Perceived racial discrimination and polysubstance use among racial/ethnic minority adolescents in the United States

Polysubstance use among adolescents is a significant public health concern, yet most studies on adolescent substance use focus on a singular substance. This study is one of the first to investigate the association between perceived racial discrimination (PRD) in school and polysubstance use among ra...

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Veröffentlicht in:Drug and alcohol dependence 2023-07, Vol.248, p.109894-109894, Article 109894
Hauptverfasser: Baiden, Philip, Onyeaka, Henry K., Aneni, Kammarauche, Wood, Bethany, LaBrenz, Catherine A., Muoghalu, Chioma, Peoples, JaNiene E., Szlyk, Hannah S., Gobodzo, Edinam C., Baiden, John F., Adeku, Yvonne, Mets, Vera E., Brown, Fawn A., Cavazos-Rehg, Patricia
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container_end_page 109894
container_issue
container_start_page 109894
container_title Drug and alcohol dependence
container_volume 248
creator Baiden, Philip
Onyeaka, Henry K.
Aneni, Kammarauche
Wood, Bethany
LaBrenz, Catherine A.
Muoghalu, Chioma
Peoples, JaNiene E.
Szlyk, Hannah S.
Gobodzo, Edinam C.
Baiden, John F.
Adeku, Yvonne
Mets, Vera E.
Brown, Fawn A.
Cavazos-Rehg, Patricia
description Polysubstance use among adolescents is a significant public health concern, yet most studies on adolescent substance use focus on a singular substance. This study is one of the first to investigate the association between perceived racial discrimination (PRD) in school and polysubstance use among racial/ethnic minority adolescents using a nationally representative sample. Data was from the 2021 Adolescent Behaviors and Experiences Survey. The sample included 4145 racial/ethnic minority adolescents (52.8% female). Hierarchical binary logistic regression was used to examine the association between PRD in school and polysubstance use among racial/ethnic minority adolescents. About 12% of racial/ethnic minority adolescents engaged in polysubstance use and 23.4% reported experiencing PRD in school sometimes/most of the time/always. Controlling for other factors, experiencing PRD in school sometimes/most of the time/always was associated with 1.52 times higher odds of polysubstance use when compared to adolescents who never experienced PRD in school (OR=1.52, p=.044, 95% CI=1.01–2.30). Cyberbullying victimization, symptoms of depression, and being emotionally abused by a parent during COVID-19 were also associated with polysubstance use. Controlling for demographic characteristics and psychosocial stressors, PRD in school was significantly associated with higher odds of polysubstance use among racial/ethnic minority adolescents. The findings of this study could inform clinicians and policymakers of the association between PRD in school and polysubstance use, which could contribute to early identification of polysubstance use among racial/ethnic minority adolescents. •Perceived racial discrimination (PRD) is a major social determinant of health.•Racial/ethnic minority adolescents were more likely to experience PRD.•PRD was associated with polysubstance use among racial/ethnic minority adolescents..
doi_str_mv 10.1016/j.drugalcdep.2023.109894
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This study is one of the first to investigate the association between perceived racial discrimination (PRD) in school and polysubstance use among racial/ethnic minority adolescents using a nationally representative sample. Data was from the 2021 Adolescent Behaviors and Experiences Survey. The sample included 4145 racial/ethnic minority adolescents (52.8% female). Hierarchical binary logistic regression was used to examine the association between PRD in school and polysubstance use among racial/ethnic minority adolescents. About 12% of racial/ethnic minority adolescents engaged in polysubstance use and 23.4% reported experiencing PRD in school sometimes/most of the time/always. Controlling for other factors, experiencing PRD in school sometimes/most of the time/always was associated with 1.52 times higher odds of polysubstance use when compared to adolescents who never experienced PRD in school (OR=1.52, p=.044, 95% CI=1.01–2.30). Cyberbullying victimization, symptoms of depression, and being emotionally abused by a parent during COVID-19 were also associated with polysubstance use. Controlling for demographic characteristics and psychosocial stressors, PRD in school was significantly associated with higher odds of polysubstance use among racial/ethnic minority adolescents. 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subjects Adolescent
Adolescent Behavior
Adolescents
Cyberbullying - statistics & numerical data
Depression - epidemiology
Depression - psychology
Emotional Abuse - statistics & numerical data
Ethnicity - psychology
Ethnicity - statistics & numerical data
Female
Humans
Male
Minority Groups - psychology
Minority Groups - statistics & numerical data
Perceived racial discrimination
Polysubstance use
Racial Groups - psychology
Racial Groups - statistics & numerical data
Racial/ethnic minority
Racism - psychology
Racism - statistics & numerical data
Substance-Related Disorders - epidemiology
Substance-Related Disorders - psychology
Surveys and Questionnaires
United States - epidemiology
title Perceived racial discrimination and polysubstance use among racial/ethnic minority adolescents in the United States
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