Department of Sociology and Criminology & Law, University of Florida, Florida, USA.
Department of Educational, School, and Counseling Psychology, University of Kentucky, Lexington, Kentucky, USA.
Subst Use Misuse. 2021;56(7):962-970. doi: 10.1080/10826084.2021.1901928. Epub 2021 Mar 26.
The misuse of prescription medications is an understudied topic among the non-Hispanic Black population in the U.S. Even less is known about the prevalence and correlates of misuse among African Americans and Afro-Caribbeans, despite documented differences in their substance use behaviors.
We aimed to examine the prevalence and correlates of lifetime prescription drug misuse among African Americans and Afro Caribbeans using data from the National Survey of American Life.
A national household probability sample of non-institutionalized African Americans and Afro Caribbeans from the Collaborative Psychiatric Epidemiology Surveys was used. Pooled and ethnicity-stratified logistic regressions were estimated.
Findings showed no significant differences between African Americans (6.36%) and Afro-Caribbeans (5.71%) in lifetime prescription drug misuse. Several correlates were found to be associated with misuse among only African American or Afro-Caribbean respondents.
While research has shown prescription drug misuse is an issue among Blacks overall, our results show that the role of ethnicity must not be overlooked, especially when tailoring prevention and intervention programs. Limitations of this study are discussed.
在美国，非西班牙裔黑人群体中，处方药物滥用是一个研究不足的话题。尽管在物质使用行为方面存在记录在案的差异，但对于非裔美国人和 Afro-Caribbeans 中滥用药物的流行程度和相关性知之甚少。
我们旨在使用来自美国生活全国调查的数据，研究非裔美国人和 Afro-Caribbeans 一生中处方药物滥用的流行程度和相关性。
使用来自合作精神流行病学调查的非机构化非裔美国人和 Afro-Caribbeans 的全国家庭概率抽样。估计了合并和族裔分层逻辑回归。
研究结果表明，非裔美国人（6.36%）和 Afro-Caribbeans（5.71%）之间在一生中滥用处方药物方面没有显著差异。在仅针对非裔美国人和 Afro-Caribbean 受访者的研究中，发现了一些与滥用相关的因素。
尽管研究表明，处方药物滥用是黑人总体面临的一个问题，但我们的结果表明，族裔的作用不容忽视，尤其是在定制预防和干预计划时。讨论了这项研究的局限性。
