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COVID-19 Racial Discrimination and Substance Use among Asian Americans by Gender.

Dale Dagar Maglalang1, Nari Yoo2, Michael Park3

  • 1Silver School of Social Work, New York University, 1 Washington Square North, New York, NY, 10003, USA. dale.maglalang@nyu.edu.

Journal of Racial and Ethnic Health Disparities
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PubMed
Summary
This summary is machine-generated.

COVID-19 racial discrimination increased substance use among Asian Americans (AAs). AA men were more vulnerable to alcohol and cannabis use after experiencing discrimination, highlighting the need for gender-specific interventions.

Keywords:
Asian AmericansCOVID-19GenderMinority stress modelRacial discriminationSubstance use

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Area of Science:

  • Public Health
  • Sociology
  • Psychology

Background:

  • The COVID-19 pandemic exacerbated anti-Asian racial discrimination in the U.S.
  • Limited research has explored gender differences in the impact of this discrimination on substance use among Asian Americans (AAs).

Purpose of the Study:

  • To examine the association between COVID-19-related discrimination and substance use behaviors among diverse Asian American adults.
  • To investigate the moderating role of gender in the relationship between racial discrimination and substance use.

Main Methods:

  • Survey data from 1,052 Asian American adults (Chinese, Filipino/a/x, South Asian) collected in May 2022.
  • Measurement of discrimination across direct overt, direct subtle, and vicarious dimensions.
  • Analysis of past-year alcohol, tobacco/nicotine, cannabis, and illicit substance use using ordinal logistic regression.

Main Results:

  • COVID-19 racial discrimination was significantly linked to increased odds of all substance use.
  • Direct overt discrimination showed the strongest association with substance use.
  • Gender moderated the discrimination-substance use link for alcohol and cannabis, with men exhibiting stronger associations.

Conclusions:

  • COVID-19-related racial discrimination is a significant predictor of substance use among Asian Americans.
  • Asian American men are particularly vulnerable to alcohol and cannabis use following discriminatory experiences.
  • Culturally tailored, gender-specific interventions are crucial for addressing discrimination-related substance use in this population.