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Racial discrimination and substance use: longitudinal associations and identity moderators

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Abstract

Current research indicates that racial discrimination is pervasive in the lives of African Americans. Although there are a variety of ways in which discrimination may contribute to health, one potentially important pathway is through its impact on substance use. Addressing the paucity of longitudinal research on this topic, the present study examined the influence of teacher discrimination on changes in substance use over time among African American adolescents and considered three dimensions of racial identity as moderators of this association (centrality, private regard, and public regard). Latent variable SEM analyses indicated that, on average, levels of discrimination were associated with increases in substance use across the high school years. However, public regard was found to moderate this association such that discrimination was less strongly associated with increases in substance use for individual who reported lower levels of public regard. The implications of these findings are discussed.

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Notes

  1. The percentage of Black students in the school was explored as a moderator of the effects of discrimination on substance use but was not found to be significant. Furthermore, controlling for the main effect of the percentage of Black students in the school did not change the effects of discrimination on substance use.

  2. Of the 1,046 individuals who participated in wave 3 of the MADICS study, 613 were African American. Of these, 417 also participated in wave 4.

  3. Wave 3 data collection took place in the summer immediately before 9th grade. The measure of perceived discrimination in wave 3 reflects experiences that occurred in 8th grade.

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Acknowledgments

Support for this research was provided by the National Institute of Child Health and Human Development grant 1R01HD048970-01A2, the National Institute on Aging grant RC2 AG036780-01, and the Robert Wood Johnson Foundation Health & Society Scholars program.

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Correspondence to Thomas E. Fuller-Rowell.

Appendix: Items for measure of perceived teacher discrimination

Appendix: Items for measure of perceived teacher discrimination

  1. 1.

    At school, how often do you feel that teachers call on you less often than they call on other kids because of your race?

  2. 2.

    At school, how often do you feel that teachers grade you harder than they grade other kids because of your race?

  3. 3.

    At school, how often do you feel that you get disciplined more harshly by teachers than other kids do because of your race?

  4. 4.

    At school, how often do you feel that teachers think you are less smart than you really are because of your race?

  5. 5.

    How often have you felt that teachers/counselors discourage you from taking certain classes because of your race?

  • Response options for items 1–4: never (1); a couple of times a year (2); a couple of times each month (3); once or twice a week (4); every day (5).

  • Response options for item 5: never (1); once or twice (2); three or four times (3); five or six times (4); more than six times (5).

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Fuller-Rowell, T.E., Cogburn, C.D., Brodish, A.B. et al. Racial discrimination and substance use: longitudinal associations and identity moderators. J Behav Med 35, 581–590 (2012). https://doi.org/10.1007/s10865-011-9388-7

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  • DOI: https://doi.org/10.1007/s10865-011-9388-7

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