title: Racial discrimination, socioeconomic position, and illicit drug use among US Blacks.
abstract: OBJECTIVE
  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.affiliation: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, 10032, USA.
authors.forename: Hannah
authors.initials: H
authors.lastname: Carliner
authors.affiliation: New York State Psychiatric Institute, 1051 Riverside Drive #123, New York, NY, 10032, USA.
authors.forename: Erin
authors.initials: E
authors.lastname: Delker
authors.affiliation: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, 10032, USA.
authors.forename: David S
authors.initials: DS
authors.lastname: Fink
authors.affiliation: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, 10032, USA.
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Keyes
authors.affiliation: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, 10032, USA. deborah.hasin@gmail.com.|New York State Psychiatric Institute, 1051 Riverside Drive #123, New York, NY, 10032, USA. deborah.hasin@gmail.com.|Department of Psychiatry, Columbia University, New York, NY, 10032, USA. deborah.hasin@gmail.com.
authors.forename: Deborah S
authors.initials: DS
authors.lastname: Hasin
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D000368:Aged; D005260:Female; D054624:Health Status Disparities; D006801:Humans; D013287:Illicit Drugs; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D063505:Racism / Q000523:psychology*; D057566:Self Report; D012923:Social Class; D019966:Substance-Related Disorders / Q000208:ethnology*; D014481:United States / Q000453:epidemiology; D055815:Young Adult
chemical_list: D013287:Illicit Drugs
keywords: African-Americans; Intersectionality; Racial discrimination; Socioeconomic position; Substance use
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