RAND Corporation.
University of Southern California, Suzanne Dworak-Peck School of Social Work.
Psychol Addict Behav. 2023 Aug;37(5):651-656. doi: 10.1037/adb0000905.
Alcohol and other drug (AOD) use increases substantially from adolescence to emerging adulthood, and recent longitudinal studies show disparities in AOD-related outcomes by racial and ethnic, as well as sexual and gender minority (SGM), identities. Greater insight is needed into how individual, social, and environmental contexts interact and affect such disparities, as well as why disparate outcomes are found across different domains (e.g., social, educational, economic), even after accounting for intensity of use. This commentary addresses these important and timely issues.
We provide a brief overview of the literature, including our own team's work over the last 14 years, to identify and understand disparities in AOD-related outcomes during adolescence and emerging adulthood across individuals with different racial and ethnic, and sexual and gender, identities. We then discuss paths forward to advance research and build a stronger evidence base, leading to the development and identification of effective interventions that can help mitigate disparities among historically marginalized adolescents and emerging adults.
Existing research highlights the need for further longitudinal work in several areas, including addressing contextual factors at various levels (e.g., individual, social, environmental) that may contribute to outcomes for different groups of individuals, developing and testing culturally appropriate AOD-related services, giving greater consideration to intersectionality of multiple minority identities, and using novel statistical approaches to help improve the estimation of differences across smaller subgroups of individuals in existing cohorts.
To inform prevention programming and policy for improving health and well-being of historically marginalized populations, it is important to continue our efforts to understand disparities in AOD-related outcomes using multidisciplinary, equity, and intersectionality lenses. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
酒精和其他药物（AOD）的使用在青少年到成年早期之间大幅增加，最近的纵向研究表明，种族和民族以及性和性别少数群体（SGM）身份与 AOD 相关结果存在差异。需要更深入地了解个人、社会和环境背景如何相互作用并影响这些差异，以及为什么在不同领域（例如社会、教育、经济）会发现不同的结果，即使在考虑使用强度之后也是如此。本评论探讨了这些重要且及时的问题。
我们简要概述了文献，包括我们自己的团队在过去 14 年中的工作，以确定和理解具有不同种族和民族以及性和性别身份的个体在青少年和成年早期期间 AOD 相关结果的差异。然后，我们讨论了前进的道路，以推进研究并建立更强大的证据基础，从而为开发和确定有效的干预措施提供指导，这些干预措施可以帮助减轻历史上处于边缘地位的青少年和成年早期人群的差异。
现有研究强调需要在几个领域进一步开展纵向工作，包括解决各个层面的背景因素（例如个体、社会、环境），这些因素可能会影响不同群体的结果，开发和测试与文化相关的 AOD 相关服务，更多地考虑多种少数群体身份的交叉性，并使用新颖的统计方法来帮助改善现有队列中较小亚群个体之间的差异估计。
为了为改善历史上处于边缘地位的人群的健康和福祉提供预防计划和政策信息，重要的是继续努力从多学科、公平和交叉性的角度理解 AOD 相关结果的差异。（PsycInfo 数据库记录（c）2023 APA，保留所有权利）。
