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The Role of Discrimination in Substance Use and Help Seeking among Hispanics and African Americans

Award Number: F31DA053000
ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS
PERIOD OF PERFORMANCE START DATE: 05/01/2021
PERIOD OF PERFORMANCE END DATE: 04/30/2024

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The Role of Discrimination in Substance Use and Help Seeking among Hispanics and African Americans - PROJECT SUMMARY/ABSTRACT Despite similar rates of illicit substance use, Hispanics and African-Americans utilize services at far fewer rates than Whites, and less than 8% of Hispanics and African-Americans with substance use disorder perceive their substance use as problematic. Such disparities demonstrate the clear need to outline the dynamic and specific processes that contribute to substance use and recovery among both populations. The proposed project builds on well-established research suggesting that negative affect and craving are the two strongest predictors of short-term substance use and intention to quit, a vital component of recovery. Discrimination is also a reliable predictor of stress and negative affect, but — despite its potentially critical role in predicting alcohol use and smoking — has been infrequently examined in substance use research with Hispanics and African-Americans. Discrimination may also reduce formal help seeking for substance use due to anticipated discrimination in receiving care; further, anticipated discrimination may be magnified in rural areas where treatment options are limited, and privacy concerns are heightened. These factors are unexplored in substance use with Hispanic and African-American populations, particularly in rural areas. Therefore, the long-term goal of the proposed project is to elucidate the linkages between discrimination, substance use, intentions to quit, and help seeking among rural Hispanics and African-Americans. To achieve this, the project will build from ecological momentary assessment (EMA) methods, which conducts real-time, “in-the-moment” assessments through mobile technology. Completing the proposed project under this fellowship award will allow the applicant to acquire unique research and training experiences beyond those that they would normally obtain in their doctoral training and apply this understanding to the development and evaluation of culturally adapted intervention programs, and potentially influence health disparity policy changes. Specifically, successful funding of this training grant will result in completion of the above project and the following goals of the applicant: 1) acquire knowledge on the contextual factors driving substance use and recovery in Hispanic and African-American populations; 2) gain knowledge in the collection and implementation of methodologies for determining person-in-context interactions in substance use research (e.g., EMA) 3) obtain advanced statistical skills in models relevant to my proposed research program of identifying mechanisms that drive disparities, and 4) attain further knowledge and skills in grant preparation. Training will primarily take place at the University of Nebraska-Lincoln, Florida International University, and the Medical University of South Carolina. The proposed research directly addresses components of NIDA’s strategic goals, in that it helps “characterize the…social, environmental, and developmental factors that mediate risk and resilience for drug use and addiction.”


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = -$7,702 )
2025	2023	BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA	2200 VINE ST # 830861	LINCOLN	NE	68503	LANCASTER	USA	Drug Use and Addiction Research Programs	000	3	2/26/2025	NON-COMPETING CONTINUATION	-$7,702
														Subtotal = -$7,702

Issue Date FY: 2023 ( Subtotal = $46,484 )
2023	2023	BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA	2200 VINE ST BOX 830861	LINCOLN	NE	68503	LANCASTER	USA	Drug Use and Addiction Research Programs	000	3	4/25/2023	NON-COMPETING CONTINUATION	$46,484
														Subtotal = $46,484

Issue Date FY: 2022 ( Subtotal = $45,542 )
2022	2022	BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA	2200 VINE ST BOX 830861	LINCOLN	NE	68503	LANCASTER	USA	Drug Use and Addiction Research Programs	000	2	4/28/2022	NON-COMPETING CONTINUATION	$45,543
2022	2022	BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA	2200 VINE ST BOX 830861	LINCOLN	NE	68503	LANCASTER	USA	Drug Use and Addiction Research Programs	001	2	5/20/2022	NON-COMPETING CONTINUATION	-$1
														Subtotal = $45,542

Issue Date FY: 2021 ( Subtotal = $44,826 )
2021	2021	BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA	2200 VINE ST BOX 830861	LINCOLN	NE	68503	LANCASTER	USA	Drug Use and Addiction Research Programs	002	1	4/8/2021	NEW	$0
2021	2021	BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA	2200 VINE ST BOX 830861	LINCOLN	NE	68503	LANCASTER	USA	Drug Use and Addiction Research Programs	001	1	2/10/2021	NEW	$0
2021	2021	BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA	2200 VINE ST BOX 830861	LINCOLN	NE	68503	LANCASTER	USA	Drug Use and Addiction Research Programs	000	1	2/10/2021	NEW	$44,826
														Subtotal = $44,826

Grand Total All Awards = $129,150

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The Role of Discrimination in Substance Use and Help Seeking among Hispanics and African Americans

Award Number: F31DA053000

ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS

PERIOD OF PERFORMANCE START DATE: 05/01/2021

PERIOD OF PERFORMANCE END DATE: 04/30/2024

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