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Demographic trends that emerged in the 20th century have resulted in a large increase in the numbers of individuals in the U.S. population from racial and ethnic minority groups. These demographic trends are projected to continue such that by the year 2100 non-Hispanic Whites are expected to comprise only 40% of the U.S. general population. As the numbers of individuals from traditional racial and ethnic minorities increases, the need for culturally tailored prevention and intervention for substance abuse issues among individuals from racial and ethnic minority populations increases. This entry presents information on the prevalence of substance use among racial and ethnic minority populations, discusses issues in the prevention of substance abuse among these groups, and presents an introduction to the public health model for prevention of substance use. Although epidemiological data on substance use are presented in aggregate race-ethnicity categories, one should keep in mind that subgroups within each ethnic-racial category may differ and that variation among individuals is also present.

Definitions of Race-Etnnicity

Basic definitions for race and ethnicity were put forward in 1978 by the Office of Management and Budget (OMB) under Statistical Directive No. 15. National-level data on vital statistics and disease surveillance since 1978 followed this directive and employed the following racial categories, with an ethnic category for Hispanics.

Race Categories

American Indian-Alaska Native—a person having origins in any of the original peoples of North America who maintains cultural identification through tribal affiliations or community recognition.

Asian-Pacific Islander—a person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent, or the Pacific Islands.

Black or African American—a person having origins in any of the racial groups of Africa.

White—a person having origins in any of the original peoples of Europe, North Africa, or the Middle East.

Ethnic Category

Hispanic—a person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.

In 1994 the Interagency Committee for the Review of the Racial and Ethnic Standards advised the OMB to update its minimum categories for data on race and ethnicity and defined the following categories:

American Indian-Alaska Native—a person having origins in any of the original peoples of North and South America (including Central America) who maintains cultural identification through tribal affiliations or community recognition.

Asian-Pacific Islander—a person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent, or the Pacific Islands. These areas include, for example, China, India, Japan, Korea, the Philippine Islands, Hawaii, and Samoa.

Black or African American—a person having origins in any of the Black racial groups of Africa.

Hispanic—a person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.

White—a person having origins in any of the original peoples of Europe, North Africa, or the Middle East.

In addition, the committee recommended that, when race and ethnicity data were collected separately, ethnicity data be collected first with the minimum ethnicity designation being Hispanic origin or not of Hispanic origin. The new standards also allowed for the reporting of more than one race for those of multiracial ancestry.

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