Discrimination and Subsequent Mental Health, Substance Use, and Well-being in Young Adults.
Adult
Age Factors
Ageism
/ ethnology
Apathy
Binge Drinking
/ epidemiology
Cross-Sectional Studies
Female
Health Status
Humans
Interpersonal Relations
Logistic Models
Longitudinal Studies
Male
Mental Disorders
/ diagnosis
Prejudice
/ ethnology
Prevalence
Psychological Distress
Racism
/ ethnology
Self Report
Sex Factors
Sexism
/ ethnology
Socioeconomic Factors
Substance-Related Disorders
/ epidemiology
Time Factors
United States
/ epidemiology
Young Adult
Journal
Pediatrics
ISSN: 1098-4275
Titre abrégé: Pediatrics
Pays: United States
ID NLM: 0376422
Informations de publication
Date de publication:
01 12 2021
01 12 2021
Historique:
accepted:
13
08
2021
pubmed:
25
11
2021
medline:
24
12
2021
entrez:
24
11
2021
Statut:
ppublish
Résumé
Discrimination has been shown to have profound negative effects on mental and behavioral health and may influence these outcomes early in adulthood. We aimed to examine short-term, long-term, and cumulative associations between different types of interpersonal discrimination (eg, racism, sexism, ageism, and physical appearance discrimination) and mental health, substance use, and well-being for young adults in a longitudinal nationally representative US sample. We used data from 6 waves of the Transition to Adulthood Supplement (2007-2017, 1834 participants) of the Panel Study of Income Dynamics. Outcome variables included self-reported health, drug use, binge drinking, mental illness diagnosis, Languishing and Flourishing score, and Kessler Psychological Distress Scale score. We used logistic regression with cluster-robust variance estimation to test cross-sectional and longitudinal associations between discrimination frequency (overall, cumulative, and by different reason) and outcomes, controlling for sociodemographics. Increased discrimination frequency was associated with higher prevalence of languishing (relative risk [RR] 1.34 [95% CI 1.2-1.4]), psychological distress (RR 2.03 [95% CI 1.7-2.4]), mental illness diagnosis (RR 1.26 [95% CI 1.1-1.4]), drug use (RR 1.24 [95% CI 1.2-1.3]), and poor self-reported health (RR 1.26 [95% CI 1.1-1.4]) in the same wave. Associations persisted 2 to 6 years after exposure to discrimination. Similar associations were found with cumulative high-frequency discrimination and with each discrimination subcategory in cross-sectional and longitudinal analyses. In this nationally representative longitudinal sample, current and past discrimination had pervasive adverse associations with mental health, substance use, and well-being in young adults.
Identifiants
pubmed: 34816276
pii: 183387
doi: 10.1542/peds.2021-051378
pmc: PMC9126825
mid: NIHMS1800923
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : NIDA NIH HHS
ID : K23 DA045747
Pays : United States
Organisme : NICHD NIH HHS
ID : K23 HD099308
Pays : United States
Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2021 by the American Academy of Pediatrics.
Déclaration de conflit d'intérêts
POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.
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