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Racial-Based Bullying and Substance Use: a Brazilian National Cross-Sectional Survey Among Students.

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Racial-based bullying (RBB) disproportionately affects minority students in Brazil, increasing alcohol and tobacco use. Anti-racist school programs are crucial for substance use prevention, especially for girls.

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Area of Science:

  • Public Health
  • Social Sciences
  • Adolescent Health

Background:

  • Racial discrimination is linked to adverse health outcomes and behaviors.
  • Racial-based bullying (RBB), a combination of bullying and racial discrimination, requires investigation in diverse populations.
  • Understanding RBB's impact on substance use among Brazilian youth is vital for targeted interventions.

Purpose of the Study:

  • To examine the association between racial-based bullying (RBB) and substance use among Brazilian ninth-grade students.
  • To explore racial and gender disparities in RBB prevalence and its relationship with alcohol, tobacco, and other drug use.

Main Methods:

  • Utilized data from the 2015 National Survey of School Health (PeNSE) involving 102,072 students.
  • Analyzed self-reported race/skin color and recent substance use (alcohol, tobacco, marijuana, cocaine, crack, sniffed glue, loló/lança-perfume).
  • Employed quasi-Poisson regression models to estimate prevalence ratios, adjusting for demographic and socioeconomic factors.

Main Results:

  • RBB prevalence was higher among students with darker skin tones and more pronounced in girls than boys.
  • RBB partially mediated the relationship between minority racial status and the recent use of alcohol and tobacco.
  • No significant association was found between RBB and the use of other illicit substances.

Conclusions:

  • School-based substance use prevention strategies must integrate anti-racist objectives.
  • Gender-specific approaches are necessary to address racial discrimination's impact on alcohol use.
  • Interventions should focus on mitigating RBB's influence on adolescent alcohol and tobacco consumption in Brazil.