Date of Award

1-24-2024

Degree Type

Thesis

Degree Name

Master of Science (MS)

Department

Psychology

Advisor(s)

Aesoon Park

Keywords

Adolescent;Alcohol;Discrimination;Prospective Studies;Racial Group;Sleep

Subject Categories

Clinical Psychology | Psychology | Social and Behavioral Sciences

Abstract

Previous research has highlighted the role of discrimination experiences in the development and escalation of sleep disturbances and alcohol use among diverse adolescents. However, few studies have examined the role of discrimination experiences in the reciprocal sleep-alcohol relationship prospectively. The present study examined the prospective relationship among discrimination experiences, sleep disturbances, and alcohol use, and tested racial disparities within this risk pathway. Secondary analyses were conducted on the data drawn from a two-wave (Years 1 and 2; Y1 and Y2, respectively) online survey study of 414 high school students (Mage = 15.07 [SD = 1.19]; 57% female; 41% Black; 22% White; 18% Asian; 17% Multiracial) from an urban public high school in the northeastern U.S. Results from a fully saturated path model indicated that discrimination experiences were positively associated with insomnia symptom severity at Year 1 (b = 0.15; SE = 0.4; p <.001, 95% CI [0.00, 0.32]) and Year 2 (b = 0.14; SE = 0.4; p < .001, 95% CI [0.08, 0.39]), and that insomnia symptom severity at Year 1 was positively associated with alcohol use frequency at Year 2 (b = 0.03; SE = 0.02; p < .05; 95% CI [-0.01, 0.09]). Multigroup analysis results demonstrated numerous racial group differences, indicating that there are distinct racial group differences within the relationship among discrimination experiences, sleep disturbances, and alcohol use, both cross-sectionally and prospectively. Notably, these racial group differences are distinct across cross-sectional and prospective findings, indicating the need to better understand the differing role of discrimination both across time and racial group. Findings highlight the need to better understand unique discrimination experiences due to diverse identities and backgrounds for both racial majority and minority adolescents, and their relationships with subsequent health risk behaviors.

Access

Open Access

Available for download on Friday, January 17, 2025

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