Cano Monique T, Reavis Jill V, Pennington David L
Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA 94143, United States.
San Francisco VA Health Care System, San Francisco, CA 94121, United States.
Addict Behav Rep. 2023 Jan 16;17:100481. doi: 10.1016/j.abrep.2023.100481. eCollection 2023 Jun.
On May 25, 2020, George Floyd was murdered by a Minneapolis police officer leading to increased social justice and antiracism movements (SJARM) across the United States. Vicarious exposure to racism and perceived discrimination are salient sources of distress which may lead to increased alcohol use as means of coping. The primary aim of the current study was to examine how perceived discrimination and the subjective impact and personal distress related to the SJARM following the George Floyd murder interact and relate to unhealthy alcohol use among U.S. Veterans.
286 Veterans were assessed for unhealthy alcohol use (AUDIT-10), perceived discrimination (EDS), and subjective impact and personal distress related to the SJARM. Two moderation analyses were performed to examine whether subjective impact and personal distress moderated relations between perceived discrimination and alcohol use. In-depth follow-up analyses were conducted to examine differences and relationships among variables.
In two different moderation models, perceived discrimination moderated the association between both subjective impact ( <.001) and personal distress ( <.001) felt by the SJARM and unhealthy alcohol use. In planned exploratory analyses, Veterans who reported perceived discrimination reported higher levels of unhealthy alcohol use (M = 14.71, SD = 9.39) than those who did not t(2 8 4) = 5.61, p <.001. In post-hoc analyses, racial/ethnic minorities were significantly more likely to report perceived racial discrimination ( <.001) while non-Hispanic Whites were more likely to report perceived discrimination based on education or income level ( <.01).
In the context of a socially unjust event amidst a global pandemic, perceived discrimination contributes to unhealthy alcohol use and subjective impact and personal distress associated with the SJARM following the murder of George Floyd. Results highlight the importance of addressing discrimination experiences in Veterans who seek alcohol treatment, particularly as rates of unhealthy alcohol use are on the rise.
2020年5月25日，乔治·弗洛伊德被明尼阿波利斯一名警察杀害，这引发了美国各地社会正义和反种族主义运动（SJARM）的增加。间接接触种族主义和感知到的歧视是痛苦的重要来源，这可能导致饮酒增加作为应对手段。本研究的主要目的是探讨在美国退伍军人中，感知到的歧视以及与乔治·弗洛伊德谋杀案后SJARM相关的主观影响和个人痛苦如何相互作用，并与不健康饮酒相关。
对286名退伍军人进行了不健康饮酒（AUDIT-10）、感知到的歧视（EDS）以及与SJARM相关的主观影响和个人痛苦的评估。进行了两项调节分析，以检验主观影响和个人痛苦是否调节了感知到的歧视与饮酒之间的关系。进行了深入的后续分析，以检验变量之间的差异和关系。
在两个不同的调节模型中，感知到的歧视调节了SJARM所感受到的主观影响（<.001）和个人痛苦（<.001）与不健康饮酒之间的关联。在计划的探索性分析中，报告感知到歧视的退伍军人报告的不健康饮酒水平（M = 14.71，SD = 9.39）高于未报告的退伍军人，t(284) = 5.61，p <.001。在事后分析中，种族/族裔少数群体报告感知到种族歧视的可能性显著更高（<.001），而非西班牙裔白人更有可能报告基于教育或收入水平的感知到的歧视（<.01）。
在全球大流行期间社会不公正事件的背景下，感知到的歧视导致了不健康饮酒以及与乔治·弗洛伊德谋杀案后SJARM相关的主观影响和个人痛苦。结果凸显了在寻求酒精治疗的退伍军人中解决歧视经历的重要性，特别是在不健康饮酒率不断上升的情况下。
