Multiracial Discrimination Scale: Development and Psychometric Validation of its Associations with Alcohol Use and Misuse among Multiracial Young Adults

多种族歧视量表：其与多种族年轻人饮酒和滥用之间关系的发展和心理测量验证

• 批准号: 10824821
• 负责人: Fatima Dobani
• 金额: $ 3.84万
• 依托单位: SYRACUSE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-25 至 2025-08-24
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10824821
• 关键词: Address; Age; Alcohol consumption; Alcoholism; Alcohols; Automobile Driving; Biological; Characteristics; Data; Development; Dimensions; Discrimination; Disparity; Equation; Ethnic Origin; Ethnic Population; Evidence based intervention; Factor Analysis; Family; Fellowship; First Generation College Students; Focus Groups; Frequencies; Funding; Geographic Locations; Health; Heterogeneity; High Prevalence; Individual; Intervention; Intervention Studies; Knowledge; Literature; Measurement; Mediation; Meta-Analysis; Methodology; Methods; Modeling; National Institute on Alcohol Abuse and Alcoholism; National Research Service Awards; Outcome; Parents; Participant; Pathway interactions; Pattern; Persons; Population; Psychometrics; Race; Reporting; Research; Research Personnel; Risk; Sampling; Societies; Source; Specificity; Strategic Planning; Structure; Techniques; Testing; Training; United States; United States National Institutes of Health; Validation; aged; alcohol misuse; alcohol misuse prevention; alcohol research; alcohol use disorder; binge drinking; career; design; disadvantaged background; drinking; experience; high intensity drinking; instrument; member; minority stress; multi-racial; perpetrators; pre-doctoral; preference; programs; racial discrimination; racial population; sex; sociocultural determinant; sociodemographics; sound; statistics; stressor; theories; training opportunity; university student; young adult

Summary/Abstract Young adulthood is a developmental epoch for alcohol misuse (defined as a pattern of drinking that increases risks for adverse health outcomes). Multiracial (defined as having biological parents of two or more racial/ethnic groups) young adults may be differentially vulnerable to alcohol misuse as they report both the highest prevalence of past-year alcohol consumption and alcohol use disorder compared to other racial/ethnic young adults. Multiracial discrimination is a racially relevant stressor for Multiracial young adults and may be associated with alcohol-related disparities, as consistent with minority stress and tension reduction frameworks, as well as robust support for the discrimination-alcohol misuse association in monoracial young adults. However, our knowledge of Multiracial discrimination is fragmented and compounded by measurement concerns. Notably, general discrimination scales are commonly used to assess Multiracial discrimination despite research demonstrating general discrimination and Multiracial discrimination as distinct constructs. Further, existing Multiracial discrimination scales lack specificity with the source of the discriminatory treatment even though discriminatory messages vary by perpetrators and may be differentially associated with health (including alcohol) outcomes. In the absence of a scale capturing the lived experience of Multiracial discrimination among Multiracial people, alcohol researchers cannot resolve whether Multiracial discrimination is a sociocultural determinant of alcohol misuse and contributing to alcohol-related disparities among Multiracial young adults, who are driving substantial demographic change in the United States. Thus, using a sequential mixed methods approach, the proposed project aims to (a) explore and generate a nuanced view of Multiracial discrimination using thematic analysis from Multiracial young adult focus groups, (b) develop and (c) psychometrically validate the Multiracial Discrimination Scale using exploratory and confirmatory factor analyses, and (d) assess concurrent associations between Multiracial discrimination with alcohol misuse using structural equational modeling. Findings of this project will provide alcohol researchers with a psychometrically sound scale to characterize the scope and magnitude of the Multiracial discrimination-alcohol misuse pathway, to potentially highlight an intervention point preceding alcohol misuse, and thus informing the culturally sensitive design of evidence-based interventions implemented to reduce and prevent alcohol misuse among Multiracial young adults. This NRSA Individual Predoctoral Fellowship to Promote Diversity in Health-Related Research would provide specialized training in mixed methodologies (e.g., connecting qualitative/quantitative data), psychometric statistics (e.g., test theory), and investigating latent constructs (e.g., structural equation modeling), thus providing instrumental support for my developing research program, and laying out a path for a long, prolific, NIH-funded alcohol research career.

摘要/摘要 成年早期是酒精滥用的发展时期（定义为增加饮酒量的饮酒模式） 不良健康结果的风险）。多种族（定义为拥有两个或两个以上的亲生父母 种族/族裔群体）年轻人可能更容易滥用酒精，因为他们报告说 与其他种族/族裔相比，去年饮酒和酒精使用障碍的患病率最高 年轻人。多种族歧视是多种族年轻人的一种与种族相关的压力源，可能是 与酒精相关的差异有关，与少数族裔压力和紧张的减轻一致 框架，以及对单一种族年轻人歧视酒精滥用协会的大力支持 成年人。然而，我们对多种族歧视的了解是支离破碎的，并且通过测量而变得更加复杂。 的担忧。值得注意的是，一般歧视量表通常用于评估多种族歧视 尽管研究表明普遍歧视和多种族歧视是不同的结构。 此外，现有的多种族歧视量表缺乏对歧视性待遇来源的具体说明 尽管歧视性信息因肇事者而异，并且可能与健康有不同的关联 （包括酒精）结果。由于缺乏衡量多种族生活经验的量表 多种族人之间的歧视，酒精研究人员无法解决多种族歧视是否存在 是酒精滥用的社会文化决定因素，并导致与酒精相关的人群之间的差异 多种族的年轻人正在推动美国人口结构的巨大变化。因此，使用 序贯混合方法，拟议项目旨在（a）探索并产生细致入微的观点 使用多种族年轻人焦点小组的主题分析进行多种族歧视，(b) 发展和 (c) 使用探索性和验证性因素对多种族歧视量表进行心理测量验证 分析，以及 (d) 使用以下方法评估多种族歧视与酗酒之间的同时关联： 结构方程模型。该项目的研究结果将为酒精研究人员提供心理测量学 声音尺度来描述多种族歧视-酒精滥用途径的范围和程度， 潜在地强调酒精滥用之前的干预点，从而告知文化 实施基于证据的干预措施的敏感设计，以减少和预防酒精滥用 多种族的年轻人。 NRSA 个人博士前奖学金旨在促进健康相关领域的多样性 研究将提供混合方法的专门培训（例如，将定性/定量 数据）、心理统计（例如测试理论）以及研究潜在结构（例如结构方程） 建模），从而为我的研究项目的开发提供了工具性支持，并为我的研究奠定了道路。 长期、多产、由美国国立卫生研究院 (NIH) 资助的酒精研究生涯。