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Patterns of Familial and Racial Trauma and Their Associations with Substance Use Disorders among Racial/Ethnic
Daejun Park1, Eunwoo Lee2, Sejung Yang3
1Department of Social Work, Ohio University, Athens, OH, 45701, USA. parkd@ohio.edu.
Journal of Racial and Ethnic Health Disparities
|October 9, 2023
Summary
Racial trauma and adverse childhood experiences (ACEs) are linked to higher risks of substance use disorders (SUDs) in minority adults. Targeted, culturally sensitive interventions are crucial for prevention and treatment.
Area of Science:
- Public Health
- Psychiatry
- Sociology
Background:
- Racial/ethnic minorities in the U.S. face diverse traumatic events.
- Understanding familial and racial trauma is key to addressing substance use disorders (SUDs) in these populations.
Purpose of the Study:
- To examine trauma patterns and their association with SUDs among racial/ethnic minority adults.
- To identify specific trauma exposures linked to increased SUD risks.
Main Methods:
- Utilized data from the National Epidemiologic Survey of Alcohol and Related Conditions-III (N=17,115).
- Employed latent class analysis to identify trauma exposure patterns.
- Measured familial and racial trauma using adverse childhood experiences (ACEs) and racial discrimination items.
Main Results:
- Identified four trauma groups: low trauma (62.1%), high discrimination (17.2%), high ACEs (14.9%), and high trauma (5.9%).
- Black and American Indian/Alaska Native (AI/AN) adults were overrepresented in higher trauma groups.
- Higher trauma groups showed increased risks for alcohol, opioid, stimulant, and other drug use disorders.
Conclusions:
- Black and AI/AN adults exhibit a higher risk for trauma exposure.
- Racially and ethnically sensitive, trauma-focused interventions are recommended for SUD prevention and reduction in these populations.
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