Individual and Group Racism and Problem Drinking Among African American Women

This study investigated whether perceived individual and group racism were associated with problematic drinking patterns among urban African American women. In this cross-sectional survey, 139 African American women aged 21 to 49 years who consumed alcohol at least once per month were recruited from and interviewed at varied community sites in Central Harlem, New York City. Drinking patterns were assessed with the CAGE, a commonly used four-item screening measure. Frequent heavy drinking was measured with a single item used in the Centers for Disease Control Behavioral Risk Factor Surveillance System. The results showed that, controlling for household income and education level, individual racism was associated with drinking patterns suggestive of alcohol dependence but not frequent heavy drinking. Group racism was not associated with either outcome. The results replicate and extend findings in previous studies and contribute to building literature on the effects of racism on health-damaging behaviors.

[1]  C P Jones,et al.  Levels of racism: a theoretic framework and a gardener's tale. , 2000, American journal of public health.

[2]  J. Palmer,et al.  Racial discrimination and breast cancer incidence in US Black women: the Black Women's Health Study. , 2007, American journal of epidemiology.

[3]  K. Matthews,et al.  Chronic Exposure to Everyday Discrimination and Coronary Artery Calcification in African-American Women: The SWAN Heart Study , 2006, Psychosomatic medicine.

[4]  D. W. Sue,et al.  Racial microaggressions in everyday life: implications for clinical practice. , 2007, The American psychologist.

[5]  S. Hall,et al.  Physiological responses to racism and discrimination: an assessment of the evidence. , 2003, American journal of public health.

[6]  E. Klonoff,et al.  Racial discrimination and cigarette smoking among Blacks: findings from two studies. , 2000, Ethnicity & disease.

[7]  M. Lobel,et al.  Explaining disproportionately high rates of adverse birth outcomes among African Americans: the impact of stress, racism, and related factors in pregnancy. , 2005, Psychological bulletin.

[8]  D. Ragland,et al.  Racial discrimination and alcohol-related behavior in urban transit operators: findings from the San Francisco Muni Health and Safety Study. , 1999, Public health reports.

[9]  J. N. Shelton,et al.  The role of racial identity in perceived racial discrimination. , 2003, Journal of personality and social psychology.

[10]  David R. Williams,et al.  Self-reported racial discrimination and substance use in the Coronary Artery Risk Development in Adults Study. , 2007, American journal of epidemiology.

[11]  N. Anderson,et al.  Racism as a stressor for African Americans. A biopsychosocial model. , 1999, The American psychologist.

[12]  I. Meyer Prejudice as stress: conceptual and measurement problems. , 2003, American journal of public health.

[13]  A. Lunde,et al.  Health in the United States , 1968, Nature.

[14]  David R. Williams,et al.  African American Girls’ Smoking Habits and Day-to-Day Experiences With Racial Discrimination , 2002, Nursing research.

[15]  J. Jackson,et al.  Unfair treatment, neighborhood effects, and mental health in the Detroit metropolitan area. , 2000, Journal of health and social behavior.

[16]  Y. Paradies A systematic review of empirical research on self-reported racism and health. , 2006, International journal of epidemiology.

[17]  N. O. Kwate,et al.  Prevalence, proximity and predictors of alcohol ads in Central Harlem. , 2007, Alcohol and alcoholism.

[18]  J. Ewing,et al.  Detecting alcoholism. The CAGE questionnaire. , 1984, JAMA.

[19]  C. Clark,et al.  Alcohol Consumption Among Racial/Ethnic Minorities Theory and Research , 1998 .

[20]  S. Cantor,et al.  Item bias in the CAGE screening test for alcohol use disorders , 1997, Journal of General Internal Medicine.

[21]  Robert D. Tortora,et al.  Sampling: Design and Analysis , 2000 .

[22]  J. Palmer,et al.  Patterns and correlates of alcohol consumption among African-American women. , 2002, Ethnicity & disease.

[23]  David R. Williams,et al.  Discrimination and racial disparities in health: evidence and needed research , 2009, Journal of Behavioral Medicine.

[24]  W. Shadish,et al.  Experimental and Quasi-Experimental Designs for Generalized Causal Inference , 2001 .

[25]  S. Subramanian,et al.  Racial residential segregation and geographic heterogeneity in black/white disparity in poor self-rated health in the US: a multilevel statistical analysis. , 2005, Social science & medicine.

[26]  R. Jones-Webb Drinking Patterns and Problems Among African-Americans: Recent Findings , 1998, Alcohol health and research world.

[27]  C. Williams,et al.  Addictive behaviors and depression among African Americans residing in a public housing community. , 2000, Addictive behaviors.

[28]  C. Hobel,et al.  Racial differences in birth outcomes: the role of general, pregnancy, and racism stress. , 2008, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[29]  K. Mukamal The Effects of Smoking and Drinking on Cardiovascular Disease and Risk Factors , 2006, Alcohol research & health : the journal of the National Institute on Alcohol Abuse and Alcoholism.

[30]  P. Roman,et al.  Problem drinking patterns among African Americans: the impacts of reports of discrimination, perceptions of prejudice, and "risky" coping strategies. , 2003, Journal of health and social behavior.

[31]  Danielle Beatty,et al.  Coping with racism: a selective review of the literature and a theoretical and methodological critique , 2009, Journal of Behavioral Medicine.