Abstract：
While the United States is becoming increasingly Multiracial, much is still unknown about the behavioral health of these growing new generations of Multiracial Americans. To narrow this research gap, this study investigated the prevalence/frequency of substance use and major depressive episodes [MDE] among non-Hispanic Multiracial [NHM] adolescents compared to their non-Hispanic White [NHW] counterparts and whether racial differences vary by socioeconomic status.
We analyzed data from the 2015-2019 National Survey on Drug Use and Health (N = 3,645 NHM and 34,776 NHW adolescents aged 12-17). Average Marginal Effects derived from logistic regression and negative binomial regression were used to examine (1) differences in six outcomes (past-month use of alcohol, cannabis, or drugs other than cannabis [DOTC], past-year MDE, and the frequency of alcohol and cannabis use among past-month users) by Multiracial status; (2) the moderation effect of family income on these associations.
Compared to high-income NHW adolescents, high-income NHM adolescents reported significantly higher prevalence of past-month cannabis and DOTC use, and past-year MDE. No racial differences were observed at other income levels. Furthermore, moderation analyses indicated that the effect of Multiracial status on MDE was larger in the highest income group compared to the lowest income group.
Our findings suggested that NHM adolescents, particularly those from high income families, exhibit increased prevalence of drug use and depression than NHW adolescents. As the US becomes more diverse, there is a need to further examine the social and structural factors driving the identified racial differences.
We analyzed data from the 2015-2019 National Survey on Drug Use and Health (N = 3,645 NHM and 34,776 NHW adolescents aged 12-17). Average Marginal Effects derived from logistic regression and negative binomial regression were used to examine (1) differences in six outcomes (past-month use of alcohol, cannabis, or drugs other than cannabis [DOTC], past-year MDE, and the frequency of alcohol and cannabis use among past-month users) by Multiracial status; (2) the moderation effect of family income on these associations.
Compared to high-income NHW adolescents, high-income NHM adolescents reported significantly higher prevalence of past-month cannabis and DOTC use, and past-year MDE. No racial differences were observed at other income levels. Furthermore, moderation analyses indicated that the effect of Multiracial status on MDE was larger in the highest income group compared to the lowest income group.
Our findings suggested that NHM adolescents, particularly those from high income families, exhibit increased prevalence of drug use and depression than NHW adolescents. As the US becomes more diverse, there is a need to further examine the social and structural factors driving the identified racial differences.
摘要：
目标：虽然美国正变得越来越多种族，关于这些不断增长的新一代多种族美国人的行为健康，还有很多未知。为了缩小这一研究差距，这项研究调查了非西班牙裔多种族[NHM]青少年与非西班牙裔白人[NHW]青少年的药物使用和重度抑郁发作[MDE]的患病率/频率,以及种族差异是否因社会经济地位而异.
方法：我们分析了2015-2019年全国药物使用和健康调查的数据（N=3,645NHM和34,776名12-17岁的NHW青少年）。使用逻辑回归和负二项回归得出的平均边际效应来检查（1）六个结局的差异（过去一个月饮酒，大麻,或大麻以外的药物[DOTC]，过去一年的MDE，以及过去一个月使用者中酒精和大麻使用的频率）按多种族身份划分；（2）家庭收入对这些协会的调节作用。
结果：与高收入NHW青少年相比，高收入NHM青少年报告过去一个月大麻和DOTC使用的患病率明显更高，以及去年的MDE。在其他收入水平没有观察到种族差异。此外，适度分析表明,与最低收入组相比,高收入组的多种族地位对MDE的影响更大.
结论：我们的研究结果表明，NHM青少年，特别是那些来自高收入家庭的人，与NHW青少年相比，吸毒和抑郁症的患病率增加。随着美国变得更加多样化，有必要进一步研究驱动已确定种族差异的社会和结构因素。
方法：我们分析了2015-2019年全国药物使用和健康调查的数据（N=3,645NHM和34,776名12-17岁的NHW青少年）。使用逻辑回归和负二项回归得出的平均边际效应来检查（1）六个结局的差异（过去一个月饮酒，大麻,或大麻以外的药物[DOTC]，过去一年的MDE，以及过去一个月使用者中酒精和大麻使用的频率）按多种族身份划分；（2）家庭收入对这些协会的调节作用。
结果：与高收入NHW青少年相比，高收入NHM青少年报告过去一个月大麻和DOTC使用的患病率明显更高，以及去年的MDE。在其他收入水平没有观察到种族差异。此外，适度分析表明,与最低收入组相比,高收入组的多种族地位对MDE的影响更大.
结论：我们的研究结果表明，NHM青少年，特别是那些来自高收入家庭的人，与NHW青少年相比，吸毒和抑郁症的患病率增加。随着美国变得更加多样化，有必要进一步研究驱动已确定种族差异的社会和结构因素。
