Overt Perceived Discrimination and Racial Microaggressions and their Association with Health Risk Behaviors among a Sample of Urban American Indian/Alaska Native Adolescents

被引:29
作者
Dickerson, Daniel L. [1 ,2 ]
Brown, Ryan A. [3 ]
Klein, David J. [3 ]
Agniel, Denis [3 ]
Johnson, Carrie [4 ]
D'Amico, Elizabeth J. [3 ]
机构
[1] UCLA, Integrated Subst Abuse Programs, 11075 Santa Monica Blvd,Suite 200, Los Angeles, CA 90025 USA
[2] David Geffen Sch Med, Semel Inst Neurosci & Human Behav, 11075 Santa Monica Blvd,Suite 200, Los Angeles, CA 90025 USA
[3] RAND Corp, 1776 Main St, Santa Monica, CA 90401 USA
[4] Sacred Path Indigenous Wellness Ctr, Los Angeles, CA 90017 USA
关键词
American Indians; Alaska Natives; Urban; Discrimination; HISTORICAL TRAUMA; SUBSTANCE-ABUSE; MARIJUANA USE; DRUG-USE; ALCOHOL; WHITE; YOUTH; RACE; TRAJECTORIES; RELIABILITY;
D O I
10.1007/s40615-019-00572-1
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BackgroundUrban American Indian/Alaska Native (AI/AN) adolescents are an understudied population in the USA who are at risk for a variety of health problems. Perceived discrimination (PD), including both overt PD and racial microaggressions (RMA), is known to adversely affect health. However, studies analyzing associations between overt PD and RMA and various health behaviors are limited.MethodsThis study measured past-year alcohol use, heavy drinking, marijuana use, commercialized tobacco use, consequences experienced from alcohol and marijuana use in the past 3months, mental and physical health status, AI/AN traditional activity participation, and overt PD and RMA among 182 urban AI/AN adolescents in California. To assess the association between overt PD and RMAs and health outcomes, we conducted either logistic regression (for dichotomous outcomes: past-year alcohol use, past-year heavy drinking, past-year marijuana use, consequences of alcohol and marijuana use, commercialized tobacco use) or linear regression (for continuous outcomes: mental and physical health, AI/AN traditional practices).ResultsIn contrast to our hypotheses, overt PD and RMA were not significantly associated with substance use or mental or physical health among this sample of urban AI/AN adolescents. After adjusting for age and gender, overt PD and RMA were only correlated with past-year cigarette use and alcohol-related consequences experienced in the past 3months.ConclusionPotential factors that may play a role in decreasing effects of overt PD and RMA among urban AI/AN adolescents are discussed, including participation in AI/AN traditional practices and community engagement.
引用
收藏
页码:733 / 742
页数:10
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