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黑人大学生中的种族歧视、狂饮及饮酒的负面后果:抑郁症状和应对动机的系列中介作用

Racial discrimination, binge drinking, and negative drinking consequences among black college students: serial mediation by depressive symptoms and coping motives.

作者信息

Desalu Jessica M, Kim Jueun, Zaso Michelle J, Corriders Sydnee R, Loury Jacoby A, Minter Monique L, Park Aesoon

机构信息

Department of Psychology, Syracuse University , Syracuse , NY , USA.

出版信息

Ethn Health. 2019 Nov;24(8):874-888. doi: 10.1080/13557858.2017.1380170. Epub 2017 Sep 21.

Abstract

Experiences of racial discrimination have been associated with diverse negative health outcomes among racial minorities. However, extant findings of the association between racial discrimination and alcohol behaviors among Black college students are mixed. The current study examined mediating roles of depressive symptoms and coping drinking motives in the association of perceived racial discrimination with binge drinking and negative drinking consequences. Data were obtained from a cross-sectional study of Black college students attending a predominantly White institution in the northeastern US ( = 251, 66% female, mean age = 20 years). Results from path analysis showed that, when potential mediators were not considered, perceived racial discrimination was positively associated with negative drinking consequences but not frequency of binge drinking. Serial multiple mediation analysis showed that depressive symptoms and in turn coping drinking motives partially mediated the associations of perceived racial discrimination with both binge drinking frequency and negative drinking consequences (after controlling for sex, age, and negative life events). Perceived racial discrimination is directly associated with experiences of alcohol-related problems, but not binge drinking behaviors among Black college students. Affective responses to perceived racial discrimination experiences and drinking to cope may serve as risk mechanisms for alcohol-related problems in this population. Implications for prevention and intervention efforts are discussed.

摘要

种族歧视经历与少数族裔的多种负面健康结果相关。然而,关于种族歧视与黑人大学生饮酒行为之间关联的现有研究结果并不一致。本研究考察了抑郁症状和应对性饮酒动机在感知到的种族歧视与暴饮和负面饮酒后果之间关联中的中介作用。数据来自对美国东北部一所白人为主的院校的黑人大学生进行的横断面研究(n = 251,66%为女性,平均年龄 = 20岁)。路径分析结果显示,在不考虑潜在中介因素时,感知到的种族歧视与负面饮酒后果呈正相关,但与暴饮频率无关。系列多重中介分析表明,抑郁症状进而应对性饮酒动机部分中介了感知到的种族歧视与暴饮频率和负面饮酒后果之间的关联(在控制了性别、年龄和负面生活事件之后)。在黑人大学生中,感知到的种族歧视与酒精相关问题的经历直接相关,但与暴饮行为无关。对感知到的种族歧视经历的情感反应以及为了应对而饮酒可能是该人群酒精相关问题的风险机制。文中讨论了对预防和干预工作的启示。

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