拉美裔人群中的歧视与物质使用障碍：性别、出生地和种族的作用。
Discrimination and substance use disorders among Latinos: the role of gender, nativity, and ethnicity.
机构信息
Angie Denisse Otiniano Verissimo and Christine E. Grella are with the Semel Institute for Neuroscience & Human Behavior, University of California, Los Angeles Integrated Substance Abuse Programs. Hortensia Amaro is with the Office of the Provost, School of Social Work, University of Southern California, Los Angeles. Gilbert C. Gee is with the Department of Community Health Sciences, University of California, Los Angeles.
出版信息
Am J Public Health. 2014 Aug;104(8):1421-8. doi: 10.2105/AJPH.2014.302011. Epub 2014 Jun 12.
OBJECTIVES
We examined the relationship between discrimination and substance use disorders among a diverse sample of Latinos. We also investigated whether the relationship between discrimination and substance use disorders varied by gender, nativity, and ethnicity.
METHODS
Our analyses focused on 6294 Latinos who participated in the National Epidemiologic Survey on Alcohol and Related Conditions from 2004 to 2005. We used multinomial logistic regression to examine the association between discrimination and substance use disorders.
RESULTS
Discrimination was significantly associated with increased odds of alcohol and drug use disorders among Latinos. However, the relationship between discrimination and substance use disorders varied by gender, nativity, and ethnicity. Discrimination was associated with increased odds of alcohol and drug use disorders for certain groups, such as women, US-born Latinos, and Mexicans, but this relationship did not follow the same pattern for other subgroups.
CONCLUSIONS
It is important to determine which subgroups among Latinos may be particularly vulnerable to the negative effects of discrimination to address their needs.
目的
我们在一个多样化的拉丁裔人群样本中研究了歧视与物质使用障碍之间的关系。我们还调查了歧视与物质使用障碍之间的关系是否因性别、出生地和种族而有所不同。
方法
我们的分析集中在 2004 年至 2005 年参加国家酒精和相关条件流行病学调查的 6294 名拉丁裔人群上。我们使用多项逻辑回归来检查歧视与物质使用障碍之间的关联。
结果
歧视与拉丁裔人群中酒精和药物使用障碍的几率增加显著相关。然而，歧视与物质使用障碍之间的关系因性别、出生地和种族而有所不同。歧视与某些群体（如女性、美国出生的拉丁裔和墨西哥人）的酒精和药物使用障碍几率增加有关，但这种关系并不适用于其他亚组。
结论
确定拉丁裔人群中的哪些亚组可能特别容易受到歧视的负面影响，以满足他们的需求，这一点很重要。
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