Racial Discrimination Moderates the Association Between Alcohol Consumption and Alcohol-Related Consequences Among One First Nation Reserve Community's Youth.

Authors

Tessa Nalven, Melissa R Schick, Nichea S Spillane

Published in

Journal of racial and ethnic health disparities. Jul 29, 2026. Epub Jul 29, 2026.

Abstract

North American Indigenous (NAI) adolescents experience disproportionately high rates of alcohol-related consequences and racial discrimination but report similar rates of alcohol consumption as other racial/ethnic groups. Racial discrimination serves a deleterious role on adolescent development and well-being. To test if NAI adolescents' disproportionate rates of alcohol-related consequences are related to the negative effects of racial discrimination, the present study examined whether racial discrimination moderates the association between alcohol consumption and alcohol-related consequences among NAI adolescents. Participants were First Nations adolescents from reserve communities in Eastern Canada (n = 60, M_age = 15.9, 53.3% female) who reported lifetime alcohol use. The interaction of alcohol consumption by racial discrimination was statistically significantly and positively associated with alcohol-related consequences (b = 1.28, SE = 0.56, p = .025). Simple slopes analyses revealed that alcohol consumption was significantly positively related to alcohol-related consequences for those reporting high levels of racial discrimination (1 SD above the mean; b = 1.19, SE = 0.27, p < .001), but not for those reporting relatively low levels of racial discrimination (1 SD below the mean). Thus, racial discrimination may contribute to the disproportionate rate of consequences related to alcohol consumption experienced by NAI adolescents. These findings suggest the need for systems-level interventions to address racial discrimination and prejudice, as well as individual-focused interventions to increase factors previously found to protect against the negative effects of racial discrimination (e.g., racial-ethnic socialization, self-compassion).

PMID:
42527755
Bibliographic data and abstract were imported from PubMed on 30 Jul 2026.

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