ArticleAlcoholism, clinical and experimental research2021
Racial discrimination, racial identity affiliation, and heavy alcohol use among multiracial individuals.
Article in Alcoholism, clinical and experimental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- A meta-analytic review of the relationship between racial discrimination and alcohol and other drug use outcomes in minoritised racial/ethnic groups.Addiction (Abingdon, England) · 2025Pooled it
- Alcohol use in multiracial American youth compared with monoracial youth: A meta-analysis.Addiction (Abingdon, England) · 2024Pooled it
- Associations of General and Multiracial-Specific Discrimination with Psychological Distress and Substance Use in Multiracial College Students.Substance use & misuse · 2026Article
- Differences in substance use initiation patterns among biracial and monoracial adolescents: an integrative data analysis of two nationally representative samples.Addictive behaviors · 2026Article
- Gender differences in alcohol use disorder trends from 2009-2019: An intersectional analysis.Alcohol (Fayetteville, N.Y.) · 2025Article
- Addressing racial and ethnic disparities in premature exits from permanent supportive housing among residents with substance use disorders.BMC public health · 2025Article
- Racial discrimination and substance use among people of color.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2024Article
- Participant diversity in ACER: 2010-2022.Alcohol, clinical & experimental research · 2024Article
- Prevalence and correlates of alcohol-induced blackout in a diverse sample of veterans.Alcohol, clinical & experimental research · 2023Article
- Racial centrality mediates the association between adolescent racial discrimination and adult cigarette smoking outcomes among Black Americans.Social science & medicine (1982) · 2023Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundAlcohol use is disproportionately higher among multiracial than monoracial adults; yet, associated risk and protective factors are underexplored. The present study compared levels of experienced racial discrimination, racial identity affiliation, and heavy alcohol use among multiracial and monoracial adults and tested whether racial identity affiliation, experienced racial discrimination, and their interaction were significantly associated with heavy alcohol use among multiracial individuals.
methodsWe conducted secondary analyses of data from the National Epidemiologic Survey on Alcohol and Related Conditions-III. Participants are a nationally representative sample of all U.S. adults (N = 29,026; 56.4% female) and were interviewed for the study from 2012 to 2013. The sample includes 598multiracial individuals.
resultsLinear regression analyses showed that multiracial individuals experienced significantly greater racial discrimination than White (b = -1.26, 95% CI [-1.47, -1.05], p < 0.001) or Asian individuals (b = -0.30, 95% CI [-0.53, -0.06], p = 0.013) but less than Black individuals (b = 0.29, 95% CI [0.08, 0.50], p = 0.007). Furthermore, multiracial individuals reported less affiliation with their racial identity than Black (b = 4.92, 95% CI [4.23, 5.62], p < 0.001) or Asian individuals (b = 3.86, 95% CI [3.09, 4.63], p < 0.001) but did not differ significantly from White individuals. Logistic regression analysis showed that multiracial individuals were significantly more likely to report heavy drinking than Asian individuals (OR = 0.53, 95% CI [0.36, 0.78], p = 0.001) but did not differ significantly from White or Black individuals. Finally, experienced racial discrimination was significantly related to heavy alcohol use in multiracial adults (b = 0.11, 95% CI [0.01, 0.20], p = 0.031), though neither racial identity affiliation nor the interaction of racial identity affiliation with experienced racial discrimination were significantly related to heavy alcohol use.
conclusionsOur results suggest that multiracial individuals, as compared to other minoritized individuals who are monoracial, report high levels of experienced racial discrimination and heavy alcohol use and low levels of racial identity affiliation. Further understanding of the effects of racial identity affiliation and experienced racial discrimination on the risk for heavy alcohol use could help in the development of interventions aimed at reducing alcohol use disparities among multiracial individuals.
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