Perceived Discrimination and Substance Use among Caribbean Black Youth; Gender Differences
Perceived Discrimination and Substance Use among Caribbean Black Youth; Gender Differences
复制标题
DOI：
10.3390/brainsci8070131
复制
发表时间：
2018-07-01
期刊：
影响因子：
3.3
通讯作者：
Caldwell, Cleopatra Howard
中科院分区：
文献类型：
--
作者：
Assari, Shervin;Mistry, Ritesh;Caldwell, Cleopatra Howard
尽管黑人青年感觉到的歧视是一种广泛的负面心理健康后果的风险因素，但最近的研究表明，这些联系中存在一些性别差异。然而，加勒比黑人青年在易受歧视方面的性别差异仍不得而知。目前的横断面研究在加勒比海黑人青年的全国样本中调查了感觉到的歧视与物质使用(SU)之间的性别差异。数据来自2003年至2004年的美国青少年生活全国调查(NSAL-A)。这项分析包括360名加勒比黑人青年(165名男性和195名女性)，他们的年龄在13岁到17岁之间。测量社会人口学因素、知觉歧视和SU。数据分析采用Logistic回归分析。在加勒比黑人青年中，感觉到的歧视与SU之间存在正相关(优势比(OR)=1.15(95%可信区间(CI)=1.02-1.29))。性别与感知到的吸烟歧视之间存在显著的交互作用(OR=1.23(95%CI=1.07~1.41))，表明加勒比黑人青年男性感知到的歧视与吸烟之间的关联大于女性。性别与对SU的歧视知觉交互作用无统计学意义(OR=1.32(95%CI=0.94~1.86))。虽然在加勒比黑人青年中，感知到的歧视会增加SU，但这种影响对男性比对女性更强，特别是对吸烟。虽然应减少各级和所有人口的歧视，但临床医生可以具体解决加勒比黑人青年男性中的SU预防和治疗歧视问题。
Although perceived discrimination in Black youth is a risk factor for a wide range of negative mental health outcomes, recent research has suggested some gender differences in these associations. Gender differences in vulnerability to perceived discrimination among Caribbean Black youth is, however, still unknown. The current cross-sectional study investigated gender variations in the association between perceived discrimination and substance use (SU) in a national sample of Caribbean Black youth. Data came from the National Survey of American Life-Adolescents (NSAL-A), 2003-2004. This analysis included 360 Caribbean Black youth (165 males and 195 females) who were between 13 and 17 years old. Sociodemographic factors, perceived discrimination, and SU were measured. Logistic regressions were used for data analysis. Among Caribbean Black youth, a positive association was found between perceived discrimination and SU (odds ratio (OR) = 1.15 (95% confidence interval (CI) = 1.02-1.29)). A significant interaction was found between gender and perceived discrimination on smoking (OR = 1.23 (95% CI = 1.07-1.41)) suggesting that the association between perceived discrimination and smoking is larger for male than female Caribbean Black youth. The interaction between gender and perceived discrimination on SU was not statistically significant (OR = 1.32 (95% CI = 0.94-1.86)). While perceived discrimination increases SU in Caribbean Black youth, this effect is stronger for males than females, especially for smoking. While discrimination should be reduced at all levels and for all populations, clinicians may specifically address discrimination for SU prevention and treatment among male Caribbean Black youth.