Busby Danielle R, Hope Meredith O, Lee Daniel B, Heinze Justin E, Zimmerman Marc A
Baylor College of Medicine/Texas Children's Hospital, Houston, TX, USA.
University of Michigan, Ann Arbor, MI, USA.
Health Educ Behav. 2022 Apr;49(2):242-255. doi: 10.1177/10901981211051650. Epub 2021 Dec 29.
Racial discrimination jeopardizes a wide range of health behaviors for African Americans. Numerous studies demonstrate significant negative associations between racial discrimination and problematic alcohol use among African Americans. Culturally specific contexts (e.g., organized religious involvement) often function protectively against racial discrimination's adverse effects for many African Americans. Yet organized religious involvement may affect the degree to which racial discrimination increases problematic alcohol use resulting in various alcohol use trajectories. These links remain understudied in emerging adulthood marked by when individuals transition from adolescence to early adult roles and responsibilities. We use data from 496 African American emerging adults from the Flint Adolescent Study (FAS) to (a) identify multiple and distinct alcohol use trajectories and (b) examine organizational religious involvement's protective role. Three trajectory classes were identified: the , (20.76% of sample; n = 103); , (39.52% of sample; n = 196); and , (39.72% of the sample; = 197). After controlling for sex, educational attainment, and general stress, the interaction between racial discrimination and organized religious involvement did not influence the likelihood of classifying into the class or the class, compared with the class. These results suggest organized religious involvement counteracts, but does not buffer racial discrimination's effects on problematic alcohol use. Findings emphasize the critical need for culturally sensitive prevention efforts incorporating organized religious involvement for African American emerging adults exposed to racial discrimination. These prevention efforts may lessen the role of racial discrimination on health disparities related to alcohol use.
种族歧视危及非裔美国人的一系列健康行为。大量研究表明,种族歧视与非裔美国人存在问题的饮酒行为之间存在显著的负相关。文化特定背景(例如有组织的宗教参与)通常对许多非裔美国人起到保护作用,抵御种族歧视的不利影响。然而,有组织的宗教参与可能会影响种族歧视增加有问题饮酒行为的程度,从而导致不同的饮酒轨迹。在以个体从青少年过渡到早期成人角色和责任为标志的成年早期,这些联系仍未得到充分研究。我们使用来自弗林特青少年研究(FAS)的496名非裔美国成年早期个体的数据,来(a)识别多种不同的饮酒轨迹,以及(b)检验有组织的宗教参与的保护作用。确定了三个轨迹类别:[具体类别缺失](占样本的20.76%;n = 103);[具体类别缺失](占样本的39.52%;n = 196);以及[具体类别缺失](占样本的39.72%;n = 197)。在控制了性别、教育程度和一般压力后,与[具体类别缺失]类别相比,种族歧视与有组织的宗教参与之间的相互作用并未影响归入[具体类别缺失]类别或[具体类别缺失]类别的可能性。这些结果表明,有组织的宗教参与起到了抵消作用,但并未缓冲种族歧视对有问题饮酒行为的影响。研究结果强调,对于遭受种族歧视的非裔美国成年早期个体,迫切需要开展结合有组织宗教参与的文化敏感预防工作。这些预防工作可能会减少种族歧视在与饮酒相关的健康差异方面所起的作用。