Structural equation modeling of the effects of racism, LGBTQ discrimination, and internalized oppression on illicit drug use in LGBTQ people of color
Structural equation modeling of the effects of racism, LGBTQ discrimination, and internalized oppression on illicit drug use in LGBTQ people of color
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DOI：
10.1016/j.drugalcdep.2015.12.029
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发表时间：
2016-02-01
影响因子：
4.2
通讯作者：
Snipes, Daniel J.
中科院分区：
文献类型：
--
作者：
Drazdowski, Tess K.;Perrin, Paul B.;Snipes, Daniel J.
背景资料：女同性恋、男同性恋、双性恋、变性人或酷儿（LGBTQ）歧视和种族主义的经历都与心理健康问题和非法药物使用有关。然而，这两种形式的歧视和由此产生的内在压迫对LGBTQ有色人种（POC）非法药物使用的累积影响尚未在研究文献中进行研究。方法：使用在线问卷，本研究收集了200名LGBTQ POC关于种族主义，LGBTQ歧视，内在种族主义，内在LGBTQ歧视和非法药物使用的自我报告数据。两个结构方程模型产生了足够的拟合指数，其中种族主义和LGBTQ歧视的经历导致了更多的内化压迫，从而导致了更大的非法药物使用规模。LGBTQ歧视与内化压迫的增加直接相关，这与非法药物使用程度呈正相关; LGBTQ歧视和非法药物使用程度之间的关系在两种模型中均由内化压迫介导。然而，种族主义和种族主义和LGBTQ歧视之间的相互作用并没有表现出有效的直接影响内化压迫或间接影响非法药物使用magnitude.Conclusions：LGBTQ POC可以是种族主义和LGBTQ歧视的目标，虽然目前的研究发现，最心理上的破坏性影响可能来自LGBTQ歧视。旨在减少或预防LGBTQ POC中非法药物使用的干预措施可能会受益于帮助参与者检查LGBTQ歧视，内化压迫和非法药物使用之间的联系作为应对策略，重点是替代更适应性的应对。(C)2015爱思唯尔爱尔兰有限公司版权所有。
Background: Experiences with lesbian, gay, bisexual, transgender, or queer (LGBTQ) discrimination and racism have both been associated with mental health problems and illicit drug use. However, the cumulative effects of both forms of discrimination and resulting internalized oppression on illicit drug use in LGBTQ people of color (POC) has not been examined in the research literature.Methods: Using online questionnaires, this study collected self-report data from 200 LGBTQ POC about their experiences with racism, LGBTQ discrimination, internalized racism, internalized LGBTQ discrimination, and illicit drug use.Results: Two structural equation models yielded adequate fit indices in which experiences with racism and LGBTQ discrimination led to more internalized oppression, which then led to greater illicit drug use magnitude. LGBTQ discrimination was directly related to increased internalized oppression, which was positively associated with illicit drug use magnitude; the relationship between LGBTQ discrimination and illicit drug use magnitude was mediated by internalized oppression in both models. However, racism and the interaction between racism and LGBTQ discrimination did not show valid direct effects on internalized oppression or indirect effects on illicit drug use magnitude.Conclusions: LGBTQ POC can be the targets of both racism and LGBTQ discrimination, although the current study found that the most psychologically damaging effects may come from LGBTQ discrimination. Interventions meant to decrease or prevent illicit drug use in LGBTQ POC may benefit from helping participants examine the links among LGBTQ discrimination, internalized oppression, and illicit drug use as a coping strategy, focusing on substituting more adaptive coping. (C) 2015 Elsevier Ireland Ltd. All rights reserved.