Perceived discrimination, racial identity, and health behaviors among black primary-care patients who use drugs

J Ethn Subst Abuse. 2018 Oct-Dec;17(4):460-477. doi: 10.1080/15332640.2017.1288189. Epub 2017 Mar 10.

Abstract

Blacks who use drugs are at heightened risk for health problems. Discrimination experiences may contribute to these risks by influencing health behaviors. This study examined associations between discrimination, racial identity, and health behaviors (alcohol use, cigarette smoking, low physical activity, and unprotected [condomless] sex) in a sample of 203 Black primary-care patients who reported current drug use. Logistic regression analyses did not find direct effects of discrimination or identity on outcomes. Hypothesized moderation of discrimination by racial identity was not observed in expected direction for the outcome of unprotected sex.

Keywords: Drug use; health risk behavior; perceived discrimination; racial identity.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Alcohol Drinking / ethnology*
  • Black or African American / ethnology*
  • Cigarette Smoking / ethnology*
  • Exercise*
  • Female
  • Health Behavior / ethnology*
  • Humans
  • Male
  • Middle Aged
  • Primary Health Care
  • Racism / ethnology*
  • Social Identification*
  • Substance-Related Disorders / ethnology*
  • Substance-Related Disorders / therapy
  • Unsafe Sex / ethnology*