Discrimination, psychological functioning, and substance use among U.S. young adults aged 18-28, 2017.
Discrimination, psychological functioning, and substance use among U.S. young adults aged 18-28, 2017.
复制标题
DOI：
10.1037/pha0000502
复制
发表时间：
2022-12
影响因子：
2.3
通讯作者：
Spears, Claire Adams
中科院分区：
文献类型：
--
作者：
Jones, Dina M.;Masyn, Katherine E.;Spears, Claire Adams
这项研究旨在测试(A)在18-28岁的美国黑人和白人成年人中，歧视是否与过去30天/当前酒精、香烟、电子烟、酒精、大麻和其他非法药物使用有关，(B)心理困扰(PD)和积极幸福感(PW)是歧视-药物使用关系的中介变量，以及(C)种族和性别缓和了这种关系。使用2017年美国全国代表性调查的数据，我们对2192名18-28岁的年轻人(508名黑人男性，594名黑人女性，533名白人男性，557名白人女性)进行了多组调解分析。黑人男性有更高的辨别力，白人有更高的PW，女性有更高的PD得分。辨别力与PD呈正相关，与PW呈负相关。在所有群体中，歧视与其他非法药物(直接和间接)以及通过帕金森氏症使用大麻呈正相关。其他非法毒品的白人男性和吸食大麻的黑人男性的间接影响更强。通过PW进行歧视和饮酒的间接影响对黑人女性是积极的，对所调查的所有其他群体都是消极的。仅在黑人男性中，歧视通过PD(阳性)与吸烟和酒精使用正相关，通过PW(阴性)与吸烟正相关。这项研究强调了黑人和白人青年中感知到的歧视对当前合法和非法药物使用的负面影响。我们的结果表明，这种关系可能部分由PD和PW调节，特别是在黑人男性年轻人中。未来的歧视和物质使用研究应该考虑精神健康状况不佳以及种族和性别差异的潜在调解效果。
This study aimed to test whether (a) discrimination is associated with past 30-day/current alcohol, cigarette, e-cigarette, alcohol, marijuana, and other illicit drug use among Black and White U.S. adults aged 18–28, (b) psychological distress (PD) and positive well-being (PW) are mediators of the discrimination–substance use relationships, and (c) the associations are moderated by race and sex. Using data from a 2017 U.S. nationally representative survey we conducted multiple-group moderated mediation analyses among 2,192 young adults aged 18–28 (508 Black males, 594 Black females, 533 White males, 557 White females). Black males had higher discrimination, Whites had higher PW, and females had higher PD scores. Discrimination was positively associated with PD and negatively associated with PW. Among all groups, discrimination was positively associated with other illicit drug (direct and indirect), and marijuana use through PD. Indirect effects were stronger among White males for other illicit drugs and Black males for marijuana. The indirect effect of discrimination and alcohol use through PW was positive for Black females and negative for all other groups examined. Among Black males only, discrimination was positively associated with cigarette and alcohol use through PD (positive) and cigarette smoking through PW (negative). This study highlights the negative influence of perceived discrimination on current licit and illicit substance use among Black and White young adults. Our results suggest that this relationship may be partially mediated by PD and PW, especially among Black male young adults. Future discrimination and substance use studies should consider potential mediation effects of poor mental health and differences by race and sex.
登录
查看更多内容
影响因子：
5.5
作者：
Byrd DR
通讯作者：
Byrd DR
影响因子：
1.7
作者：
Arnett, JJ
通讯作者：
Arnett, JJ
影响因子：
12.7
作者：
Bennett, GG;Wolin, KY;Edwards, CL
通讯作者：
Edwards, CL
影响因子：
12.7
作者：
Brody GH;Kogan SM;Chen YF
通讯作者：
Chen YF
影响因子：
4.7
作者：
Cougle, Jesse R.;Zvolensky, Michael J.;Sachs-Ericsson, Natalie
通讯作者：
Sachs-Ericsson, Natalie