Association Between Perceived Discrimination and Racial/Ethnic Disparities in Problem Behaviors Among Preadolescent Youths

被引:42
作者
Bogart, Laura M. [1 ,2 ]
Elliott, Marc N. [3 ]
Kanouse, David E. [3 ]
Klein, David J. [1 ]
Davies, Susan L. [4 ]
Cuccaro, Paula M. [5 ]
Banspach, Stephen W. [6 ]
Peskin, Melissa F. [5 ]
Schuster, Mark A. [1 ,2 ]
机构
[1] Boston Childrens Hosp, Div Gen Pediat, Dept Med, Boston, MA 02115 USA
[2] Harvard Univ, Sch Med, Dept Pediat, Boston, MA 02115 USA
[3] RAND Corp, Santa Monica, CA USA
[4] Univ Alabama Birmingham, Sch Publ Hlth, Dept Hlth Behav, Birmingham, AL USA
[5] Univ Texas Hlth Sci Ctr Houston, Ctr Hlth Promot & Prevent Res, Houston, TX 77030 USA
[6] Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Adolescent & Sch Hlth, Atlanta, GA USA
关键词
AFRICAN-AMERICAN ADOLESCENTS; OF-THE-LITERATURE; RACIAL-DISCRIMINATION; ETHNIC DISCRIMINATION; MENTAL-HEALTH; EMOTION REGULATION; SOCIAL SUPPORT; SUBSTANCE USE; LATINO YOUTH; SELF-ESTEEM;
D O I
10.2105/AJPH.2012.301073
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. We examined the contribution of perceived racial/ethnic discrimination to disparities in problem behaviors among preadolescent Black, Latino, and White youths. Methods. We used cross-sectional data from Healthy Passages, a 3-community study of 5119 fifth graders and their parents from August 2004 through September 2006 in Birmingham, Alabama; Los Angeles County, California; and Houston, Texas. We used multivariate regressions to examine the relationships of perceived racial/ethnic discrimination and race/ethnicity to problem behaviors. We used values from these regressions to calculate the percentage of disparities in problem behaviors associated with the discrimination effect. Results. In multivariate models, perceived discrimination was associated with greater problem behaviors among Black and Latino youths. Compared with Whites, Blacks were significantly more likely to report problem behaviors, whereas Latinos were significantly less likely (a "reverse disparity"). When we set Blacks' and Latinos' discrimination experiences to zero, the adjusted disparity between Blacks and Whites was reduced by an estimated one third to two thirds; the reverse adjusted disparity favoring Latinos widened by about one fifth to one half. Conclusions. Eliminating discrimination could considerably reduce mental health issues, including problem behaviors, among Black and Latino youths.
引用
收藏
页码:1074 / 1081
页数:8
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