Children's Hospital of the King's Daughters, Division of Adolescent Medicine, 601 Children's Lane, Norfolk, VA 23507, USA; Macon & Joan Brock Virginia Health Sciences at Old Dominion University, Department of Pediatrics, 601 Children's Lane, Norfolk, VA 23507, USA.
Macon & Joan Brock Virginia Health Sciences at Old Dominion University, Master of Public Health Program, P.O. Box 1980, Norfolk, VA 23501, USA.
Addict Behav. 2025 Jan;160:108186. doi: 10.1016/j.addbeh.2024.108186. Epub 2024 Oct 2.
Despite adverse effects of tobacco and marijuana use on the adolescent brain, its use among youth remains high. Previous research shows associations between bullying and risks of substance use; less is known about racial teasing. This study examines associations of racial teasing, marijuana and/or electronic vapor products (EVP) use among adolescents, using 2021 Virginia Youth Risk Behavior Surveillance System (VYRBSS).
VYRBSS is a self-reported survey which collects information on experiences with racial teasing and substance use. This analysis included 3,083 high school students ≥ 12 years old. Descriptive analysis and logistic regression models were performed for categorical variables. Multivariable models were adjusted for confounders.
Racial teasing was associated with marijuana (AOR 1.89; CI 1.43-2.48) and EVP use (AOR 2.52; CI 1.91-3.31). Compared to Whites; Asians, Blacks, and Latinos were more likely to report racial teasing. Older heterosexual females reported higher use of marijuana and EVP. Blacks reported greater use of marijuana, whereas Whites were more likely to use EVP. EVP use was higher in females (AOR 1.73, CI 1.34-2.23), bisexual youth (AOR 1.68, CI 1.23, 2.30) and poor mental health (AOR 1.49, CI 1.16, 1.92). Marijuana use was associated with bisexuality (AOR 1.75, CI 1.28-2.39) and poor mental health (AOR 1.62, CI 1.27-2.07) as well.
Every effort should be made by public health professionals in Virginia to prevent racial teasing among adolescents because it increases the odds of substance use, particularly in older females, youth who identify as bisexual, and those reporting poor mental health.
尽管烟草和大麻的使用对青少年的大脑有不良影响，但青少年中仍有很高的使用率。先前的研究表明欺凌与物质使用风险之间存在关联；但关于种族嘲笑的研究则较少。本研究使用 2021 年弗吉尼亚青少年风险行为监测系统（VYRBSS），考察了种族嘲笑与青少年吸食大麻和/或电子烟之间的关系。
VYRBSS 是一项自我报告调查，收集了有关种族嘲笑和物质使用经历的信息。本分析纳入了 3083 名≥12 岁的高中生。对分类变量进行描述性分析和逻辑回归模型分析。多变量模型根据混杂因素进行了调整。
种族嘲笑与大麻（AOR 1.89；CI 1.43-2.48）和电子烟使用（AOR 2.52；CI 1.91-3.31）有关。与白人相比，亚洲人、黑人和拉丁裔更有可能报告种族嘲笑。年龄较大的异性恋女性报告大麻和电子烟使用率更高。黑人报告大麻使用率更高，而白人更有可能使用电子烟。女性电子烟使用率更高（AOR 1.73，CI 1.34-2.23）、双性恋青少年（AOR 1.68，CI 1.23，2.30）和心理健康状况不佳的青少年（AOR 1.49，CI 1.16，1.92）。大麻使用与双性恋（AOR 1.75，CI 1.28-2.39）和心理健康状况不佳（AOR 1.62，CI 1.27-2.07）也有关联。
弗吉尼亚州的公共卫生专业人员应尽一切努力防止青少年遭受种族嘲笑，因为这会增加他们使用物质的几率，尤其是在年龄较大的女性、自我认同为双性恋的青少年以及心理健康状况不佳的青少年中。
