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Montgomery, L., Zapolski, T., Banks, D. E., & Floyd, A. (2019). Puff, puff, drink: The association between blunt and alcohol use among African American adolescents and young adults. American Journal of Orthopsychiatry, 89(5), 609–615.
Abstract
Although African Americans report lower levels of alcohol use relative to their White counterparts, they experience higher rates of alcohol-related problems (e.g., alcohol dependence). One understudied connection between alcohol use and dependence is the dual use of illicit drugs,
especially marijuana use. It is speculated that blunt use in combination with alcohol will have
more adverse alcohol-related consequences among African Americans than alcohol use alone or alcohol and nonblunt marijuana use. The current study uses pooled data from the 2011–2014 National Survey on Drug Use and Health to examine the odds of alcohol dependence based on
alcohol and marijuana typology in comparison to alcohol only users. Among 11,124 African
American adolescents (12–17) and young adults (18–25) who consumed alcohol in the past year,
57.5%, 36.8%, and 5.7% reported alcohol use alone and in combination with blunt use and
nonblunt marijuana use, respectively. Relative to alcohol users only, youth who used alcohol and
blunts had increased odds of having alcohol dependence. This association was not found among youth who reported alcohol and nonblunt marijuana use. The increased rates of alcohol
dependence highlight the public health concern of dual alcohol and a specific type of marijuana
use (i.e., blunts) among African American youth. (Read full manuscript here.)


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“The myth of racial difference created to sustain American slavery persists today. Slavery did not end in 1865, it evolved. The Equal Justice Initiative works to end mass incarceration, excessive punishment, and racial inequality.” Visit our website to learn more: https://eji.org

In the South, where the enslavement of Black people was widely embraced, resistance to ending slavery persisted for another century following the passage of the Thirteenth Amendment in 1865.Today, 150 years after the Emancipation Proclamation, very little has been done to address the legacy of slavery and its meaning in contemporary life. In many communities like Montgomery, Alabama—which by 1860 was the capital of the domestic slave trade in Alabama—there is little understanding of the slave trade, slavery, or the longstanding effort to sustain the racial hierarchy that slavery created. In fact, an alternative narrative has emerged in many Southern communities that celebrates the enslavement era, honors enslavement’s principal proponents and defenders, and refuses to acknowledge or address the problems created by the legacy of slavery. Slavery in America: The Montgomery Slave Trade documents American slavery and Montgomery’s prominent role in the domestic slave trade. The report is part of EJI’s project focused on developing a more informed understanding of America’s racial history and how it relates to contemporary challenges.
EJI believes that reconciliation with our nation’s difficult past cannot be achieved without truthfully confronting history and finding a way forward that is thoughtful and responsible.


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