Racial discrimination, socioeconomic position, and illicit drug use among US Blacks.

Abstract:

PURPOSE:We assessed the relationship of self-reported racial discrimination with illicit drug use among US Blacks, and whether this differed by socioeconomic position (SEP). METHODS:Among 6587 Black participants in Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (2004-2005), we used multiple logistic regression models to test the association between racial discrimination (measured on the 6-item Experiences of Discrimination scale) and past-year illicit drug use, and whether this differed by SEP. RESULTS:Racial discrimination was associated with past-year drug use [adjusted odds ratio (aOR) 2.32; 95 % confidence interval (CI) 1.70, 3.16] and with frequent drug use (aOR 1.91; 95 % CI 1.22, 2.99). For frequent illicit drug use, this relationship was stronger among higher SEP participants (aOR 3.55; 95 % CI 2.09, 6.02; p interaction < 0.01). CONCLUSIONS:The stronger association between racial discrimination and frequent illicit drug use among higher SEP Blacks suggests a complex interplay between disadvantaged and privileged statuses that merits further investigation. The finding of a significant difference by SEP highlights the importance of considering differences within heterogeneous race/ethnic groups when investigating health disparities.

authors

Carliner H,Delker E,Fink DS,Keyes KM,Hasin DS

doi

10.1007/s00127-016-1174-y

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

551-60

issue

4

eissn

0933-7954

issn

1433-9285

pii

10.1007/s00127-016-1174-y

journal_volume

51

pub_type

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