Department of Psychology, Victoria University of Wellington, Wellington, New Zealand.
Discipline of Addiction Medicine, Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Addiction. 2019 Dec;114(12):2241-2246. doi: 10.1111/add.14772. Epub 2019 Sep 4.
To test whether there is a positive association between experience of racial discrimination and hazardous alcohol use among New Zealand Māori and whether racial discrimination mediates hazardous alcohol use in this group.
A cross-sectional mediation analysis using a stratified and nationally representative cross-sectional health survey collected from 2016 to 2017 in New Zealand.
New Zealand.
We used data from 9884 participants who identified as New Zealand European (7341; 56.9% female) or Māori (2543; 60.5% female) in the 2016-17 New Zealand Health Survey.
We included reports from demographic items (sex, age, ethnicity), the Alcohol Use Disorder Identification Test (AUDIT) and experiences of past year discrimination. We conducted mediation analysis with Māori identification as the predictor, hazardous drinking as the binary outcome (0 = AUDIT score less than 8, 1 = 8+) and discrimination as the binary mediator (0 = no discrimination, 1 = experienced racial discrimination). Age, sex and deprivation index were included as covariates.
Māori were more likely to experience discrimination than New Zealand Europeans, and both Māori identification and experiencing discrimination were associated with elevated levels of hazardous alcohol use, P < 0.05. The association between Māori ethnicity on hazardous drinking was partially mediated by discrimination (34.7%, 95% confidence interval 9.70%, 59.60%).
The association between Māori ethnicity and hazardous drinking in New Zealand may be partially mediated by experience of discrimination.
检验在新西兰毛利人群体中，经历种族歧视是否与危险饮酒呈正相关，以及在该群体中种族歧视是否会导致危险饮酒。
2016 年至 2017 年在新西兰进行的一项分层和全国代表性横断面健康调查中，采用横断面中介分析。
新西兰。
我们使用了 2016-17 年新西兰健康调查中来自新西兰欧洲人（7341 人；56.9%为女性）或毛利人（2543 人；60.5%为女性）的 9884 名参与者的数据。
我们包括了来自人口统计学项目（性别、年龄、种族）、酒精使用障碍识别测试（AUDIT）和过去一年歧视经历的报告。我们进行了中介分析，以毛利人身份认同为预测因素，以危险饮酒为二分类结果（0=AUDIT 得分低于 8，1=8+），以歧视为二分类中介（0=无歧视，1=经历种族歧视）。年龄、性别和贫困指数被纳入协变量。
毛利人比新西兰欧洲人更有可能经历歧视，而且毛利人身份认同和经历歧视都与危险饮酒水平升高有关，P<0.05。毛利族裔与危险饮酒之间的关联部分由歧视介导（34.7%，95%置信区间 9.70%，59.60%）。
在新西兰，毛利族裔与危险饮酒之间的关联可能部分由歧视经历介导。
