Concern for Police Brutality, Societal Discrimination, and School Shootings and Subsequent Cigarette and Cannabis Use in Los Angeles County Hispanic and Non-Hispanic White Youth: a Longitudinal Study.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2024-12-01 Epub Date: 2023-09-19 DOI:10.1007/s40615-023-01787-z

Kiana J Hacker, Julia Chen-Sankey, Adam M Leventhal, Kelvin Choi

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Abstract

Objective: Examine if concerns for police brutality, societal discrimination, and school shootings relate to subsequent cigarette and cannabis use among Hispanic and non-Hispanic White (NHW) youth. Hispanic youth may be particularly vulnerable to such concern.

Methods: Data are from the University of Southern California's Happiness and Health Survey, a prospective cohort study, which followed Hispanic (N = 1007) and NHW (N = 251) students from ten inner-city and suburban high schools in Los Angeles County, starting from 2013 until 2019. Participants reported concern, worry, and stress levels regarding police brutality, societal discrimination, and school shootings. Four categories were created to indicate levels of each concern variable over time (consistently low, decreased, increased, and consistently high). Associations with past-30-day cannabis, blunt, THC-oil, and cigarette use in 2019 were assessed. Separate models for each racial/ethnic category were used.

Results: Among Hispanic participants, reporting consistently high concern about police brutality (vs. consistently low concern) was associated with higher odds to subsequently smoke cannabis (aOR = 1.69, 95% CI = 1.18-2.40), smoke blunts (aOR = 1.63, 95% CI = 1.11-2.39), and vape THC-oil (aOR = 1.67, 95% CI = 1.14-2.44). Hispanic participants who reported consistently high concern for societal discrimination also had higher odds (vs. consistently low concern) to subsequently smoke blunts (aOR = 1.54, 95% CI = 1.04-2.29) and vape THC-oil (aOR = 1.65, 95% CI = 1.12-2.43). Among NHW participants, increasing concern over school shootings (vs. consistently low concern) was associated with higher odds to subsequently smoke cannabis (aOR = 2.98, 95% CI = 1.08-7.70).

Conclusions: Concerns for police brutality, societal discrimination, and school shootings were associated with cannabis use especially among Hispanic participants. Providing Hispanic youth with healthy coping strategies may reduce cannabis use.

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洛杉矶县拉美裔和非拉美裔白人青年对警察暴行、社会歧视、校园枪击以及随后的香烟和大麻使用的关注：一项纵向研究。

目的：研究对警察暴行、社会歧视和校园枪击事件的担忧是否与拉美裔和非拉美裔白人（NHW）青年随后的吸烟和大麻使用有关。西班牙裔青年可能特别容易受到这种关注。方法：数据来自南加州大学的幸福与健康调查，这是一项前瞻性队列研究，从2013年到2019年，该研究跟踪了洛杉矶县十所内城和郊区高中的西班牙裔（N=1007）和非西班牙籍（N=251）学生。参与者报告了对警察暴行、社会歧视和校园枪击事件的担忧、担忧和压力水平。创建了四个类别来表示每个关注变量随时间的变化水平（持续低、减少、增加和持续高）。对2019年与过去30天的大麻、钝剂、四氢大麻酚油和香烟使用的关系进行了评估。每个种族/民族类别都使用了单独的模型。结果：在西班牙裔参与者中，报告对警察暴行的持续高度关注（与持续低关注相比）与随后吸食大麻的几率较高（aOR=1.69，95%CI=1.18-2.40）、吸烟迟钝（aOR=1.63，95%CI=1.21-2.39）、，和电子烟四氢大麻酚油（aOR=1.67，95%CI=1.14-2.44）。报告持续高度关注社会歧视的西班牙裔参与者也有更高的几率（与持续低关注相比）随后吸烟钝化（aOR1.54，95%CI=1.04-2.29）和电子烟三氢大麻酚（aOR1.65，95%CI=1.12-2.43）。在NHW参与者中，对校园枪击事件的关注度增加（与持续的低关注度相比）与随后吸食大麻的几率增加有关（aOR=2.98，95%CI=1.08-7.70）。结论：对警察暴行、社会歧视和校园枪击的关注与大麻使用有关，尤其是在西班牙裔参与者中。为西班牙裔青年提供健康的应对策略可能会减少大麻的使用。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.