Abstract

Minority Stress Theory posits that discrimination is associated with negative mental health outcomes; however, the location of the perceived discrimination may matter. This study examines whether race, inside-neighborhood discrimination, and their interaction are associated with hazardous drinking, alcohol-related consequences, and depressive/anxiety symptoms in a racially diverse sample of Latino/a adults. Participants (N = 296, 63% male, M_age=41, SD = 12.2) who met criteria for hazardous drinking (4/5 drinks per occasion for females/males, respectively) were separated into two racial groups: those who self-identified as either White (21%, n = 63) or a minoritized race (79%, n = 233). Regression analyses explored whether racial status (White/minoritized race), inside-neighborhood discrimination, and their interaction were associated with hazardous drinking, alcohol-related consequences, and anxiety/depressive symptoms. Perceiving more frequent inside-neighborhood discrimination was associated with greater hazardous drinking (B = 0.03, SE = 0.01, p=.003), alcohol-related consequences (B = 1.92, SE = 3.39, p=.001), and depressive symptoms (B = 0.79, SE = 0.25, p=.001). For anxiety symptoms, the interaction between discrimination and racial status was significant (B = 1.62, SE = 0.76, p=.034); greater perceived inside-neighborhood discrimination was related to more anxiety symptoms only for Latino/a individuals with a minoritized race (but not for those who are Latino/a and White). These findings suggest that perceiving neighborhood discrimination is associated with hazardous drinking, alcohol-related consequences, and depressive symptoms among Latino/a individuals regardless of racial status. Further, Latino/a individuals with a minoritized race who report inside-neighborhood discrimination show greater anxiety symptoms than Latino/a White individuals. Findings highlight the importance of exploring the roles of race and discrimination inside one’s neighborhood within the Latino/a population.

摘要

少数族裔压力理论认为歧视与消极的心理健康结果有关；然而，感知歧视的位置可能很重要。本研究检查种族、邻里歧视及其相互作用是否与拉丁裔/成年人的种族多样化样本中的危险饮酒、酒精相关后果和抑郁/焦虑症状有关。 符合危险饮酒标准的参与者（N  = 296，63% 男性，M_年龄=41，SD = 12.2）被分为两个种族群体：那些自我被确定为白人 (21%, n  = 63) 或少数族裔 (79%, n = 233）。回归分析探讨了种族地位（白人/少数族裔）、邻里歧视及其相互作用是否与危险饮酒、酒精相关后果和焦虑/抑郁症状有关。感知到更频繁的邻里歧视与更危险的饮酒 ( B  = 0.03, SE  = 0.01, p =.003)、酒精相关后果 ( B  = 1.92, SE  = 3.39, p =.001) 和抑郁症状有关（B  = 0.79，SE  = 0.25，p =.001）。对于焦虑症状，歧视与种族地位的交互作用显着（B = 1.62，SE  = 0.76，p =.034）；只有少数种族的拉丁裔/a 人（但不是拉丁裔/a 和白人的人），感知到的更大的社区内部歧视与更多的焦虑症状有关。这些发现表明，无论种族状况如何，在拉丁裔/a 人中，感知邻里歧视都与危险饮酒、酒精相关后果和抑郁症状有关。此外，报告邻里歧视的拉丁裔/a 少数种族个体比拉丁裔/a 白人表现出更大的焦虑症状。调查结果强调了探索种族和歧视在拉丁裔/a 人口社区内的作用的重要性。