Multiple Discrimination and Substance Use Intention in Late Childhood: Findings From the Adolescent Brain Cognitive Development (ABCD) Study.
Multiple Discrimination and Substance Use Intention in Late Childhood: Findings From the Adolescent Brain Cognitive Development (ABCD) Study.
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童年晚期的多重歧视和药物使用意图：青少年大脑认知发展（ABCD）研究的结果。
DOI：
10.1016/j.jadohealth.2024.01.028
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Yip,Tiffany
中科院分区：
文献类型：
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作者：
Wang,Yijie;Zhang,Youchuan;Zhao,Zhenqiang;Jelsma,Elizabeth;Cham,Heining;Wadsworth,Hannah;Yan,Jinjin;Johnson,Shadane;Alegría,Margarita;Yip,Tiffany
目的 该研究旨在调查童年晚期由于多种原因（种族/民族、性取向、体重；称为多重歧视）而造成的歧视与物质使用（SU）意图之间的纵向、双向关联。基于种族/民族、性取向和超重状况，对没有边缘化身份、单一边缘化身份和多重（即交叉）边缘化身份的青少年进行了这些关联的比较。方法 数据取自青少年大脑认知发展研究中的全国青少年样本（N = 8,530；9-12 岁）。青少年报告了他们遭受多重歧视的经历（青少年经历的歧视形式的数量）以及一年和两年随访中的 SU 意图。理论上相关的协变量也被包括在内。结果 与非边缘化青年 (n= 2,689) 和具有单一边缘化身份的青年 (n= 3,399) 相比，具有交叉边缘化身份的青年 (n= 2,442) 报告了最高的 SU 意愿和跨波多重歧视。仅对于最后一组，多重歧视随后预测更强的 SU 意图（β= 0.07，95% 置信区间 [0.02, 0.11]），而更强的 SU 意图随着时间的推移预测更低水平的多重歧视（β=− 0.06，95% 置信区间 [-0.09,− 0.02]）。敏感性分析得出了相似的模式，但在具有不同交叉边缘化身份的青年亚群体中存在一些细微差别。讨论 多重歧视预示着随着时间的推移，在童年晚期，特别是在具有交叉边缘化身份的青少年中，SU 意图会更强。政策和实践应考虑解决多重歧视问题，以减少不同青年之间的 SU 差异。
Purpose The study aimed to investigate longitudinal, bidirectional associations between discrimination due to multiple reasons (race/ethnicity, sexual orientation, weight; termed multiple discrimination) and substance use (SU) intention in late childhood. These associations were compared across youth with no, single, and multiple (ie, intersecting) marginalized identities based on race/ethnicity, sexual orientation, and overweight status. Methods Data were drawn from a national sample of youth in the Adolescent Brain Cognitive Development study (N= 8,530; 9–12 years old). Youth reported both their experiences of multiple discrimination (the number of forms of discrimination youth experienced) and SU intention at one-year and two-year follow-ups. Theoretically relevant covariates were included. Results Compared to non-marginalized youth (n= 2,689) and youth with single marginalized identities (n= 3,399), youth with intersecting marginalized identities (n= 2,442) reported the highest SU intention and multiple discrimination across waves. Only for this last group, multiple discrimination predicted stronger SU intention subsequently (β= 0.07, 95% confidence interval [0.02, 0.11]), whereas stronger SU intention predicted lower levels of multiple discrimination over time (β=− 0.06, 95% confidence interval [-0.09,− 0.02]). Sensitivity analyses yielded similar patterns with some nuances among subgroups of youth with varying intersecting marginalized identities. Discussion Multiple discrimination predicted stronger SU intention over time in late childhood, particularly among youth with intersecting marginalized identities. Policies and practices should consider addressing multiple discrimination to reduce SU disparities among diverse youth.