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夏威夷原住民大学生中的历史创伤与物质使用情况

Historical trauma and substance use among Native Hawaiian college students.

作者信息

Pokhrel Pallav, Herzog Thaddeus A

机构信息

Prevention and Control Program, University of Hawaii Cancer Center, Honolulu, HI, USA.

出版信息

Am J Health Behav. 2014 May;38(3):420-9. doi: 10.5993/AJHB.38.3.11.

Abstract

OBJECTIVES

To test the relationships among historical trauma, perceived discrimination, and substance use (cigarette, alcohol, and marijuana use) among Native Hawaiians.

METHODS

Cross sectional self-report data were collected online from 128 Native Hawaiian community college students (M age = 27.5; SD = 9.5; 65% Women). Hypotheses were tested using structural equation modeling.

RESULTS

Historical trauma had 2 paths to substance use: an indirect path to higher substance use through higher perceived discrimination and a direct path to lower substance use.

CONCLUSIONS

Thoughts, knowledge, or experience associated with historical trauma may enhance substance use behavior via increased perceived discrimination and may also be protective against substance use, possibly via increased pride in one's cultural heritage. This research has implications for historical trauma, discrimination, and substance use research concerning Native Hawaiians.

摘要

目的

检验夏威夷原住民中历史创伤、感知到的歧视与物质使用(吸烟、饮酒和吸食大麻)之间的关系。

方法

通过在线方式收集了128名夏威夷原住民社区大学生的横断面自我报告数据(年龄均值 = 27.5;标准差 = 9.5;65%为女性)。使用结构方程模型对假设进行检验。

结果

历史创伤对物质使用有两条路径:一条是通过更高的感知歧视导致更高物质使用的间接路径,另一条是导致更低物质使用的直接路径。

结论

与历史创伤相关的思想、知识或经历可能通过增加感知到的歧视来增强物质使用行为,也可能通过增强对自身文化遗产的自豪感来预防物质使用。本研究对夏威夷原住民的历史创伤、歧视和物质使用研究具有启示意义。

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