Helen Bader School of Social Welfare, Department of Social Work, University of Wisconsin-Milwaukee, Enderis Hall 1175, 2400 E. Hartford Ave, Milwaukee, WI 53211, USA.
Silver School of Social Work, New York University, New York, USA.
Prev Sci. 2024 Jul;25(5):813-822. doi: 10.1007/s11121-024-01695-6. Epub 2024 Jun 11.
Among the many social determinants linked to adolescent alcohol use and depression, racial and ethnic discrimination is a prevalent determinant among Latinx adolescents and adults that is largely overlooked in preventive interventions. This study explored the influence of perceived racial and ethnic discrimination on depressive symptoms and alcohol use intentions among Latinx adolescents. Additionally, the study explored the cross-generational effects of how mothers' perceived discrimination impacts the depressive symptoms and alcohol use of the adolescent. The study used a sample of 800 inner-city Dominican and Puerto Rican adolescent-mother dyads (adolescent mean age = 12.42 years, SD = 0.81; mother mean age = 40.55 years, SD = 8.70). Employing a five-wave panel design that followed adolescents from 8th grade to 10th grade, the study found statistically significant mediation pathways which showed that adolescents' self-reported racial and ethnic discrimination experiences were associated with increases in their immediate and long-term depressive symptoms, which in turn were associated with stronger intentions to use alcohol in the future. Further, perceived racial and ethnic discrimination experienced by Latinx mothers was associated with increases in adolescents' intentions to drink alcohol in the future, mediated by the mothers' depressive symptoms and subsequently the adolescents' depressive symptoms. As discussed, these findings have wide-ranging implications for alcohol use prevention programs targeting inner-city Latinx adolescents.
在与青少年饮酒和抑郁有关的众多社会决定因素中,种族和民族歧视是拉丁裔青少年和成年人中普遍存在的决定因素,但在预防干预措施中却被大大忽视。本研究探讨了感知到的种族和民族歧视对拉丁裔青少年抑郁症状和饮酒意图的影响。此外,该研究还探讨了母亲感知到的歧视如何对青少年的抑郁症状和饮酒行为产生跨代影响。该研究使用了一个由 800 名城市中心的多米尼加和波多黎各青少年-母亲对子(青少年平均年龄为 12.42 岁,标准差为 0.81;母亲平均年龄为 40.55 岁,标准差为 8.70)组成的样本。该研究采用了一个五波面板设计,从 8 年级到 10 年级跟踪青少年,研究发现了具有统计学意义的中介途径,表明青少年自我报告的种族和民族歧视经历与他们即时和长期的抑郁症状增加有关,而这些抑郁症状又与未来更强的饮酒意图有关。此外,拉丁裔母亲经历的种族和民族歧视与青少年未来饮酒意图的增加有关,这是通过母亲的抑郁症状以及随后青少年的抑郁症状来介导的。正如讨论的那样,这些发现对针对城市中心拉丁裔青少年的饮酒预防计划具有广泛的影响。