Links between alcohol and other drug problems and maltreatment among adolescent girls: Perceived discrimination, ethnic identity, and ethnic orientation as moderators

Gray, Calonie M.; Montgomery, Marilyn J.

doi:10.1016/j.chiabu.2012.03.002

Cited by 19 publications

(14 citation statements)

References 49 publications

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“…In mediational analyses, intervening variables were predominantly individual-level factors. For example, several studies found that racial/ethnic discrimination was associated with anger, post-traumatic stress symptoms, and depressive symptoms, which in turn were associated with alcohol abuse or dependence (Gray & Montgomery, 2012; Mulia & Zemore, 2012; Whitbeck, Chen, Hoyt, & Adams, 2004). As above, few studies examined mediators at social-ecological levels beyond the individual level.…”

Section: Resultsmentioning

confidence: 99%

Discrimination and drinking: A systematic review of the evidence

Gilbert

Zemore

2016

Social Science & Medicine

175

146

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Although it is widely accepted that discrimination is associated with heavy and hazardous drinking, particularly within stress and coping frameworks, there has been no comprehensive review of the evidence. In response, we conducted a systematic review of the English language peer-reviewed literature to summarize studies of discrimination and alcohol-related outcomes, broadly defined. Searching six online data bases, we identified 937 non-duplicative titles published between 1980 and 2015, of which 97 met all inclusion criteria for our review and reported quantitative tests of associations between discrimination and alcohol use. We extracted key study characteristics and assessed quality based on reported methodological details. Papers generally supported a positive association; however, the quantity and quality of evidence varied considerably. The largest number of studies was of racial/ethnic discrimination among African Americans in the United States, followed by sexual orientation and gender discrimination. Studies of racial/ethnic discrimination were notable for their frequent use of complex modeling (i.e., mediation, moderation) but focused nearly exclusively on interpersonal discrimination. In contrast, studies of sexual orientation discrimination (i.e., heterosexism, homophobia) examined both internalized and interpersonal aspects; however, the literature largely relied on global tests of association using cross-sectional data. Some populations (e.g., Native Americans, Asian and Pacific Islanders) and types of discrimination (e.g., systemic/structural racism; ageism) received scant attention. This review extends our knowledge of a key social determinant of health through alcohol use. We identified gaps in the evidence base and suggest directions for future research related to discrimination and alcohol misuse.

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Section: Resultsmentioning

confidence: 99%

Discrimination and drinking: A systematic review of the evidence

Gilbert

Zemore

2016

Social Science & Medicine

175

146

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“…In addition, intervention programs with Black youth have begun to incorporate aspects of positive RI to promote psychosocial development (see Jones & Neblett, 2016). Although not all studies of RI have demonstrated protective effects with regard to substance use (Gray & Montgomery, 2012), higher levels of RI are usually associated with more negative attitudes toward substances and less substance use (Brody et al, 2006; Pugh & Bry, 2007; Stock et al, 2013). For example, among FACHS adolescents, RI was associated with less affiliation with substance users, and, in turn, lower drug use willingness and substance use 5 years later (Stock et al, 2013).…”

Section: Racial Identity As a Protective Mechanismmentioning

confidence: 99%

Racial (vs. self) affirmation as a protective mechanism against the effects of racial exclusion on negative affect and substance use vulnerability among black young adults

et al. 2017

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Affirming one's racial identity may help protect against the harmful effects of racial exclusion on substance use cognitions. This study examined whether racial versus self-affirmation (vs. no affirmation) buffers against the effects of racial exclusion on substance use willingness and substance use word associations in Black young adults. It also examined anger as a potential mediator of these effects. After being included, or racially excluded by White peers, participants were assigned to a writing task: self-affirmation, racial-affirmation, or describing their sleep routine (neutral). Racial exclusion predicted greater perceived discrimination and anger. Excluded participants who engaged in racial-affirmation reported reduced perceived discrimination, anger, and fewer substance use cognitions compared to the neutral writing group. This relation between racial-affirmation and lower substance use willingness was mediated by reduced perceived discrimination and anger. Findings suggest racial-affirmation is protective against racial exclusion and, more generally, that ethnic based approaches to minority substance use prevention may have particular potential.

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“…Although there are many studies supporting the relationship between perceived discrimination and problem behaviors among adolescents, the researches mainly focus on the different racial groups (Acosta, Hospital, Graziano, Morris, & Wagner, 2015; Flores, Tschann, Dimas, Pasch, & De Groat, 2010; Gray & Montgomery, 2012). And besides, it need to be further explored that how the perceived discrimination affects problem behaviors.…”

Section: Discussionmentioning

confidence: 99%