School of Nursing and Health Studies, University of Washington Bothell, Bothell, Washington, USA.
Subst Use Misuse. 2020;55(12):1925-1934. doi: 10.1080/10826084.2020.1781178. Epub 2020 Jul 15.
Experiencing racial discrimination may be associated with poor health outcomes including negative emotional states and substance use. The workplace is a setting where people may experience discriminatory treatment. This study examined associations, between negative emotions due to treatment based on race (NE), workplace racial discrimination (WRD), and substance use outcomes (drinking and smoking), stratified by race. Data from the cross-sectional 2014 Behavioral Risk Factor Surveillance System (BRFSS), Minnesota and New Mexico sub-samples, were analyzed. This study excluded non-Hispanic white participants, resulting in a sample of = 3098 adult, U.S. residents. Multivariable logistic regression models were utilized to examine the associations, and possible interactions, between WRD, NE, and substance use (alcohol and tobacco). Prior to stratification, WRD was not associated with drinking or smoking after controlling for NE and other sociodemographic variables, however, NE was associated with heavy drinking. NE appeared to account for some of the observed bivariate associations between WRD and heavy drinking and daily smoking. Post-stratification, WRD was associated with heavy drinking for non-Hispanic other respondents, even after controlling for NE. For non-Hispanic black participants, NE was associated with smoking after controlling for WRD. A stratified interaction analysis of WRD*NE revealed that there was only an association between NE and heavy drinking for Hispanic participants who did not experience WRD. The relationship between WRD and substance use may be in part accounted for by NE. Further exploration is needed to more fully understand why associations exist for some race/ethnicity groups but not others.
经历种族歧视可能与不良健康结果相关，包括负面情绪和物质使用。工作场所是人们可能经历歧视待遇的环境。本研究检验了基于种族的待遇引起的负面情绪（NE）、工作场所种族歧视（WRD）与物质使用结果（饮酒和吸烟）之间的关联，并按种族进行分层。分析了横断面 2014 年行为风险因素监测系统（BRFSS）、明尼苏达州和新墨西哥州子样本的数据。本研究排除了非西班牙裔白人参与者，因此样本量为 3098 名美国成年居民。多变量逻辑回归模型用于检验 WRD、NE 和物质使用（酒精和烟草）之间的关联和可能的相互作用。在分层之前，在控制 NE 和其他社会人口统计学变量后，WRD 与饮酒或吸烟无关，然而，NE 与大量饮酒有关。NE 似乎解释了 WRD 与大量饮酒和每日吸烟之间一些观察到的双变量关联。分层后，即使在控制 NE 后，WRD 与非西班牙裔其他受访者的大量饮酒有关。对于非西班牙裔黑人参与者，在控制 WRD 后，NE 与吸烟有关。WRD*NE 的分层交互分析表明，只有在没有经历 WRD 的西班牙裔参与者中，NE 与大量饮酒之间存在关联。WRD 与物质使用之间的关系可能部分归因于 NE。需要进一步探索，以更充分地了解为什么某些种族/族裔群体存在关联，而其他群体则不存在。
