背景:种族/民族歧视和民族认同,与一个人的种族群体的隶属关系和联系,对了解酒精很重要,烟草,和药物使用障碍(AUD,TUD,DUD,分别)在西班牙裔/拉丁美洲人中。尽管歧视是公认的风险因素,人们对种族认同的作用了解较少。此外,没有研究检查这些因素中哪一个对告知AUD更重要,TUD,还有DUD.这些信息对于创建针对西班牙裔/拉丁美洲人的有效预防和治疗计划是必要的。在这里,我们研究了过去一年AUD中种族/族裔歧视和西班牙裔族裔认同的作用和相对重要性,TUD,还有DUD.
方法:国家酒精和相关疾病流行病学调查III的西班牙裔/拉丁美洲参与者构成了该横断面二次数据分析的样本。参与者(N=7037)平均39.93岁(SD=15.32)。一半以上是女性(56.1%),家庭收入低于美国家庭收入中位数(58.7%)。大多数人起源于北美(79.3%),包括美国附属领土和墨西哥。验证性因素分析(CFA)验证了歧视和西班牙裔种族认同措施的心理测量特性。Logistic回归,辅以优势分析,估计歧视和西班牙裔种族认同在过去一年AUD的概率上的作用和相对贡献,TUD,还有DUD.
结果:CFA对每个结构都产生了足够的收敛有效性和可靠性。更多的种族/族裔歧视和更高的西班牙裔族裔认同与AUD的可能性更高和更低有关,TUD,还有DUD,分别。西班牙裔种族认同与TUD的可能性之间的关联程度超过了种族/种族歧视,但反过来是AUD和DUD的情况。
结论:TUD的预防和治疗计划强调了作为西班牙裔族群成员的强烈自我意识的价值,并且鼓励个人探索他们的西班牙裔血统可能在西班牙裔/拉丁美洲人中被证明是有效的,特别是那些经历过种族/族裔歧视的人。为西班牙裔拉丁美洲/美国成年人量身定制的AUD和DUD计划还应纳入应对策略,以解决种族/族裔歧视的经验。
Racial/ethnic discrimination and ethnic identity, the affiliation and connection to one\'s ethnic group, are important for understanding alcohol, tobacco, and drug use disorders (AUD, TUD, DUD, respectively) among Hispanic/Latin American individuals. Although discrimination is a well-recognized risk factor, the role of ethnic identity is less understood. Moreover, no study has examined which of these factors is more important for informing AUD, TUD, and DUD. This information is necessary for creating effective prevention and treatment programs tailored for Hispanic/Latin American people. Herein we examined the role and relative importance of racial/ethnic discrimination and Hispanic ethnic identity on past year AUD, TUD, and DUD.
Hispanic/Latin American participants of the National Epidemiologic Survey on Alcohol and Related Conditions-III constituted the sample for this cross-sectional secondary data analysis. Participants (N = 7037) were 39.93 years old on average (SD = 15.32). More than half were female (56.1 %) and had family incomes below the median household income in the United States (58.7 %). Most had national origins in North America (79.3 %), including US dependent territories and Mexico. Confirmatory factor analysis (CFA) verified the psychometric properties of the discrimination and Hispanic ethnic identity measures. Logistic regressions, supplemented with dominance analysis, estimated the role and relative contribution of discrimination and Hispanic ethnic identity on the probability of past year AUD, TUD, and DUD.
The CFAs yielded adequate convergent validity and reliability for each construct. More racial/ethnic discrimination and a higher Hispanic ethnic identity related to a higher and lower probability of AUD, TUD, and DUD, respectively. The magnitude of the association between Hispanic ethnic identity and the probability of TUD exceeded that of racial/ethnic discrimination, but the converse was the case for AUD and DUD.
Prevention and treatment programs for TUD that highlight the value of having a strong sense of self as a member of a Hispanic ethnic group, and that encourage the individual to explore their Hispanic ancestry may prove effective among Hispanic/Latin American individuals, particularly those who have experienced racial/ethnic discrimination. Programs for AUD and DUD tailored for Hispanic Latin/American adults should also incorporate coping strategies to address experiences with racial/ethnic discrimination.