Illicit and nonmedical drug use among Asian Americans, Native Hawaiians/Pacific Islanders, and mixed-race individuals.
Abstract
The racial/ethnic composition of the United States is shifting rapidly, with non-Hispanic
Asian-Americans, Native Hawaiians/Pacific Islanders (NHs/PIs), and mixed-race individuals
the fastest growing segments of the population. We determined new drug use estimates
for these rising groups. Prevalences among Whites were included as a comparison.Data
were from the 2005-2011 National Surveys on Drug Use and Health. Substance use among
respondents aged ≥ 12 years was assessed by computer-assisted self-interviewing methods.
Respondents' self-reported race/ethnicity, age, gender, household income, government
assistance, county type, residential stability, major depressive episode, history
of being arrested, tobacco use, and alcohol use were examined as correlates. We stratified
the analysis by race/ethnicity and used logistic regression to estimate odds of drug
use.Prevalence of past-year marijuana use among Whites increased from 10.7% in 2005
to 11.6-11.8% in 2009-2011 (P<0.05). There were no significant yearly changes in drug
use prevalences among Asian-Americans, NHs/PIs, and mixed-race people; but use of
any drug, especially marijuana, was prevalent among NHs/PIs and mixed-race people
(21.2% and 23.3%, respectively, in 2011). Compared with Asian-Americans, NHs/PIs had
higher odds of marijuana use, and mixed-race individuals had higher odds of using
marijuana, cocaine, hallucinogens, stimulants, sedatives, and tranquilizers. Compared
with Whites, mixed-race individuals had greater odds of any drug use, mainly marijuana,
and NHs/PIs resembled Whites in odds of any drug use.Findings reveal alarmingly prevalent
drug use among NHs/PIs and mixed-race people. Research on drug use is needed in these
rising populations to inform prevention and treatment efforts.
Type
Journal articleSubject
NIDA AAPI WorkgroupHumans
Substance-Related Disorders
Opioid-Related Disorders
Prevalence
Data Interpretation, Statistical
Odds Ratio
Cross-Sectional Studies
Alcohol Drinking
Smoking
Marijuana Smoking
Health Behavior
Socioeconomic Factors
Adolescent
Adult
Aged
Middle Aged
Child
Asian Americans
European Continental Ancestry Group
Oceanic Ancestry Group
Ethnic Groups
United States
Female
Male
Young Adult
Prescription Drug Misuse
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https://hdl.handle.net/10161/19972Published Version (Please cite this version)
10.1016/j.drugalcdep.2013.06.008Publication Info
Wu, Li-Tzy; Blazer, Dan G; Swartz, Marvin S; Burchett, Bruce; Brady, Kathleen T; &
NIDA AAPI Workgroup (2013). Illicit and nonmedical drug use among Asian Americans, Native Hawaiians/Pacific Islanders,
and mixed-race individuals. Drug and alcohol dependence, 133(2). pp. 360-367. 10.1016/j.drugalcdep.2013.06.008. Retrieved from https://hdl.handle.net/10161/19972.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Daniel German Blazer
J. P. Gibbons Distinguished Professor Emeritus of Psychiatry
I am currently semi-retired. Most of my recent work has been focused on roles with
the National Academy of Medicine (former Institute of Medicine). I have chaired three
committees during the past four years, one on the mental health and substance use workforce,
one on cognitive aging, and one on hearing loss in adults. I currently also chair
the Board on the Health of Select Populations for the National Academies. In the past
I have been PI on a number of research
Bruce Myatt Burchett
Assistant Professor in Psychiatry and Behavioral Sciences
This author no longer has a Scholars@Duke profile, so the information shown here reflects
their Duke status at the time this item was deposited.
Marvin Stanley Swartz
Professor of Psychiatry and Behavioral Sciences
My major research interest is in examining the effectiveness of services for severely
mentally ill individuals, including factors that improve or impede good outcomes.
Current research includes: the effectiveness of involuntary outpatient commitment,
psychiatric advance directives, criminal justice outcomes for persons with mental
illnesses, violence and mental illness and antipsychotic medications. I also served
as member of the MacArthur Foundation Research Network on Mandate
Li-Tzy Wu
Professor in Psychiatry and Behavioral Sciences
Education/Training: Pre- and post-doctoral training in mental health service research,
psychiatric epidemiology (NIMH T32), and addiction epidemiology (NIDA T32) from Johns
Hopkins University School of Public Health (Maryland); Fellow of the NIH Summer Institute
on the Design and Conduct of Randomized Clinical Trials.Director: Duke Community Based
Substance Use Disorder Research Program.Research interests: COVID-19, Opioid misuse,
Opioid overdose, Opioid use disorder, Opio
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