Evidence map›Paper›PMID 37095073›Full record

ArticleAlcohol, clinical & experimental research2023

The role of culture in the association between racial discrimination and alcohol use among North American Indigenous adolescents reporting recent drinking.

Melissa R Schick, Tessa Nalven, Alana Egan, Nichea S Spillane

Abstract read
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In one paragraph

Article in Alcohol, clinical & experimental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Melissa R SchickDepartment of Psychology, PATHS Lab, University of Rhode Island, Kingston, Rhode Island, USA.ORCID https://orcid.org/0000-0003-0689-6672
Tessa NalvenDepartment of Psychology, PATHS Lab, University of Rhode Island, Kingston, Rhode Island, USA.ORCID https://orcid.org/0000-0002-1332-195X
Alana EganDepartment of Psychology, PATHS Lab, University of Rhode Island, Kingston, Rhode Island, USA.
Nichea S SpillaneDepartment of Psychology, PATHS Lab, University of Rhode Island, Kingston, Rhode Island, USA.

Funding

Substance Use Among American Indian Youth: Epidemiology & EtiologyR01DA003371 · NIDA · COLORADO STATE UNIVERSITY-FORT COLLINS · PI Meghan A Crabtree, KIMBERLY L HENRY · 1985 to 2026
$13.7M
Research Training Program in Substance Use PreventionT32DA019426 · NIDA · YALE UNIVERSITY · PI TAMI P SULLIVAN · 2005 to 2026
$7.5M
Preparing Trainees from Diverse Backgrounds for Alcohol Research CareersR25AA028464 · NIAAA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI FLANAGAN, JULIANNE CHRISTINA · 2021 to 2025
$1.2M
Contextual risk factors for substance use in adolescent Reservation-Dwelling American IndiansK08DA029094 · NIDA · UNIVERSITY OF RHODE ISLAND · PI SPILLANE, NICHEA SOLOMON · 2010 to 2014
$862k
Risk and Protective Factors for Multiracial Alcohol and Other Drug Use: A Mixed Methods ApproachF31DA053754 · NIDA · UNIVERSITY OF RHODE ISLAND · PI NALVEN, TESSA · 2021 to 2022
$86k
NIAAA NIH HHS R25 AA028464NIAAA NIH HHS R2 5AA028464NIDA NIH HHS F31 DA053754NIDA NIH HHS K08 DA029094NIDA NIH HHS R01 DA003371NIDA NIH HHS T32 DA019426
6 · The paper itself

Abstract

backgroundNorth American Indigenous (NAI) communities have identified alcohol use as a primary health concern. Experiences of racial discrimination are associated with greater alcohol use, but findings are mixed regarding the role of culture in this relationship. The goal of the present study was to examine the role of culture in the association between racial discrimination and alcohol use.

methodsAcross two studies (Study 1: N = 52; Study 2: N = 1743), NAI adolescents living on or near NAI reservations who reported recent alcohol use completed self-report measures of racial discrimination, cultural affiliation, and alcohol use (e.g., frequency).

resultsBivariate correlations revealed a significant positive association between racial discrimination and alcohol use (Study 1: r = 0.31, p = 0.029; Study 2: r = 0.14, p < 0.001) but not between cultural affiliation and alcohol use. Racial discrimination and cultural affiliation were significantly positively correlated in Study 1 (r = 0.18, p < 0.001), but not in Study 2. Across both studies, the interactions between racial discrimination and cultural affiliation significantly predicted alcohol use in unadjusted models (Study 1: b = 0.70, SE = 0.32, p = 0.033, 95% CI [0.06, 1.33]; Study 2: b = 0.01, SE = 0.01, p = 0.041, 95% CI [0.001, 0.03]), such that the association between racial discrimination and alcohol use was stronger for adolescents reporting high (vs. low) levels of cultural affiliation. In adjusted models controlling for age and sex, the interaction between racial discrimination and cultural affiliation remained significant in Study 2 (b = 0.01, SE = 0.01, p = 0.0496, 95% CI [0.00002, 0.03]) but was no longer significant in Study 1.

conclusionsFindings speak to the need to reduce racial discrimination against NAI youth and to consider youths' different needs based on level of cultural affiliation to reduce subsequent alcohol consumption.

Indexed as

adolescentsalcohol usecultural affiliationNorth American Indigenousracial discrimination

Identifiers

PMID37095073
PMCPMC10289135

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.