Perceived Racial Discrimination and Negative-Mood–Related Drinking Among African American College Students

O’Hara, Ross E.; Armeli, Stephen; Scott, Denise M.; Covault, Jonathan; Tennen, Howard

doi:10.15288/jsad.2015.76.229

Cited by 21 publications

(17 citation statements)

References 55 publications

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“…Adolescent solitary drinkers reported more NA than adolescent social‐only drinkers [8], and young adult heavy solitary drinkers reported more depressive symptoms than their social‐only drinking counterparts [9,15,18]. Additionally, solitary drinking frequency was positively associated with depressive symptoms among both adolescents and young adults [14,53], and quantity of alcohol consumed in solitary settings was related to suicidal ideation and attempts [27] and NA among young adults [58]. These associations may be bi‐directional, given that NA has been shown to predict later solitary drinking in longitudinal research [54], and laboratory findings show that drinking in a solitary context increases NA [59–61].…”

Section: Resultsmentioning

confidence: 99%

Associations between solitary drinking and increased alcohol consumption, alcohol problems, and drinking to cope motives in adolescents and young adults: a systematic review and meta‐analysis

2020

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Background and aims Emerging evidence suggests that solitary drinking may be an important early risk marker for alcohol use disorder. The current paper is the first meta-analysis and systematic review on adolescent and young adult solitary drinking to examine associations between solitary drinking and increased alcohol consumption, alcohol problems, and drinking to cope motives. Methods PsychINFO, PubMed, and Google Scholar were searched using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology and a pre-registered International Prospective Register of Systematic Reviews (PROSPERO) protocol (no. CRD42020143449). Data from self-report questionnaires regarding negative correlates of solitary drinking (e.g. alcohol problems) and solitary drinking motives (e.g. drinking to cope) were pooled across studies using random-effects models. Studies included adolescents (aged 12-18 years) and young adults (mean age between 18 and 30 years or samples with the majority of participants aged 30 years or younger). Results Meta-analytical results from 21 unique samples including 28,372 participants showed significant effects for the associations between solitary drinking and the following factors:

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Section: Resultsmentioning

confidence: 99%

Associations between solitary drinking and increased alcohol consumption, alcohol problems, and drinking to cope motives in adolescents and young adults: a systematic review and meta‐analysis

2020

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“…Several studies have documented that perceived racial discrimination is linked to higher depressive symptoms and higher alcohol and tobacco use among Black college students [39–42] and higher alcohol use among White students [43, 44]. Some research has also investigated differential impacts based on sex; for example, a study found that while Black men with more lifetime discrimination had a positive association between daily negative mood and level of nonsocial drinking, this association was reversed in women [45]. In addition, recent research has also examined discrimination encountered by sexual minority students and its link to mental health [46].…”

Section: Discussionmentioning

confidence: 99%

Mental health and substance use among women and men at the intersections of identities and experiences of discrimination: insights from the intersectionality framework

Vu¹,

Li²,

Haardörfer³

et al. 2019

BMC Public Health

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BackgroundIntersectionality theory focuses on how one’s human experiences are constituted by mutually reinforcing interactions between different aspects of one’s identities, such as race, class, gender, and sexual orientation. In this study, we asked: 1) Do associations between intersecting identities (race and sexual orientation) and mental health (depressive symptoms) and substance use (alcohol, tobacco, and marijuana) differ between men and women? and 2) How do single or intersecting self-reports of perceived racial and/or sexual orientation discrimination influence mental health and substance use outcomes for men and women? We compared results of assessing identities versus experiences of discrimination.MethodsMultivariable regressions were conducted on cross-sectional data from 2315 Black and White college students. Predictors included measures of sociodemographic characteristics and experiences of discrimination. Outcomes included past 2-week depressive symptoms (PHQ-9), past 30-day alcohol use, past 30-day tobacco use, and past 30-day marijuana use.ResultsIntersecting identities and experience of discrimination had different associations with outcomes. Among women, self-reporting both forms of discrimination was associated with higher depressive symptoms and substance use. For example, compared to women experiencing no discrimination, women experiencing both forms of discrimination had higher depressive symptoms (B = 3.63, CI = [2.22–5.03]), alcohol use (B = 1.65, CI = [0.56–2.73]), tobacco use (OR = 3.45, CI = [1.97–6.05]), and marijuana use (OR = 3.38, CI = [1.80–6.31]). However, compared to White heterosexual women, White sexual minority women had higher risks for all outcomes (B = 3.16 and CI = [2.03–4.29] for depressive symptoms, B = 1.45 and CI = [0.58–2.32] for alcohol use, OR = 2.21 and CI = [1.32–3.70] for tobacco use, and OR = 3.01 and CI = [1.77–5.12] for marijuana use); while Black sexual minority women had higher tobacco (OR = 2.64, CI = [1.39–5.02]) and marijuana use (OR = 2.81, CI = [1.33–5.92]) only. Compared to White heterosexual men, White sexual minority men had higher depressive symptoms (B = 1.90, CI = [0.52–3.28]) and marijuana use (OR = 2.37, CI = [1.24–4.49]).ConclusionsOur results highlight the deleterious impacts of racial discrimination and sexual orientation discrimination on health, in particular for women. Future studies should distinguish between and jointly assess intersecting social positions (e.g., identities) and processes (e.g., interpersonal experience of discrimination or forms of structural oppression).

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“…coping motives) mediators in the association of racial discrimination and alcohol-related behaviors among black college students [48,49]. Emerging research supports the role of affective (i.e.…”

Section: Mechanismsmentioning

confidence: 95%

“…anger, depressive symptoms) and cognitive (i.e. coping motives) mediators in the association of racial discrimination and alcohol-related behaviors among black college students [48,49]. Notably, these studies were of crosssectional designs, precluding assessment of causality and requiring replication with multi-wave prospective studies.…”

Section: Mechanismsmentioning

confidence: 99%

Racial discrimination and alcohol use and negative drinking consequences among Black Americans: a meta‐analytical review

2019

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Background and Aims Findings of the association between racial discrimination and alcohol use and related consequences are inconsistent, and the role of potential moderators in the association is largely unknown. This meta-analysis aimed to synthesize the discrimination-alcohol literature among Black Americans, estimate the magnitude of associations and explore differences as a function of sample characteristics. Methods Empirical studies reporting the association of racial discrimination with alcohol-related behaviors in an all-black sample were identified via systematic literature search. A random-effects meta-analysis was conducted using 33 effect sizes extracted from 27 studies, all of which used US samples (n = 26 894). Results Significant positive associations were found for racial discrimination with alcohol consumption [k = 9, confidence interval (CI) = 0.08, 0.17, I 2 = 49%, r = 0.12], heavy/binge drinking (k = 12, CI = 0.02, 0.10), I 2 = 27%, r = 0.06), at-risk drinking (k = 4, CI = 0.06, 0.23, I 2 = 0%, r = 0.14) and negative drinking consequences (k = 5, CI = 0.09, 0.25, I 2 = 94%, r = 0.25), but not with alcohol use disorder (k = 3, CI = À0.01, 0.20, I 2 = 90%, r = 0.10). Only alcohol consumption and negative drinking consequences showed significant between-study heterogeneity and had a sufficient quantity of studies for moderation analysis (i.e., 4 or more studies). The positive association of racial discrimination with negative drinking consequences was stronger among younger samples; the association with alcohol consumption did not differ by age or proportion of men. Conclusions Experiences of racial discrimination are associated with diverse alcohol-related behaviors among Black Americans, with a stronger association with problematic alcohol use, particularly among younger individuals.

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Perceived Racial Discrimination and Negative-Mood–Related Drinking Among African American College Students

Cited by 21 publications

References 55 publications

Associations between solitary drinking and increased alcohol consumption, alcohol problems, and drinking to cope motives in adolescents and young adults: a systematic review and meta‐analysis

Associations between solitary drinking and increased alcohol consumption, alcohol problems, and drinking to cope motives in adolescents and young adults: a systematic review and meta‐analysis

Mental health and substance use among women and men at the intersections of identities and experiences of discrimination: insights from the intersectionality framework

Racial discrimination and alcohol use and negative drinking consequences among Black Americans: a meta‐analytical review

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