与种族主义有关的经历和药物使用:系统性和元分析综述。

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Social Science & Medicine Pub Date : 2024-10-21 DOI:10.1016/j.socscimed.2024.117434
Chantel T. Ebrahimi , Hannah Song , Monica Machado , Pamela Segura , Adriana Espinosa , Lillian Polanco-Roman
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引用次数: 0

摘要

强调人际种族主义相关经历是药物使用风险因素的研究有据可查,尤其是酒精使用。其他影响层面(如历史创伤、在线、内化)的种族主义相关经历与使用其他类型药物之间的关联虽然正在出现,但研究结果不一。本系统综述和荟萃分析研究了多层次的种族主义相关经历与不同类型物质之间的关系,包括少数民族青少年和新兴成年人(12-29 岁)的总体物质使用、酒精、酗酒、烟草/尼古丁、大麻、非法药物和多种物质的使用。采用系统文献检索和纽卡斯尔-渥太华量表(NOS)来识别、评估所收录文章的质量和偏差。随机效应荟萃分析估计了七种药物使用结果以及不同年龄、性别和种族/民族的集合效应大小。在总共 3190 篇文章中,91 篇(N = 190,065 名参与者)符合纳入标准,其中 79 篇被纳入荟萃分析。纳入的研究主要是横断面研究,以学校为样本,主要针对黑人。大多数研究探讨了人际间的种族主义,只有少数研究探讨了网络和历史形式的种族主义。元分析表明,与种族主义相关的经历与每种药物使用结果之间都存在显著的正相关,但总体效应规模较小。研究还发现了年龄、性别和种族/民族的调节作用。与种族主义相关的经历是少数民族青少年和新成人使用药物的一个风险因素。采取干预措施,从多个方面解决与种族主义相关的经历问题,对于预防和治疗少数民族社区的药物使用问题至关重要。
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Racism-related experiences and substance use: A systematic and meta-analytic review
Examinations highlighting interpersonal racism-related experiences as risk factors for substance use are well documented, particularly for alcohol use. The associations between racism-related experiences across other levels of influence (e.g., historical trauma, online, internalized) and use of other types of substances, while emerging, have yielded mixed findings. The present systematic review and meta-analyses examined the associations between multilevel racism-related experiences and different types of substances including substance use overall, alcohol, binge drinking, tobacco/nicotine, cannabis, illicit drugs, and polysubstance use among ethnoracially minoritized adolescents and emerging adults (12–29 years old). A systematic literature search and the Newcastle-Ottawa Scale (NOS) were used to identify, assess quality, and bias of included articles. Random-effects meta-analyses estimated pooled effect sizes for seven substance use outcomes and by age, sex, and race/ethnicity. Out of a total of 3190 articles, 91 (N = 190,065 participants) met inclusion criteria, 79 of which were included in the meta-analysis. The studies included were predominantly cross-sectional, school-based samples, and focused on Black individuals. Most examined interpersonal racism and few examined online and historical forms of racism. Meta-analyses demonstrated a significant positive association, with a small pooled effect size, between racism-related experiences and each substance use outcome. Moderations by age, sex, and race/ethnicity were found. Racism-related experiences are a risk factor for substance use among ethnoracially minoritized adolescents and emerging adults. Interventions addressing racism-related experiences across multiple dimensions are critical for the prevention and treatment of substance use among ethnoracially minoritized communities.
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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