@article{ref1,
title="School racial composition as a moderator of the effect of discrimination on mental health and substance use among American Indian adolescents",
journal="Journal of Adolescent Health",
year="2023",
author="Barry, Caroline M. and Livingston, Melvin D. and Livingston, Bethany J. and Kominsky, Terrence K. and Komro, Kelli A.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: To examine the relationships between individual-level perceived racial/ethnic discrimination and mental health and substance use outcomes by school-level racial composition among American Indian (AI) adolescents. <br><br>METHOD: Self-reported survey data on individual-level variables come from a sample of AI adolescents (n = 510) living in or near the Cherokee Nation during the fall of 2021. School-level data come from publicly available databases. Multilevel linear and logistic regression analyses were performed to test for and examine the interaction between perceived racial/ethnic discrimination and school racial composition in relation to symptoms of anxiety and depression, past 30-day use of alcohol and marijuana, and misuse of prescription opioids. <br><br>RESULTS: Adjusted analyses showed a significant interaction effect between discrimination and racial composition on anxiety symptoms, such that the effect of discrimination was more pronounced at lower % AI (10th percentile) than at more equivalently mixed (50th percentile) or higher % AI (90th percentile) school settings. No significant interactions were observed with depressive symptoms or substance use outcomes. <br><br>DISCUSSION: School racial compositions of higher percentage AI may buffer the adverse effect of racial/ethnic discrimination on anxiety symptoms among AI adolescents.<p /> <p>Language: en</p>",
language="en",
issn="1054-139X",
doi="10.1016/j.jadohealth.2023.07.014",
url="http://dx.doi.org/10.1016/j.jadohealth.2023.07.014"
}