Department of Health and Kinesiology, College of Health and Human Services, and the Center for Poverty and Health Inequity, Purdue University, West Lafayette, IN 47907, USA.
Am J Public Health. 2012 Dec;102(12):e111-7. doi: 10.2105/AJPH.2012.300780. Epub 2012 Oct 18.
We examined the relationship between everyday and major discrimination and alcohol and drug use disorders in a nationally representative sample of African Americans and Black Caribbeans.
With data from the National Survey of American Life Study, we employed multivariable logistic regression analyses--while controlling for potential confounders--to examine the relationship between everyday and major discrimination and substance use disorders on the basis of Diagnostic and Statistical Manual of Mental Disorders criteria.
Every 1 unit increase in the everyday discrimination scale positively predicted alcohol (odds ratio [OR] = 1.02; P < .01) and drug use (OR = 1.02; P < .05) disorders. Similarly, each additional major discrimination event positively predicted alcohol (OR = 1.10; P < .05) and drug use (OR = 1.15; P < .01) disorders.
To our knowledge, this study is the first to examine problematic usage patterns rather than infrequent use of alcohol and drugs in a national sample of African American and Black Caribbean adults and the first to examine this particular relationship in a national sample of Black Caribbeans.
我们在一个具有全国代表性的非裔美国人和加勒比黑人样本中，研究了日常和主要歧视与酒精和药物使用障碍之间的关系。
利用来自全国生活调查研究的数据，我们采用多变量逻辑回归分析——在控制潜在混杂因素的情况下——根据《精神障碍诊断与统计手册》的标准，研究日常和主要歧视与物质使用障碍之间的关系。
日常歧视量表每增加 1 个单位，就会正向预测酒精（优势比[OR] = 1.02；P < .01）和药物使用（OR = 1.02；P < .05）障碍。同样，每增加一次主要歧视事件，也会正向预测酒精（OR = 1.10；P < .05）和药物使用（OR = 1.15；P < .01）障碍。
据我们所知，这项研究首次在全国性的非裔美国人和加勒比黑人成年人群体中检查了有问题的使用模式，而不是检查酒精和毒品的偶尔使用情况，也是首次在全国性的加勒比黑人样本中检查了这种特定的关系。
