Racial identity, discrimination, and polysubstance use: Examining culturally relevant correlates of substance use profiles among Black young adults.

Banks, Devin E.; Clifton, Richelle L.; Wheeler, Paris B.

doi:10.1037/adb0000690

Cited by 23 publications

(12 citation statements)

References 33 publications

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“…For example, rates of consuming 5+ drinks and 10+ drinks in a row were greatest among those aged 25–26 years in a national sample of 19–30-year-olds, with rates of both patterns of drinking among those aged 29–30 years being greater than those aged 19–20 years (Schulenberg et al, 2021). Moreover, research to develop and evaluate BAIs for young adults has largely recruited from 4-year predominantly white institutions (PWIs), and these BAIs have frequently been discussed as if they work equivalently across various college subpopulations (Carey et al, 2007) and young adults in general (Tanner-Smith & Lipsey, 2015), despite demonstrable differences across young adult subpopulations in patterns of risk factors for high-risk drinking (e.g., Gilbert et al, 2018; Le & Iwamoto, 2019; Petrova et al, 2019), protective/resiliency factors (e.g., Banks et al, 2020; Straus et al, 2019; Talley et al, 2016), and appropriateness or potential impact of intervention components and modalities (e.g., Gilbert et al, 2018; Lewis et al, 2018; Zemore et al, 2018). These differences call into question how well BAIs developed in samples of college students at 4-year PWIs generalize to other contexts and to specific subpopulations of young adults that may span these contexts.…”

Section: Black Indigenous and People Of Color Young Adultsmentioning

confidence: 99%

A scoping review of brief alcohol interventions across young adult subpopulations.

Cronce¹,

Marchetti²,

Jones³

et al. 2022

Psychology of Addictive Behaviors

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Objective: Brief alcohol interventions (BAIs) have historically centered on young adults attending 4-year predominantly white institutions. The purpose of this scoping review is to determine BAIs evaluated among young adults with one or more marginalized/understudied racial, ethnic, sexual, gender, and military/ Veteran identities and/or who are embedded in an understudied context based on houselessness, attending a 2-year institution, or not attending college. A secondary objective is to explore definitions of the constructs young adult and brief to inform subsequent systematic reviews. Method: Sources had to be published in English between January 1, 1999 and December 31, 2019 and report the evaluation of an intervention ≤5 hr long, delivered over ≤4 weeks, among participants aged 18-30 years (or 16-30 in college contexts) within a specified marginalized/understudied subpopulation/context wherein alcohol use and/or consequences were a primary outcome. Systematic searches were conducted in APA PsycNet, the EBSCO Psychology and Behavioral Sciences Collection, PubMed, Sociological Abstracts, and Web of Science. Screening was independently performed by two coders who also extracted data. Results: Of 4,825 identified records, 158 provided data; 86 described interventions fitting our definition of brief; of these, only 21 met criteria based on our definition of young adult, with nine meeting full inclusion criteria based on young adult subpopulation. Conclusions: Findings signify a need for additional research evaluating BAIs among young adult subpopulations and highlight the importance of carefully defining and reporting participant characteristics. Increased attention to sociocultural considerations and strengths relevant to the diverse contexts and intersecting identities of young adults may strengthen extant BAIs and equitably mitigate alcohol-related harm. Public Health Significance StatementThis scoping review highlights a need for more research assessing how well brief alcohol interventions work across young adults in various contexts and with one or more marginalized or understudied identities. The results suggest that attention to key definitions (e.g., What is meant by brief? How might the age range for young adult vary depending on social roles and settings?) and subpopulation-specific factors (e.g., experiences of discrimination, cultural sources of resilience) may lead to improved future research efforts in this area.

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Section: Black Indigenous and People Of Color Young Adultsmentioning

confidence: 99%

A scoping review of brief alcohol interventions across young adult subpopulations.

Cronce¹,

Marchetti²,

Jones³

et al. 2022

Psychology of Addictive Behaviors

View full text Add to dashboard Cite

show abstract

“…Although racial identity has been identified as an important factor in substance use behavior of African American adolescents, it has not been examined in relation to different patterns of substance use among this group. One recent study among African American young adults found that positive private regard was inversely associated with cannabis and alcohol co-use, but not alcohol-only use, relative to nonuse (Banks et al, 2021). This points to the importance of considering the impact of racial identity not only in the development of single-substance use, but also in the development of concurrent substance use among African-American youth.…”

Section: Traditional Correlates Of Concurrent Alcohol and Cannabis Usementioning

confidence: 99%

Traditional risk and cultural protection: Correlates of alcohol and cannabis co-use among African-American adolescents.

Banks

Riley

Bernard

et al. 2021

Psychology of Addictive Behaviors

Self Cite

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Objective: Previous work indicates that African-American adolescents are at high risk for concurrent alcohol and cannabis use. The present study examines the associations of traditional ecological predictors of substance use with concurrent alcohol and cannabis use among African-American adolescents. It also examines whether racial identity, a culturally relevant factor, is associated with concurrent use beyond the influence of traditional factors. Method: Secondary analyses were conducted based on a large survey of high school adolescents. Responses on self-report measures of substance use and psychosocial determinants of health were examined for those respondents in grades 9-12 who identified as African American (N = 465; 59.8% female). Results: Findings demonstrated that traditional risk and resilience factors, including externalizing symptoms and substance use beliefs, were related to alcohol and cannabis co-use relative to other patterns of use among African-American adolescents. Racial identity dimensions were also associated with alcohol and cannabis co-use beyond the influence of traditional factors. However, the direction of these associations varied by dimension. Conclusions: Findings from the present study assist in advancing the current knowledge base by identifying potential risk and protective factors for alcohol and cannabis co-use among African-American youth, who face increasing rates of this substance use pattern. They also underscore the importance of accounting for cultural variability in models of adolescent substance use among this population. Public Health Significance StatementThis study found that universal psychological factors like conduct problems and positive beliefs about substance use are related to alcohol and cannabis co-use among African-American adolescents. The study highlights the importance of considering not only universal factors, but also race-related factors, when trying to understand alcohol and cannabis co-use among this group. Specifically, the meaning and significance African-American adolescents ascribe to their race may help explain why they engage in certain substance use patterns.

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“…Using two or more substances are common patterns of tobacco, alcohol, and cannabis use, [9][10][11][12][13][14] and may be particularly relevant for those experiencing high levels of stress and discrimination 15 such as sexual minority females. 16 Further, some research has shown that patterns of substance use vary based on sexual identity.…”

Section: Introductionmentioning

confidence: 99%

Single‐use, co‐use, and polysubstance use of alcohol, tobacco, and cannabis in sexual minority and heterosexual females

et al. 2022

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Background and Objective: Alcohol, tobacco, and cannabis use are more prevalent in sexual minority females than heterosexual females, and their use is associated with adverse consequences. Identifying disparities in substance use patterns by sexual identity may inform interventions targeting this vulnerable group. This study examined differences between heterosexual and sexual minority females on patterns of past 30-day tobacco, alcohol, and cannabis use. Methods: N = 3020 females (18.8% sexual minority) completed an online survey (September 2020-October 2021) that queried about past 30-day tobacco/nicotine (cigarettes, e-cigarettes, large cigar/LCCs, and other products), alcohol, and cannabis use. Participants were classified into one of eight patterns: no use, tobacco/nicotineonly, alcohol-only, cannabis-only, alcohol and tobacco/nicotine, tobacco/nicotine and cannabis, alcohol and cannabis, and polysubstance use. A multinomial logistic regression model examined the association between sexual identity and each substance use group, controlling for demographics. Results: Across both groups, no substance use was the most common pattern. Polysubstance use was the most common substance use pattern among sexual minority females. In adjusted regression models, sexual minority females were more likely to report cannabis-only (adjusted odds ratio [AOR] = 2.58), tobacco/nicotine and cannabis co-use (AOR = 1.74), alcohol and cannabis co-use (AOR = 2.50), and polysubstance use (AOR = 2.60), compared to heterosexual females. [Correction added on 23 November 2022, after first online publication: In the preceding paragraph, the AOR and CI values were corrected.] Discussion and Conclusions: Substance use patterns that involve cannabis are more common among sexual minority females. Scientific Significance: This study extends prior research by using a large sample of females to examine differences based on sexual identity in patterns of tobacco/ nicotine, alcohol, and cannabis use beyond single substance use and considers co-use and polysubstance use.

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Racial identity, discrimination, and polysubstance use: Examining culturally relevant correlates of substance use profiles among Black young adults.

Cited by 23 publications

References 33 publications

A scoping review of brief alcohol interventions across young adult subpopulations.

A scoping review of brief alcohol interventions across young adult subpopulations.

Traditional risk and cultural protection: Correlates of alcohol and cannabis co-use among African-American adolescents.

Single‐use, co‐use, and polysubstance use of alcohol, tobacco, and cannabis in sexual minority and heterosexual females

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