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Gilbert C. Gee, PhD, Jorge Delva, PhD and David T. Takeuchi, PhD

Gilbert C. Gee is with the School of Public Health, University of Michigan, Ann Arbor. Jorge Delva is with the School of Social Work, University of Michigan. David T. Takeuchi is with the Department of Sociology and School of Social Work, University of Washington, Seattle.

Correspondence: Requests for reprints should be sent to Gilbert C. Gee, PhD, University of Michigan, 1420 Washington Heights, Room M5224, Ann Arbor, MI 48109-2029 (e-mail: gilgee{at}umich.edu).

Objectives. We examined associations between self-reported unfair treatment and prescription medication use, illicit drug use, and alcohol dependence.

Methods. We used data from the Filipino American Community Epidemiological Survey, a cross-sectional investigation involving 2217 Filipino Americans interviewed in 1998–1999. Multinomial logistic and negative binomial regression analyses were used in assessing associations between unfair treatment and the substance use categories.

Results. Reports of unfair treatment were associated with prescription drug use, illicit drug use, and alcohol dependence after control for age, gender, location of residence, employment status, educational level, ethnic identity level, nativity, language spoken, marital status, and several health conditions.

Conclusions. Unfair treatment may contribute to illness and subsequent use of prescription medications. Furthermore, some individuals may use illicit drugs and alcohol to cope with the stress associated with such treatment. Addressing the antecedents of unfair treatment may be a potential intervention route.

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