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. Author manuscript; available in PMC: 2025 Dec 28.
Published in final edited form as: J Am Acad Child Adolesc Psychiatry. 2025 Jan 30;64(11):1237–1242. doi: 10.1016/j.jaac.2025.01.018

Table 2.

Odds Ratios and Confidence Intervals for the Unique and Interactive Associations Between Online and Offline Racism, Protective Factors, and Substance Use

Variable Been drunk Cannabis Cigarettes Vaped

OR 95% CI OR 95% CI OR 95% CI OR 95% CI

Online Racism adjusted for Covariates
Male adolescents 0.50 (0.34, 0.74) 0.60 (0.41, 0.89) 0.49 (0.27 0.89) 0.71 (0.49, 1.04)
Non-Latiné Black adolescents 0.53 (0.64, 1.83) 0.85 (0.56, 1.30) 0.56 (0.30, 1.03) 0.54 (0.36, 0.81)
10th grade adolescents 1.08 (0.84, 2.43) 1.09 (0.63, 1.90) 1.48 (0.68, 3.22) 1.43 (0.85, 2.35)
11th grade adolescents 1.43 (1.44, 4.73) 1.69 (0.98, 2.92) 1.58 (0.71, 4.49) 1.54 (0.92, 2.58)
12th grade adolescents 2.61 (1.12, 1.66) 2.52 (1.37, 4.63) 1.63 (0.83, 1.49) 1.73 (0.94, 3.19)
Online Racism 1.36 (1.12, 1.66) 1.44 (1.18, 1.76) 1.11 (0.83, 1.49) 1.10 (0.90, 1.33)

Peer Racism adjusted for Covariates
Male adolescents 0.47 (0.32, 0.69) 0.54 (0.36, 0.80) 0.45 (0.25, 0.82) 0.68 (0.47, 0.99)
Non-Latiné Black adolescents 0.63 (0.42, 0.92) 1.02 (0.69, 1.51) 0.54 (0.30, 0.97) 0.54 (0.37, 0.79)
10th grade adolescents 1.17 (0.69, 1.97) 1.20 (0.69, 2.08) 1.46 (0.67, 3.17) 1.43 (0.86, 2.36)
11th grade adolescents 1.55 (0.92, 2.63) 1.89 (1.20, 3.25) 1.58 (0.72, 3.48) 1.55 (0.93, 2.60)
12th grade adolescents 2.85 (1.58, 5.14) 2.83 (1.54, 5.18) 1.57 (0.61, 4.07) 1.74 (0.95, 3.22)
Peer Racial Discrimination 1.33 (1.07, 1.65) 1.51 (1.22, 1.86) 1.50 (1.15, 1.95) 1.36 (1.11, 1.68)

School Racism adjusted for Covariates
Male adolescents 0.46 (0.31, 0.69) 0.53 (0.36, 0.79) 0.41 (0.22, 0.76) 0.67 (0.46, 0.97)
Non-Latiné Black adolescents 0.62 (0.42, 0.92) 1.00 (0.68, 1.49) 0.49 (0.27, 0.90) 0.52 (0.35, 0.77)
10th grade adolescents 1.17 (0.69, 1.98) 1.18 (0.68, 2.06) 1.45 (0.66, 3.16) 1.41 (0.86, 2.34)
11th grade adolescents 1.51 (0.89, 2.56) 1.78 (1.03, 3.07) 1.44 (0.64, 3.22) 1.48 (0.88, 2.49)
12th grade adolescents 2.81 (1.56, 5.09) 2.74 (1.49, 5.02) 1.54 (0.59, 4.04) 1.71 (0.93, 3.16)
School Racial Discrimination 1.38 (1.07, 1.79) 1.60 (1.23, 2.06) 1.88 (1.40, 2.52) 1.53 (1.19, 1.97)

Institutional Racism adjusted for Covariates
Male adolescents 0.48 (0.32, 0.70) 0.56 (0.38, 0.83) 0.45 (0.25, 0.82) 0.69 (0.48, 1.01)
Non-Latiné Black adolescents 0.59 (0.40, 0.89) 0.95 (0.64, 1.43) 0.43 (0.23, 0.81) 0.50 (0.33, 0.74)
10th grade adolescents 1.18 (0.70, 2.00) 1.22 (0.70, 2.11) 1.47 (0.68, 3.20) 1.44 (0.87, 2.38)
11th grade adolescents 1.53 (0.01, 2.59) 1.83 (1.07, 3.15) 1.48 (0.67, 3.29) 1.52 (0.91, 2.54)
12th grade adolescents 2.76 (1.53, 4.99) 2.70 (1.47, 4.94) 1.45 (0.55, 3.80) 1.68 (0.91, 3.10)
Institutional Racial Discrimination 1.31 (1.04, 1.66) 1.42 (1.13, 1.78) 1.72 (1.30, 2.28) 1.40 (1.11, 1.76)

Teacher Racism adjusted for Covariates
Male adolescents 0.48 (0.33, 0.71) 0.56 (0.38, 0.84) 0.47 (0.26, .085) 0.69 (0.48, 1.01)
Non-Latiné Black adolescents 0.60 (0.40, 0.89) 0.97 (0.65, 1.45) 0.52 (0.29, 0.93) 0.51 (0.35, .076)
10th grade adolescents 1.18 (0.70, 2.00) 1.22 (0.70, 2.11) 1.51 (0.70, 3.28) 1.44 (0.88, 2.39)
11th grade adolescents 1.51 (0.89, 2.56) 1.82 (1.05, 3.15) 1.60 (0.73, 3.52) 1.56 (0.93, 2.61)
12th grade adolescents 2.80 (1.54, 5.08) 2.76 (1.50, 5.08) 1.52 (0.58, 3.97) 1.71 (0.92, 3.16)
10th grade adolescents 1.52 (1.17, 1.97) 1.73 (1.32, 2.26) 1.57 (1.16, 2.12) 1.50 (1.16, 1.93)

Unique Associations of Online and Offline Exposure to Racism adjusted for Covariates
Male adolescents 0.50 (0.34, 0.74) 0.58 (0.38, 0.86) 0.40 (0.21, 0.75) 0.68 (0.46, 0.99)
Non-Latiné Black adolescents 0.51 (0.33, 0.79) 0.83 (0.54, 1.28) 0.46 (0.24, 0.89) 0.50 (0.33, 0.76)
10th grade adolescents 1.09 (0.64, 1.84) 1.09 (0.62, 1.91) 1.43 (0.65, 3.14) 1.41 (0.85, 2.35)
11th grade adolescents 1.40 (0.82, 2.40) 1.65 (0.95, 2.89) 1.42 (0.63, 3.19) 1.51 (0.89, 2.54)
12th grade adolescents 2.61 (1.43, 4.77) 2.58 (1.39, 4.80) 1.53 (0.58, 4.03) 1.69 (0.91, 3.15)
Online Racism 1.31 (1.06, 1.61) 1.35 (1.09, 1.66) 0.95 (0.69, 1.30) 1.01 (0.82, 1.24)
Peer Racial Discrimination 1.04 (0.75, 1.46) 1.15 (0.83, 1.60) 1.04 (0.64, 1.69) 1.08 (0.77, 1.50)
School Racial Discrimination 0.98 (0.62, 1.55) 1.13 (0.74, 1.74) 1.78 (1.05, 3.02) 1.24 (0.82, 1.88)
Institutional Racial Discrimination 0.94 (0.64, 1.38) 0.87 (0.59, 1.27) 1.38 (0.86, 2.20) 1.05 (0.73, 1.53)
Teacher Racial Discrimination 1.45 (0.93, 2.27) 1.46 (0.95, 2.24) 0.76 (0.42, 1.40) 1.16 (0.76, 1.78)

Unique Association of Caring Adult Relationships adjusted for Racism and Covariates
Male adolescents 0.53 (0.36, 0.79) 0.63 (0.42, 0.95) 0.44 (0.23, 0.84) 0.71 (0.48, 1.04)
Non-Latiné Black adolescents 0.49 (0.32, 0.76) 0.79 (0.51, 1.23) 0.42 (0.22, 0.81) 0.49 (0.32, 0.75)
10th grade adolescents 1.12 (0.65, 1.91) 1.12 (0.64, 1.97) 1.50 (0.68, 3.33) 1.44 (0.87, 2.39)
11th grade adolescents 1.40 (0.82, 2.41) 1.68 (0.96, 2.96) 1.34 (0.59, 3.08) 1.49 (0.88, 2.52)
12th grade adolescents 2.59 (1.41, 4.74) 2.57 (1.38, 4.82) 1.40 (0.52, 3.74) 1.65 (0.89, 3.08)
Online Racism 1.31 (1.06, 1.61) 1.36 (1.10, 1.67) 0.92 (0.67, 1.27) 1.01 (0.82, 1.24)
Peer Racial Discrimination 1.01 (0.72, 1.42) 1.12 (0.81, 1.56) 0.98 (0.60, 1.61) 1.05 (0.75, 1.47)
School Racial Discrimination 0.93 (0.58, 1.48) 1.06 (0.68, 1.64) 1.68 (0.97, 2.92) 1.19 (0.78, 1.83)
Institutional Racial Discrimination 0.95 (0.64, 1.40) 0.87 (0.60, 1.28) 1.39 (0.86, 2.26) 1.07 (0.74, 1.56)
Teacher Racial Discrimination 1.47 (0.94, 2.30) 1.48 (0.96, 2.28) 0.75 (0.41, 1.38) 1.17 (0.76, 1.80)
Caring Adult Relationships 0.64 (0.46, 0.89) 0.55 (0.39, 0.77) 0.40 (0.24, 0.66) 0.75 (0.54, 1.04)

Unique Association of Neighborhood Social Cohesion adjusted for Racism and Covariates
Male adolescents 0.51 (0.34, 0.76) 0.59 (0.39, 0.88) 0.41 (0.21, 0.77) 0.69 (0.47, 1.01)
Non-Latiné Black adolescents 0.49 (0.31, 0.76) 0.79 (0.51, 1.23) 0.41 (0.21, 0.81) 0.48 (0.31, 0.73)
10th grade adolescents 1.09 (0.64, 1.85) 1.09 (0.62, 1.91) 1.40 (0.64, 3.08) 1.41 (0.85, 2.33)
11th grade adolescents 1.40 (0.82, 2.40) 1.65 (0.95, 2.89) 1.38 (0.61, 3.11) 1.50 (0.89, 2.53)
12th grade adolescents 2.55 (1.39, 4.67) 2.52 (1.35, 4.69) 1.39 (0.52, 3.70) 1.64 (0.88, 3.06)
Online Racism 1.30 (1.06, 1.60) 1.34 (1.09, 1.66) 0.93 (0.68, 1.28) 1.00 (0.82, 1.23)
Peer Racial Discrimination 1.04 (0.74, 1.45) 1.15 (0.83, 1.59) 1.03 (0.63, 1.67) 1.07 (0.77, 1.49)
School Racial Discrimination 0.99 (0.62, 1.56) 1.14 (0.74, 1.75) 1.81 (1.07, 3.07) 1.25 (0.82, 1.89)
Institutional Racial Discrimination 0.93 (0.63, 1.37) 0.86 (0.59, 1.26) 1.33 (0.83, 2.15) 1.04 (0.72, 1.52)
Teacher Racial Discrimination 1.44 (0.93, 2.25) 1.45 (0.94, 2.22) 0.77 (0.43, 1.40) 1.16 (0.75, 1.77)
Neighborhood Social Cohesion 0.87 (0.68, 1.11) 0.87 (0.69, 1.12) 0.73 (0.51, 1.03) 0.86 (0.68, 1.09)

Interaction Model - Online Racism by Caring Adult Relationships adjusted for Covariates
Male adolescents 0.53 (0.36, 0.79) 0.63 (0.41, 0.94) 0.44 (0.23, 0.84) 0.70 (0.48, 1.03)
Non-Latiné Black adolescents 0.50 (0.32, 0.77) 0.77 (0.50, 1.20) 0.37 (0.19, 0.72) 0.47 (0.31, 0.72)
10th grade adolescents 1.12 (0.66, 1.91) 1.12 (0.63, 1.97) 1.53 (0.69, 3.41) 1.44 (0.87, 2.40)
11th grade adolescents 1.40 (0.82, 2.42) 1.66 (0.95, 2.93) 1.32 (0.57, 3.04) 1.48 (0.87, 2.50)
12th grade adolescents 2.59 (1.41, 4.76) 2.51 (1.34, 4.71) 1.30 (0.48, 3.50) 1.62 (0.87, 3.03)
Peer Racial Discrimination 1.01 (0.72, 1.42) 1.13 (0.81, 1.57) 0.98 (0.60, 1.61) 1.06 (0.76, 1.48)
School Racial Discrimination 0.93 (0.58, 1.49) 1.04 (0.67, 1.61) 1.61 (0.94, 2.76) 1.18 (0.77, 1.81)
Institutional Racial Discrimination 0.95 (0.64, 1.40) 0.88 (0.60, 1.29) 1.46 (0.91, 2.34) 1.09 (0.75, 1.58)
Teacher Racial Discrimination 1.47 (0.94, 2.30) 1.47 (0.95, 2.26) 0.77 (0.42, 1.42) 1.18 (0.77, 1.81)
Online Racism x Caring Adult Relationships 0.99 (0.73, 1.34) 1.18 (0.85, 1.63) 1.84 (1.14, 2.98) 1.19 (0.88, 1.61)

Note. OR = odds ratio; 95% CI = 95% confidence interval for the odds ratio. Bolded values indicate significant odds ratios based on the 95% CI not including 1.0.