Racial Discrimination and Hazardous Drinking among Black Drinkers: The Role of Social Anxiety in the Minority Stress Model.

Racial Discrimination and Hazardous Drinking among Black Drinkers: The Role of Social Anxiety in the Minority Stress Model.
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黑人饮酒者的种族歧视和危险饮酒:社交焦虑在少数派压力模型中的作用。

DOI:
10.1080/10826084.2021.2002903
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发表时间:
2022
影响因子:
2
通讯作者:
Zvolensky, Michael J.
Zvolensky, Michael J.
中科院分区:
医学4区
文献类型:
--
作者:
Buckner, Julia D.;Glover, Nina, I;Shepherd, Justin M.;Zvolensky, Michael J.

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饮酒的美国黑人经历了与酒精相关的更糟糕的结果。因此,确定在黑人个体中有害饮酒中起作用的心理社会文化因素,对于为减少这些差异而进行的预防和治疗工作至关重要。种族歧视与黑人成年人中的危险饮酒有关,这表明一些人可能会饮酒(并在与饮酒有关的问题上继续饮酒),以减轻与歧视有关的负面影响(例如,抑郁、焦虑)。然而,尽管种族歧视和饮酒都具有社会性质,但目前还没有已知的研究考察社交焦虑在种族歧视经历和危险饮酒之间的关系中所起的作用。研究对象为164名黑流饮酒本科生。种族歧视与危险饮酒、抑郁和社交焦虑显著正相关。歧视通过社交焦虑间接与危险饮酒有关,但与抑郁无关。此外,歧视仅通过社交焦虑间接与危险饮酒有关,并通过社交焦虑和饮酒应对的顺序效应间接相关,而不是仅通过应对动机。它还与危险的饮酒有关,通过抑郁和饮酒的顺序影响来应对,但不仅仅是抑郁。另一种模型测试表明,社交焦虑与通过歧视而导致的危险饮酒无关,这增强了人们对拟议关系方向性的信心。在那些经历更多歧视的人中,负面情绪(社交焦虑、抑郁)似乎与危险饮酒有关,部分原因是为了应对饮酒。社交焦虑在黑人成年人的歧视和危险饮酒之间的关系中起着重要的作用。
Black Americans who consume alcohol experience worse alcohol-related outcomes. Thus, identifying psycho-sociocultural factors that play a role in hazardous drinking among Black individuals is vital to informing prevention and treatment efforts to reduce these disparities. Racial discrimination is related to hazardous drinking among Black adults, suggesting that some may drink (and continue to drink despite drinking-related problems) to alleviate negative affect (e.g., depression, anxiety) associated with discrimination. Yet, despite the social nature of both racial discrimination and drinking, no known research has examined the role of social anxiety in the relations among racial discrimination experiences and hazardous drinking. Participants were 164 Black current drinking undergraduates. Racial discrimination was significantly, positively correlated with hazardous drinking, depression, and social anxiety. Discrimination was indirectly related to hazardous drinking via social anxiety, but not depression. Further, discrimination was indirectly related to hazardous drinking via social anxiety alone and via the sequential effects of social anxiety and drinking to cope, but not via coping motives alone. It was also related to hazardous drinking via the sequential effects of depression and drinking to cope but not depression alone. Alternative model testing indicated that social anxiety was not related to hazardous drinking via discrimination, strengthening confidence in directionality of proposed relations. Negative affect (social anxiety, depression) appears to be related to hazardous drinking among those who experience more discrimination due in part to drinking to cope. Social anxiety plays an important role in the relation between discrimination and hazardous drinking among Black adults.
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