期刊
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
卷 51, 期 4, 页码 551-560出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s00127-016-1174-y
关键词
Racial discrimination; African-Americans; Substance use; Socioeconomic position; Intersectionality
类别
资金
- National Institute on Alcohol Abuse and Alcoholism (NIAAA) [K01AA021511]
- National Institute on Drug Abuse
- NIDA [T32DA031099]
- New York State Psychiatric Institute
- Columbia University Mailman School of Public Health Department of Epidemiology (DSH)
We assessed the relationship of self-reported racial discrimination with illicit drug use among US Blacks, and whether this differed by socioeconomic position (SEP). Among 6587 Black participants in Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (2004-2005), we used multiple logistic regression models to test the association between racial discrimination (measured on the 6-item Experiences of Discrimination scale) and past-year illicit drug use, and whether this differed by SEP. Racial discrimination was associated with past-year drug use [adjusted odds ratio (aOR) 2.32; 95 % confidence interval (CI) 1.70, 3.16] and with frequent drug use (aOR 1.91; 95 % CI 1.22, 2.99). For frequent illicit drug use, this relationship was stronger among higher SEP participants (aOR 3.55; 95 % CI 2.09, 6.02; p (interaction) < 0.01). The stronger association between racial discrimination and frequent illicit drug use among higher SEP Blacks suggests a complex interplay between disadvantaged and privileged statuses that merits further investigation. The finding of a significant difference by SEP highlights the importance of considering differences within heterogeneous race/ethnic groups when investigating health disparities.
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