Multiple Discrimination and Substance Use Intention in Late Childhood: Findings From the Adolescent Brain Cognitive Development (ABCD) Study.

Autor: Wang Y; Human Development and Family Studies, Michigan State University, East Lansing, Michigan. Electronic address: yjwang@msu.edu., Zhang Y; Human Development and Family Studies, Michigan State University, East Lansing, Michigan., Zhao Z; Psychology Department, Fordham University, Bronx, New York., Jelsma E; Human Development and Family Studies, Michigan State University, East Lansing, Michigan; Psychological, Health, and Learning Sciences, University of Houston, Houston, Texas., Cham H; Psychology Department, Fordham University, Bronx, New York., Wadsworth H; Human Development and Family Studies, Michigan State University, East Lansing, Michigan., Yan J; Psychology Department, Fordham University, Bronx, New York., Johnson S; Psychology Department, Fordham University, Bronx, New York., Alegría M; the Desparities Research Unit, Massachusetts General Hospital, Boston, Massachusetts., Yip T; Psychology Department, Fordham University, Bronx, New York.
Jazyk: angličtina
Zdroj: The Journal of adolescent health : official publication of the Society for Adolescent Medicine [J Adolesc Health] 2024 Jun; Vol. 74 (6), pp. 1217-1224. Date of Electronic Publication: 2024 Mar 13.
DOI: 10.1016/j.jadohealth.2024.01.028
Abstrakt: Purpose: The study aimed to investigate longitudinal, bidirectional associations between discrimination due to multiple reasons (race/ethnicity, sexual orientation, weight; termed multiple discrimination) and substance use (SU) intention in late childhood. These associations were compared across youth with no, single, and multiple (i.e., intersecting) marginalized identities based on race/ethnicity, sexual orientation, and overweight status.
Methods: Data were drawn from a national sample of youth in the Adolescent Brain Cognitive Development study (N = 8,530; 9-12 years old). Youth reported both their experiences of multiple discrimination (the number of forms of discrimination youth experienced) and SU intention at one-year and two-year follow-ups. Theoretically relevant covariates were included.
Results: Compared to non-marginalized youth (n = 2,689) and youth with single marginalized identities (n = 3,399), youth with intersecting marginalized identities (n = 2,442) reported the highest SU intention and multiple discrimination across waves. Only for this last group, multiple discrimination predicted stronger SU intention subsequently (β = 0.07, 95% confidence interval [0.02, 0.11]), whereas stronger SU intention predicted lower levels of multiple discrimination over time (β = -0.06, 95% confidence interval [-0.09, -0.02]). Sensitivity analyses yielded similar patterns with some nuances among subgroups of youth with varying intersecting marginalized identities.
Discussion: Multiple discrimination predicted stronger SU intention over time in late childhood, particularly among youth with intersecting marginalized identities. Policies and practices should consider addressing multiple discrimination to reduce SU disparities among diverse youth.
(Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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