School of Social Work, University of Pittsburgh, Pittsburgh, PA, USA.
School of Public Health, Center for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.
J Racial Ethn Health Disparities. 2024 Oct;11(5):3223-3232. doi: 10.1007/s40615-023-01778-0. Epub 2023 Sep 11.
Latinx/es are often racially homogenized in alcohol use disparities research, leaving the behavioral and mental health status of Afro-Latinx/es unknown. Though Latina/o and Black adults consume less alcohol than non-Latina/o Whites, they may binge drink to cope with discrimination. Gendered racism uniquely and negatively affects Black women's psychological well-being and may increase their chances of engaging in risky drinking. This may be the case for Afro-Latina women, but no study has disaggregated alcohol use disparity outcomes among a nationally representative sample of Latina/o adults by race and sex. This study (1) examines the relationship between racial self-classification (White-Latina/os vs. Afro-Latina/os) and binge drinking in the past year and (2) tests whether sex (male vs. female) moderates the relationship between race and binge drinking. Secondary data that included a respondent sample of 9415 Latina/o adults was obtained and analyzed from the 2013-2018 National Health Interview Survey. Multivariate analyses included logistic regression models to assess the main effects of race, sex, and interaction effect of the two on binge drinking while controlling for sociodemographic variables. The probability of Afro-Latina/o adults binge drinking trends lower than White-Latina/os. Respondents' sex moderated the association between racial self-classification and binge drinking. We discuss racial identity salience, mujerismo, and gendered racism as possible protective and risk factors for Afro-Latina/os and Afro-Latina women to contextualize these findings.
在酒精使用差异研究中，拉丁裔通常被种族同化，这使得非裔拉丁裔的行为和心理健康状况未知。尽管拉丁裔和非裔成年人的饮酒量低于非拉丁裔白人，但他们可能会通过狂饮来应对歧视。性别种族主义会对非裔美国女性的心理健康产生独特而负面的影响，并可能增加她们参与危险饮酒的机会。对于非裔拉丁裔女性来说，情况可能就是如此，但没有研究在具有全国代表性的拉丁裔成年人样本中，按种族和性别对酒精使用差异结果进行细分。本研究（1）检验了自我种族分类（白拉丁裔/非裔拉丁裔）与过去一年狂饮之间的关系，（2）检验了性别（男性与女性）是否调节了种族与狂饮之间的关系。本研究使用了 2013-2018 年全国健康访谈调查中的受访者样本数据，并进行了多元分析，包括逻辑回归模型，以评估种族、性别以及这两者之间的交互效应对狂饮的主要影响，同时控制了社会人口统计学变量。非裔拉丁裔成年人狂饮的可能性趋势低于白拉丁裔/非裔拉丁裔成年人。受访者的性别调节了自我种族分类与狂饮之间的关联。我们讨论了种族认同的显著性、女性主义和性别种族主义，作为非裔拉丁裔和非裔拉丁裔女性的可能保护和风险因素，以对这些发现进行语境化。
