贡献感知歧视减少学校参与和增加与物质使用的同龄人的联系。分析还表明,歧视影响物质的使用,而不是相反。结果是一致的假设,即高水平的歧视与非裔美国男性青少年使用药物的增加。
This study was designed to test hypotheses about the prospective association of adolescents’ perceptions of discrimination with increases in substance use and the processes that mediate this association. African American youths residing in rural Georgia (n = 573; mean age = 16.0 years) provided longitudinal data on their experiences with discrimination, substance use, school engagement, and affiliations with substance-using peers. For male youths, perceived discrimination was significantly related to increases in substance use, and, as hypothesized, this association was mediated by the contributions of perceived discrimination to decreases in school engagement and increases in affiliations with substance-using peers. Analyses also indicated that discrimination influences substance use rather than vice versa. Results are consistent with the hypothesis that high levels of discrimination are linked to increases in substance use for African American male adolescents.