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Despite empirical evidence to the contrary, the common misperception that members of racial and ethnic minority groups use illicit and legal psychoactive substances at higher rates than White people persists. These false beliefs have had social and legal consequences, including perpetuation of stereotypes, stigmatization, discrimination, and race-based legislation, all of which have had disproportionately negative impacts on members of minority groups.

This entry analyzes data from large-scale surveys about drug use, considers theories that are useful in explaining racial/ethnic differences in drug use, and discusses racial differences in the application of drug laws, using criminal justice system data on arrests and incarceration. The entry concludes with a discussion of U.S. drug policies that have contributed to substantial racial differences in the application of drug laws, and consequently, a significant overrepresentation of African Americans in arrests and incarcerations.

To understand the relationship between race/ethnicity and drug use, it is necessary to first define the term drug use. In common language, drug use usually refers to the use of illegal substances; however, in this entry, the term refers to the use of any psychoactive substance. This definition thus encompasses both illegal (e.g., marijuana, cocaine, heroin, methamphetamine) and legal (e.g., alcohol, tobacco, pharmaceutical) drugs.

Drug Use Patterns by Race/Ethnicity

Data from a large-scale probability survey of drug use across the five major racial/ethnic groups in the United States—Whites, Blacks, Hispanics, Native Americans, and Asian/Pacific Islanders—shows that, with the exception of Native Americans, racial/ethnic minorities are generally no more likely than are White people to use legal or illegal drugs. Among adolescents, Native Americans and Whites are most likely to use legal and illegal drugs. The same holds true for legal drug use among adults; however, African American adults are slightly more likely to use illegal drugs than adults who belong to other racial/ethnic groups.

Two issues arise from this research. First, although substantial differences in drug use exist within each of these large groups, most of the available data on drug use do not typically allow for more detailed comparisons among subgroups. Second, methodological concerns related to surveys may influence reported drug use by race/ethnic group. One of these concerns is specific to school-based surveys and the differential dropout rates of members of certain minority groups. Some researchers have suggested that the higher levels of drug use reported by White adolescents may be related to the fact that disadvantaged minority students who become more heavily involved with both legal and illegal drugs may be more likely than White students to drop out of school or show high rates of truancy. If this is the case, school-based surveys will underestimate rates of drug use among minorities. More generally, some research has suggested that both adolescent and adult minorities may be less likely to honestly report sensitive behaviors such as substance use.

Legal Drugs

With those caveats, data from the 2002 National Survey on Drug Use and Health (NSDUH), collected from a large-scale probability sample and published by the Substance Abuse and Mental Health Services Administration (SAMHSA), indicate that Native Americans and Whites generally report the highest levels of alcohol and problematic alcohol use, among both adolescents (aged 12 to 17) and adults (aged 18 and older). In the NSDUH, “heavy drinking” (defined as consuming five or more drinks in a row on at least 5 days in the month before the survey) was reported by 3.3% of White, 3.2% of Native American, 2.2% of Hispanic, 0.6% of African American, and 0.1% of Asian adolescents. Among adults, heavy drinking was reported by 9.5% of Native Americans, 7.8% of Whites, 6.7% of Hispanics, 5.2% of African Americans, and 2.6% of Asians.

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