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Racial discrimination, socioeconomic position, and illicit drug use among US Blacks.
- Source :
- Social Psychiatry & Psychiatric Epidemiology; Apr2016, Vol. 51 Issue 4, p551-560, 10p
- Publication Year :
- 2016
-
Abstract
- <bold>Purpose: </bold>We assessed the relationship of self-reported racial discrimination with illicit drug use among US Blacks, and whether this differed by socioeconomic position (SEP).<bold>Methods: </bold>Among 6587 Black participants in Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (2004-2005), we used multiple logistic regression models to test the association between racial discrimination (measured on the 6-item Experiences of Discrimination scale) and past-year illicit drug use, and whether this differed by SEP.<bold>Results: </bold>Racial discrimination was associated with past-year drug use [adjusted odds ratio (aOR) 2.32; 95 % confidence interval (CI) 1.70, 3.16] and with frequent drug use (aOR 1.91; 95 % CI 1.22, 2.99). For frequent illicit drug use, this relationship was stronger among higher SEP participants (aOR 3.55; 95 % CI 2.09, 6.02; p interaction < 0.01).<bold>Conclusions: </bold>The stronger association between racial discrimination and frequent illicit drug use among higher SEP Blacks suggests a complex interplay between disadvantaged and privileged statuses that merits further investigation. The finding of a significant difference by SEP highlights the importance of considering differences within heterogeneous race/ethnic groups when investigating health disparities. [ABSTRACT FROM AUTHOR]
- Subjects :
- RACE discrimination -- Psychological aspects
DRUGS & crime
DRUG traffic
BLACK people's attitudes
SOCIOECONOMIC factors
PSYCHOLOGY
RACISM
STATISTICS on Black people
COMPARATIVE studies
DRUGS of abuse
RESEARCH methodology
MEDICAL cooperation
RESEARCH
RESEARCH funding
SELF-evaluation
SOCIAL classes
SUBSTANCE abuse
PSYCHOLOGY of Black people
LOGISTIC regression analysis
EVALUATION research
HEALTH equity
Subjects
Details
- Language :
- English
- ISSN :
- 09337954
- Volume :
- 51
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Social Psychiatry & Psychiatric Epidemiology
- Publication Type :
- Academic Journal
- Accession number :
- 114308605
- Full Text :
- https://doi.org/10.1007/s00127-016-1174-y