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Ormiston CK, Pike JR, Sabado-Liwag MD, Xie B, Stacy AW, Williams F. Underage Alcohol Use by Intersectional Identity Among Alternative High School Students. J Adolesc Health 2024; 75:231-241. [PMID: 38085206 PMCID: PMC11164827 DOI: 10.1016/j.jadohealth.2023.10.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Revised: 06/15/2023] [Accepted: 10/12/2023] [Indexed: 06/12/2024]
Abstract
PURPOSE To examine alcohol use (AU) among intersectional subgroups within a longitudinal cohort of predominantly Hispanic/Latino alternative high school (AHS) students in southern California. METHODS Past month AU was measured over a period of three years among 1,029 students (mean age 17.5 years, 49.7% female, 76.1% Hispanic/Latino) from 29 AHSs. Multilevel models that adjusted for age, socioeconomic status, parental education, weekly income, sensation seeking, depression, anxiety, and stress estimated trends in AU over time among intersectional subgroups defined by gender, ethnicity, and generational immigration. RESULTS Students with parents born in the United States had high rates of AU at the baseline that remained stable over time. In contrast, first-generation Hispanic/Latino students had lower levels of AU at the baseline that increased over time. First-generation, female, Hispanic/Latino students exhibited one of the lowest probabilities of AU at the baseline (28.6%, confidence interval [CI]: 15.9%-41.3%) but at the two-year follow-up had one of the highest probabilities (47.4%, CI: 29.3%-65.5%). A similar trend was observed among first-generation, male, Hispanic/Latino students whose probability of past month AU rose between the baseline (23.1%, CI: 12.4%-33.8%) and two-year follow-up (36.0%, CI: 19.2%-52.7%). DISCUSSION Findings underscore the heterogeneity of AHS students, showing a more nuanced picture of AU by the intersection of gender, ethnicity, and generational immigration. Underage AU prevention efforts among AHS students must provide targeted messages to intersectional identities.
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Affiliation(s)
- Cameron K Ormiston
- Division of Intramural Research, National Institute on Minority Health and Health Disparities, Rockville, Maryland
| | - James R Pike
- Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
| | | | - Bin Xie
- School of Community and Global Health, Claremont Graduate University, Claremont, California
| | - Alan W Stacy
- School of Community and Global Health, Claremont Graduate University, Claremont, California
| | - Faustine Williams
- Division of Intramural Research, National Institute on Minority Health and Health Disparities, Rockville, Maryland.
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Sirin SR, Choi E, Sin EJ. Meta-Analysis on the Relation Between Acculturation and Alcohol Use Among Immigrant Youth. J Adolesc Health 2022; 70:361-377. [PMID: 34756641 DOI: 10.1016/j.jadohealth.2021.09.021] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Revised: 08/30/2021] [Accepted: 09/14/2021] [Indexed: 11/25/2022]
Abstract
PURPOSE We empirically examined the relation between acculturation and alcohol use in immigrant youth, with attention to demographic and methodological moderators. METHODS We identified 43 studies (38 empirical studies published in peer-reviewed journals and 6 dissertations) yielding 66 independent samples and 118 effect sizes. The total sample size was 61,851 immigrant youth from birth to 25 years of age (M = 937.14, standard deviation = 1,271.24) with a mean age of 15.50 years (standard deviation = 2.46). RESULTS The average effect size for the fixed effects model was .04 with a 95% confidence interval of .03-.05, which was significantly different from zero (p < .001). The average effect size for the random effects model was .05 with a 95% confidence interval of .02-.08, which was significantly different from zero (p = .002). Location of the study, age of participants, type of measurements used to assess acculturation and alcohol use, and publication year were significant moderators. CONCLUSIONS This meta-analytic review supported the immigrant paradox in which acculturation puts immigrant youth at risk for alcohol use. Several demographic and methodological factors also moderated this relation in a significant way. Important implications are discussed.
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Affiliation(s)
- Selcuk R Sirin
- Department of Applied Psychology, New York University, New York, New York.
| | - Elysia Choi
- Department of Applied Psychology, New York University, New York, New York
| | - Esther J Sin
- Department of Applied Psychology, New York University, New York, New York
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Considerations when Conducting Violence Risk Assessments in Immigrant Youth: The Roles of Acculturation Stress and Criminal Attitudes. JOURNAL OF INTERNATIONAL MIGRATION AND INTEGRATION 2021. [DOI: 10.1007/s12134-021-00868-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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López-Tamayo R, Jason LA. THE ASSOCIATION BETWEEN BEHAVIORAL AND ATTITUDINAL ACCULTURATION ON LATINX IMMIGRANTS AND U.S.-BORN LATINXS: A MULTIDIMENSIONAL ACCULTURATION MODEL. COMMUNITY PSYCHOLOGY IN GLOBAL PERSPECTIVE 2021; 7:81-102. [PMID: 36457550 PMCID: PMC9710741 DOI: 10.1285/i24212113v7i2p81] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Disparities in access and utilization of substance abuse treatment (SAT) among Latinxs, accentuated by this population's rapid growth, create a public health issue. Although substance abuse literature has given more consideration to environmental factors and social support concerning treatment outcomes, current substance abuse models fail to address important contextual and cultural aspects for Latinxs in recovery, including acculturation. The proposed study aims to test out a multidimensional acculturation model on a sample of 131 Latinxs (Mage= 36.3; SD±10.4, 117 males, 49% immigrants) who recently completed SAT. Specifically, the proposed study employed a conditional process model using the PROCESS Macro for SPSS to examine the association between behavioral acculturation and substance use behavior in the past six months on nativity status at different levels of attitudinal acculturation. Results yielded that, after controlling for age and substance use, higher endorsement of U.S. mainstream cultural practices was associated with a higher frequency of days using alcohol among Latinx immigrants, specifically those reporting high and very high affiliation to the U.S. mainstream culture. Also, a negative association between U.S. mainland-born Latinx and frequency of days using illicit drugs in the past six months was observed, but only among those who endorse very high affiliation of U.S. mainstream culture.
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Affiliation(s)
| | - Leonard A Jason
- Center for Community Research, DePaul University, Chicago, USA
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Yellman MA, Bryan L, Sauber-Schatz EK, Brener N. Transportation Risk Behaviors Among High School Students - Youth Risk Behavior Survey, United States, 2019. MMWR Suppl 2020; 69:77-83. [PMID: 32817609 PMCID: PMC7440196 DOI: 10.15585/mmwr.su6901a9] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Motor-vehicle crashes are a leading cause of death and nonfatal injury among U.S. adolescents, resulting in approximately 2,500 deaths and 300,000 nonfatal injuries each year. Risk for motor-vehicle crashes and resulting injuries and deaths varies, depending on such behaviors as seat belt use or impaired or distracted driving. Improved understanding of adolescents’ transportation risk behaviors can guide prevention efforts. Therefore, data from the 2019 Youth Risk Behavior Survey were analyzed to determine prevalence of transportation risk behaviors, including not always wearing a seat belt, riding with a driver who had been drinking alcohol (riding with a drinking driver), driving after drinking alcohol, and texting or e-mailing while driving. Differences by student characteristics (age, sex, race/ethnicity, academic grades in school, and sexual identity) were calculated. Multivariable analyses controlling for student characteristics examined associations between risk behaviors. Approximately 43.1% of U.S. high school students did not always wear a seat belt and 16.7% rode with a drinking driver during the 30 days before the survey. Approximately 59.9% of students had driven a car during the 30 days before the survey. Among students who drove, 5.4% had driven after drinking alcohol and 39.0% had texted or e-mailed while driving. Prevalence of not always wearing a seat belt was higher among students who were younger, black, or had lower grades. Riding with a drinking driver was higher among Hispanic students or students with lower grades. Driving after drinking alcohol was higher among students who were older, male, Hispanic, or had lower grades. Texting while driving was higher among older students or white students. Few differences existed by sexual identity. Multivariable analyses revealed that students engaging in one transportation risk behavior were more likely to engage in other transportation risk behaviors. Traffic safety and public health professionals can use these findings to reduce transportation risk behaviors by selecting, implementing, and contextualizing the most appropriate and effective strategies for specific populations and for the environment.
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Abstract
Migrants are mainly employed in “3D jobs” which are dirty, dangerous, and difficult, are characterized by monotony and intense rhythms, and are found in sectors with higher risks such as construction, heavy industry, and agriculture. The aim of this study is to construct a systematic review in order to identify the main occupational risks and occupational diseases of this category. Research included articles published from 2013 to 2018 on major online databases (PubMed, Cochrane Library, and Scopus), which were obtained using a combination of keywords (migrant workers, expatriates, physical health, diseases, illnesses, travel, travelers, work, and occupational medicine). The online search included 1109 references. We excluded 977 studies because they were unrelated to physical health and another 64 due to duplication. There were 68 articles which were analyzed, including six reviews and 62 original articles. The main risks which emerged are developing infectious diseases, metabolic cardiovascular diseases and manifesting a lower quality of life, in particular due to difficulties in accessing local health services. It will be crucial to implement the role of occupational medicine in order to introduce multilevel interventions designed to prevent work-related injuries and illnesses, and to promote healthier working environments.
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Salas-Wright CP, Vaughn MG, Goings TC, Miller DP, Chang J, Schwartz SJ. Alcohol-related problem behaviors among Latin American immigrants in the US. Addict Behav 2018; 87:206-213. [PMID: 30055450 DOI: 10.1016/j.addbeh.2018.06.031] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2018] [Revised: 06/27/2018] [Accepted: 06/27/2018] [Indexed: 12/26/2022]
Abstract
BACKGROUND Prior research indicates that Latino immigrants are less likely than US-born individuals to use alcohol and meet criteria for an alcohol use disorder. However, our understanding of alcohol-related problem behaviors among Latino immigrants remains limited. We report the prevalence of alcohol-related problem behaviors among Latino immigrants vis-à-vis the US-born and examine the relationship between alcohol-related problem behavior and key migration-related factors and injury/receipt of emergency medical care. METHODS The data source used for the present study is the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III, 2012-2013), a nationally representative survey of 36,309 civilian, non-institutionalized adults ages 18 and older in the US. Logistic regression was employed to examine the relationship between immigrant status and key outcomes. RESULTS Foreign-born Latinos were less likely to report one or more alcohol-related problems compared to US-born Latinos (AOR = 0.41, 95% CI = 0.33-0.50) and the US-born general population (AOR = 0.38, 95% CI = 0.32-0.46). Latino immigrants arriving as children were, compared to those arriving later in life, significantly more likely to report alcohol-related problem behaviors, and experiences of discrimination were linked with greater risk of alcohol-related problem behavior as well. Latino immigrants reporting recurrent injury/emergency medical care utilization were more likely to report alcohol-related problem behavior. CONCLUSIONS Latino immigrants are significantly less likely than US-born Latinos and the US-born general population to operate a vehicle under the influence of alcohol, take part in risky behaviors or fight while drinking, or to be arrested due to alcohol consumption.
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Muñoz-Laboy M, Martínez O, Guilamo-Ramos V, Draine J, Garg KE, Levine E, Ripkin A. Influences of Economic, Social and Cultural Marginalization on the Association Between Alcohol Use and Sexual Risk Among Formerly Incarcerated Latino Men. J Immigr Minor Health 2018; 19:1073-1087. [PMID: 28197862 DOI: 10.1007/s10903-017-0554-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Formerly incarcerated Latino men (FILM) have been significantly impacted by the HIV/AIDS and alcohol abuse epidemics in the United States. In this analysis, we examine the role of social, economic and cultural marginalization in the likelihood of alcohol-related sexual risk taking behavior among FILM. We recruited a non-random sample of FILM, ages 18-49 (n = 259). We performed logistic regression modeling to test four hypotheses examining the direct and moderating effects of socio-cultural factors. Drinking before sex was strongly associated with high likelihood of condomless intercourse (adjusted odds ratio, AOR = 2.93; 95% CI 1.74, 4.94). Low acculturation and social marginalization factors were significant moderators of the association between high-risk alcohol use and sexual risk behavior among FILM. Our data suggest that risk reduction initiatives geared towards reducing alcohol-related sexual risk taking among FILM should target FILM with low levels of acculturation, and those with high levels loneliness, anxiety, and/or depression.
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Affiliation(s)
- Miguel Muñoz-Laboy
- School of Social Work, College of Public Health, Temple University, 1301 Cecil B. Moore Ave., Ritter Annex, 5th floor, Philadelphia, PA, 191221, USA.
| | - Omar Martínez
- School of Social Work, College of Public Health, Temple University, 1301 Cecil B. Moore Ave., Ritter Annex, 5th floor, Philadelphia, PA, 191221, USA
| | - Vincent Guilamo-Ramos
- Center for Drug Use and HIV Research (CDUHR, NYU College of Nursing), Center for Latino Adolescent and Family Health, Silver School of Social Work, New York University, 1 Washington Square North, New York, NY, 10003, USA
| | - Jeffrey Draine
- School of Social Work, College of Public Health, Temple University, 1301 Cecil B. Moore Ave., Ritter Annex, 5th floor, Philadelphia, PA, 191221, USA
| | - Karin Eyrich Garg
- School of Social Work, College of Public Health, Temple University, 1301 Cecil B. Moore Ave., Ritter Annex, 5th floor, Philadelphia, PA, 191221, USA
| | - Ethan Levine
- College of Liberal Arts, Temple University, Philadelphia, PA, USA
| | - Alexandra Ripkin
- School of Social Work, College of Public Health, Temple University, 1301 Cecil B. Moore Ave., Ritter Annex, 5th floor, Philadelphia, PA, 191221, USA
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Vaughn MG, Salas-Wright CP. Immigrants commit crime and violence at lower rates than the US-born Americans. Ann Epidemiol 2017; 28:58-60.e1. [PMID: 29153492 DOI: 10.1016/j.annepidem.2017.10.016] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Revised: 09/01/2017] [Accepted: 10/24/2017] [Indexed: 10/18/2022]
Affiliation(s)
- Michael G Vaughn
- School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO.
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Niño MD, Cai T, Mota-Back X, Comeau J. Gender differences in trajectories of alcohol use from ages 13 to 33 across Latina/o ethnic groups. Drug Alcohol Depend 2017; 180:113-120. [PMID: 28888150 DOI: 10.1016/j.drugalcdep.2017.08.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2017] [Revised: 08/02/2017] [Accepted: 08/03/2017] [Indexed: 11/26/2022]
Abstract
BACKGROUND Research examining alcohol use trajectories among Latina/os is scarce. Further, prior findings on alcohol use by ethnic group and gender is mixed. The purpose of this study was twofold: (a.) to examine developmental trajectories for two types of alcohol (drunkenness and heavy drinking) use across four Latina/o ethnic groups (Cubans, Puerto Ricans, Central/South American, and Mexican Americans) and, (b.) to examine the role of gender and ethnicity in developmental trajectories of drunkenness and heavy drinking among Latina/os. METHODS Data were drawn from Waves I-IV of the National Longitudinal Study of Adolescent to Adult Health. The sample consisted of 1670 Latina/os that were followed from adolescence into adulthood. Multi-level logistic regression models were used to estimate drunkenness and heavy drinking trajectories and trajectories by gender. RESULTS indicate that, for all four ethnic groups examined, the probability of drunkenness and heavy drinking gradually increased in adolescence, peaked in "emerging adulthood", and decreased as they transitioned into adulthood. Findings also show divergent age trajectories by gender, but patterns varied across ethnicity and alcohol use outcome. CONCLUSIONS Key findings from this study demonstrate that among Latina/os, there are critical developmental periods for reported drunkenness and heavy drinking in the last 12 months, and that ethnicity and gender play substantial roles in the development of hazardous alcohol use over the life course.
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Affiliation(s)
- Michael D Niño
- Department of Sociology, Willamette University, OR, USA.
| | - Tianji Cai
- Department of Sociology, University of Macau, Avenida da Universidade Taipa, Macau, China
| | - Xóchitl Mota-Back
- Department of Sociology, University of Hawai'i - West O'ahu, 91-1001 Farrington Hwy, Kapolei, HI 96707, USA
| | - Joseph Comeau
- Department of Psychology and Sociology, Georgia Southwestern State University, 800 Georgia Southwestern State University Drive, Americus, 31709, Georgia
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Health Risk Behaviors by Length of Time in the United States Among High School Students in Five Sites. J Immigr Minor Health 2017; 18:150-60. [PMID: 25538004 DOI: 10.1007/s10903-014-0151-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
One in five public school students is from an immigrant-headed household. We used Youth Risk Behavior Survey data from one state and four large urban school districts to examine whether length of time living in the US was associated with health risk behaviors. Logistic regression models, using weighted data, controlled for sex, race/ethnicity, and grade. Compared to US natives, not having always lived in the US was correlated with lower risk for some behaviors (e.g., current marijuana use and alcohol use) among high school students, but higher risk for other behaviors (e.g., attempted suicide, physical inactivity). Many findings were inconsistent across the study sites. Interventions that specifically target recently-arrived school-aged youth to prevent behaviors that put health and safety at risk, may result in the best outcomes for immigrant youth. Care should be taken to understand the specific health risks present in different immigrant communities.
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Ehlers CL, Kim C, Gilder DA, Stouffer GM, Caetano R, Yehuda R. Lifetime history of traumatic events in a young adult Mexican American sample: Relation to substance dependence, affective disorder, acculturation stress, and PTSD. J Psychiatr Res 2016; 83:79-85. [PMID: 27569652 PMCID: PMC5107155 DOI: 10.1016/j.jpsychires.2016.08.009] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2016] [Revised: 08/04/2016] [Accepted: 08/11/2016] [Indexed: 02/06/2023]
Abstract
Mexican Americans comprise one of the most rapidly growing populations in the United States, and within this population, trauma and post-traumatic stress disorder (PTSD) are associated with physical and mental health problems. Therefore, efforts to delineate factors that may uniquely contribute to increased likelihood of trauma, PTSD, and substance use disorders over the lifetime in Mexican Americans are important to address health disparities and to develop treatment and prevention programs. Six hundred fourteen young adults (age 18-30 yrs) of Mexican American heritage, largely second generation, were recruited from the community and assessed with the Semi-Structured Assessment for the Genetics of Alcoholism and an acculturation stress scale. More males (51.2%) reported experiencing traumas than females (41.1%), however, a larger proportion of females received a PTSD diagnosis (15%) than males (8%). Alcohol dependence and affective disorders, but not anxiety disorders, antisocial disorders, nicotine, marijuana, or stimulant dependence, were significantly comorbid with PTSD. Endorsing higher levels of acculturation stress was also significantly associated with both trauma exposure and a diagnosis of PTSD. Logistic regression revealed that female gender, having an affective disorder, alcohol dependence, higher levels of acculturation stress, and lower levels of education were all predictors of PTSD status. Additionally, alcohol dependence generally occurred after the PTSD diagnosis in early adulthood in this high-risk population. These studies suggest that treatment and prevention efforts should particularly focus on young adult second generation Mexican American women with higher levels of acculturation stress, who may be at higher risk for PTSD, affective disorder, and alcohol dependence following trauma exposure.
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Affiliation(s)
- Cindy L. Ehlers
- Molecular and Cellular Neurosciences Department, The Scripps Research Institute, La Jolla, CA 92037, USA,Corresponding author: Dr. Cindy L. Ehlers, TSRI, 10550 North Torrey Pines Road SP30-1501, La Jolla, CA 92037 USA, Telephone: (858) 784-7058; Fax: (858) 784-7409;
| | - Corinne Kim
- Molecular and Cellular Neurosciences Department, The Scripps Research Institute, La Jolla, CA 92037, USA
| | - David A. Gilder
- Molecular and Cellular Neurosciences Department, The Scripps Research Institute, La Jolla, CA 92037, USA
| | - Gina M. Stouffer
- Molecular and Cellular Neurosciences Department, The Scripps Research Institute, La Jolla, CA 92037, USA
| | - Raul Caetano
- Prevention Research Center, Pacific Institute for Research and Evaluation, Oakland, CA, USA
| | - Rachel Yehuda
- James J. Peters Veterans Affairs Medical Center and Traumatic Stress Studies Division, Psychiatry Department, Mount Sinai School of Medicine, Bronx, NY 10029-6574, USA
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Atherton OE, Conger RD, Ferrer E, Robins RW. Risk and Protective Factors for Early Substance Use Initiation: A Longitudinal Study of Mexican-Origin Youth. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2016; 26:864-879. [PMID: 27990071 PMCID: PMC5156403 DOI: 10.1111/jora.12235] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Substance use initiation in adolescence is a critical issue, given its association with substance dependency and associated problems in adulthood. However, due to the dearth of fine-grained, longitudinal studies, the factors associated with early initiation are poorly understood, especially in minority youth. The present study examined substance use initiation in a sample of Mexican-origin youth (N=674) assessed annually from age 10 to 16. Using discrete-time survival analyses, we found that initiation escalated rapidly from late childhood to adolescence, and we identified a wide range of factors, from the individual to the cultural level of analysis, that significantly increased or decreased risk for early initiation. These findings have important implications for programs aimed at preventing early substance use by Mexican-origin youth.
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Li K, Simons-Morton B, Gee B, Hingson R. Marijuana-, alcohol-, and drug-impaired driving among emerging adults: Changes from high school to one-year post-high school. JOURNAL OF SAFETY RESEARCH 2016; 58:15-20. [PMID: 27620930 PMCID: PMC5022791 DOI: 10.1016/j.jsr.2016.05.003] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/21/2015] [Revised: 04/20/2016] [Accepted: 05/26/2016] [Indexed: 05/05/2023]
Abstract
INTRODUCTION Driving while impaired (DWI) increases the risk of a motor vehicle crash by impairing performance. Few studies have examined the prevalence and predictors of marijuana, alcohol, and drug-specific DWI among emerging adults. METHODS The data from wave 3 (W3, high school seniors, 2012, N=2407) and wave 4 (W4, one year after high school, N=2178) of the NEXT Generation Health Study with a nationally representative cohort. W4 DWI (≥1day of past 30days) was specified for alcohol-specific, marijuana-specific, alcohol/marijuana-combined, illicit drug-related DWI. Multinomial logistic regression models estimated the association of W4 DWI with W3 covariates (perceived peer/parent influence, drinking/binge drinking, marijuana/illicit drug use), and W4 environmental status variables (work/school/residence) adjusting for W3 overall DWI, demographic, and complex survey variables. RESULTS Overall DWI prevalence from W3 to W4 changed slightly (14% to 15%). W4 DWI consisted of 4.34% drinking-specific, 5.02% marijuana-specific, 2.41% drinking/marijuana combined, and 3.37% illicit drug-related DWI. W3 DWI was significantly associated with W4 alcohol-related and alcohol/marijuana-combined DWI, but not other DWI. W3 marijuana use, binge drinking, and illicit drug use were positively associated with W4 marijuana-specific, alcohol/marijuana-combined, and illicit drug-related DWI, respectively. W3 friend drunkenness and marijuana use were positively associated with W4 alcohol-specific and marijuana-related DWI, respectively. W3 peer marijuana use was negatively associated with W4 alcohol-specific DWI. CONCLUSIONS Driving under the influence of alcohol, marijuana, and illicit drugs is a persistent, threatening public health concern among emerging U.S. adults. High school seniors' binge drinking as well as regular alcohol drinking and marijuana/illicit drug use were independently associated with respective DWI one year after high school. Peer drunkenness and marijuana use in high school may be related to subsequent DWI of emerging adults. PRACTICAL APPLICATIONS The results support the use of injunctive peer norms about getting drunk and smoking marijuana in guiding the development of prevention programs to reduce youth DWI.
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Affiliation(s)
- Kaigang Li
- Department of Health & Exercise Science, Colorado State University, Fort Collins, CO, USA.
| | - Bruce Simons-Morton
- Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health & Human Development, Bethesda, MD, USA
| | - Benjamin Gee
- Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health & Human Development, Bethesda, MD, USA
| | - Ralph Hingson
- Division of Epidemiology and Prevention Research, National Institute on Alcohol Abuse and Alcoholism, USA
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Lopez-Tamayo R, DiGangi J, Segovia G, Leon G, Alvarez J, Jason LA. Psychosocial Factors Associated with Substance Abuse and Anxiety on Immigrant and U.S. Born Latinos. ACTA ACUST UNITED AC 2016; 4. [PMID: 28845439 PMCID: PMC5568795 DOI: 10.13188/2330-2178.1000028] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Latinos are exposed to adverse psychosocial factors that impact their health outcomes. Given the heterogeneity and rapid growth of this population, there is an urgent need to understand the mechanisms through which psychosocial factors impact substance abuse and anxiety between immigrant and U.S. born Latino adults. The present study employs a multi-group path analysis using Mplus 7.2 to examine generational differences in the paths between affiliation culture, years of formal education, contact with important people, and length of full-time employment to substance abuse and anxiety in immigrant and U.S. born Latino adults who completed substance abuse treatment. A total of 131 participants (Mage= 36.3, SD ± 10.5, 86.3% males, 48.1% non-U.S. born with a mean length of stay of 19 years in the U.S. (SD ± 13.71) in recovery from substance abuse completed self-report measures. Results from the multi-group path analysis suggest that being more affiliated to the U.S. culture is associated with substance abuse, whereas years of formal education and longer full-time employment is associated with reduced anxiety in the immigrant group. Conversely, frequent contact with important people and affiliation to the U.S. culture are associated with fewer years of substance abuse, whereas longer full-time employment is associated with substance abuse in the U.S. born group. Anxiety and substance abuse was correlated only in the U.S. born group. The implications of these findings are discussed.
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Affiliation(s)
| | - Julia DiGangi
- Center for Community Research, DePaul University, Chicago, USA
| | - Gloria Segovia
- Center for Community Research, DePaul University, Chicago, USA
| | - Gabriela Leon
- Center for Community Research, DePaul University, Chicago, USA
| | - Josefina Alvarez
- Adler School of Professional Psychology, Adler University, Chicago, USA
| | - Leonard A Jason
- Center for Community Research, DePaul University, Chicago, USA
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Lopez-Tamayo R, Alvarez J, Jason LA. Testing a Multidimensional Acculturation Model on Latinos who Completed Substance Abuse Treatment. ACTA ACUST UNITED AC 2016; 2. [PMID: 29051923 PMCID: PMC5644495 DOI: 10.21767/2471-853x.100023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Disparities in substance abuse treatment (SAT) utilization and completion suggest that traditional substance abuse models may fall short of addressing the complex needs of Latinos, increasing the odds of relapsing. The need for substance use models that integrate multiple acculturation domains in relation to substance abuse is warranted. The goal of the present study is twofold: a) test a multidimensional acculturation model on Latinos who completed SAT; and b) examine the association between the proposed multidimensional acculturation and days consuming alcohol and illicit drugs in the past six months. A total of 131 participants (Mage=36.15, SD ± 10.5, 86.3% males, 48.1% non-U.S. born with a mean length of stay of 19 years in the U.S. (SD ± 13.71) were interviewed upon completion of SAT. Results from the SEM indicated adequate model fit to the population under study, supporting the use of a multidimensional acculturation approach for this population. Subsequent results from the structured regression analysis suggest that multidimensional acculturation is negatively associated with days using alcohol in the past 6 months. The implications of these findings are discussed.
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Affiliation(s)
| | - J Alvarez
- Center for Community Research 990 W. Fullerton Ave, Suite 3100, USA
| | - L A Jason
- Center for Community Research 990 W. Fullerton Ave, Suite 3100, USA
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Maldonado-Molina MM, Jennings WG. Commentary on Caetano, Vaeth, Mills, and Canino (2016): Employment Status, Depression, Drinking, and Alcohol-Use Disorders in Puerto Rico. Alcohol Clin Exp Res 2016; 40:942-4. [PMID: 27087020 DOI: 10.1111/acer.13055] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2016] [Accepted: 02/29/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND In this commentary, we discuss a study by Caetano and colleagues (in press) that examines the relation between depression, employment status, and drinking behaviors among adults (aged 18 to 64) living in San Juan, Puerto Rico. METHODS We discuss the contribution of Caetano and colleagues' (in press) study to the understanding of socioeconomic risk and protective factors associated with depression and drinking behaviors among Hispanics, specifically Puerto Ricans. We focus on 3 topics: (i) gender differences in the relation between depression and employment status, (ii) the relation between participation in the workforce and drinking behaviors, and (iii) the potential role of family and contextual factors mitigating the effects of unemployment on drinking behaviors. RESULTS Findings suggest that in Puerto Rico, employment status, although associated with depression and drinking behaviors, was not associated with alcohol-related outcomes. CONCLUSIONS Caetano and colleagues' (in press) article represents an important contribution to understanding differential effects in risk and protective factors associated with drinking behaviors and alcohol-related consequences among Hispanics. Future research should focus on examining the role of family and social support to mitigate the effects of unemployment, depression, and drinking behaviors among Puerto Ricans living in Puerto Rico.
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Affiliation(s)
- Mildred M Maldonado-Molina
- Department of Health Outcomes and Policy , College of Medicine & the Institute for Child Health Policy, University of Florida, Gainesville, Florida
| | - Wesley G Jennings
- Department of Criminology , University of South Florida, Tampa, Florida
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Jetelina KK, Reingle Gonzalez JM, Vaeth PAC, Mills BA, Caetano R. An Investigation of the Relationship Between Alcohol Use and Major Depressive Disorder Across Hispanic National Groups. Alcohol Clin Exp Res 2016; 40:536-42. [PMID: 26887675 DOI: 10.1111/acer.12979] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2015] [Accepted: 12/03/2015] [Indexed: 11/26/2022]
Abstract
BACKGROUND There has been consistent epidemiological evidence of the association between drinking, alcohol dependence, and depression. However, most of the research has ignored potential diversity across Hispanic national subgroups. This study examines the prevalence of depression and explores its association with volume of drinking, age at first drink, binge drinking, and alcohol dependence across Mexican American, Puerto Rican, Cuban, and South/Central American Hispanic national groups. METHODS Data from more than 19,000 Hispanic adults were obtained from the 2010 to 2012 National Survey on Drug Use and Health. Survey logistic regression methods were used to test for differences in the relationship between major depressive disorder (MDD) and alcohol consumption across national groups. RESULTS The prevalence of MDD varied significantly across Hispanic national groups (χ(2) = 67.06, p < 0.001). Puerto Ricans (14%) and Mexican Americans (9%) were most likely to have MDD. Mexican Americans had the highest prevalence of alcohol dependence, volume of consumption, and youngest age at first drink compared to Puerto Ricans, Cuban Americans, and Central/South Americans. Multivariate results suggest that the odds of alcohol dependence were nearly 4 times greater among Hispanics with MDD compared to Hispanics who did not meet the criteria for MDD. Hispanic national origin did not modify the association between MDD and alcohol use. CONCLUSIONS Although significant differences in the prevalence rates of MDD and alcohol-use measures emerged across Hispanic national groups, there was no evidence that the relationships between these measures were different across Hispanic national groups. Further research should investigate the root causes of these variable MDD prevalence rates to inform detection and intervention efforts targeted toward specific national groups.
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Affiliation(s)
- Katelyn K Jetelina
- Dallas Regional Campus, University of Texas School of Public Health, Dallas, Texas
| | | | - Patrice A C Vaeth
- Prevention Research Center, Pacific Institute for Research and Evaluation, Oakland, California
| | - Britain A Mills
- Dallas Regional Campus, University of Texas School of Public Health, Dallas, Texas
| | - Raul Caetano
- Prevention Research Center, Pacific Institute for Research and Evaluation, Oakland, California
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Duarte R, Escario JJ, Molina JA. Social Interactions in Alcohol-Impaired Driving. JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE 2015. [DOI: 10.1080/1067828x.2014.896760] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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20
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Salas-Wright CP, Vaughn MG, Clark TT, Terzis LD, Córdova D. Substance use disorders among first- and second- generation immigrant adults in the United States: evidence of an immigrant paradox? J Stud Alcohol Drugs 2015; 75:958-67. [PMID: 25343653 DOI: 10.15288/jsad.2014.75.958] [Citation(s) in RCA: 72] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE A growing number of studies have examined the "immigrant paradox" with respect to the use of licit and illicit substances in the United States. However, there remains a need for a comprehensive examination of the multigenerational and global links between immigration and substance use disorders among adults in the United States. METHOD The present study, using data from the National Epidemiologic Survey on Alcohol and Related Conditions, aimed to address these gaps by comparing the prevalence of substance use disorders of first-generation (n = 3,338) and second-generation (n = 2,515) immigrants with native-born American adults (n = 15,733) in the United States. We also examined the prevalence of substance use disorders among first-generation emigrants from Asia, Africa, Europe, and Latin America in contrast to second-generation and native-born Americans. RESULTS The prevalence of substance use disorders was highest among native-born Americans, slightly lower among second-generation immigrants, and markedly lower among first-generation immigrants. Adjusted risk ratios were largest among individuals who immigrated during adolescence (ages 12-17 years) and adulthood (age 18 years or older). Results were consistent among emigrants from major world regions. CONCLUSIONS Consistent with a broad body of literature examining the links between the immigrant paradox and health outcomes, results suggest that nativity and age at arrival are significant factors related to substance use disorders among first- and second-generation immigrants in the United States.
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Affiliation(s)
| | - Michael G Vaughn
- School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri
| | - Trenette T Clark
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
| | - Lauren D Terzis
- School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri
| | - David Córdova
- School of Social Work, University of Michigan, Ann Arbor, Michigan
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Cook WK, Karriker-Jaffe KJ, Bond J, Lui C. Asian American problem drinking trajectories during the transition to adulthood: ethnic drinking cultures and neighborhood contexts. Am J Public Health 2015; 105:1020-7. [PMID: 25393183 PMCID: PMC4386507 DOI: 10.2105/ajph.2014.302196] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/02/2014] [Indexed: 11/04/2022]
Abstract
OBJECTIVES We aimed to identify problem drinking trajectories and their predictors among Asian Americans transitioning from adolescence to adulthood. We considered cultural and socioeconomic contextual factors, specifically ethnic drinking cultures, neighborhood socioeconomic status, and neighborhood coethnic density, to identify subgroups at high risk for developing problematic drinking trajectories. METHODS We used a sample of 1333 Asian Americans from 4 waves of the National Longitudinal Study of Adolescent to Adult Health (1994-2008) in growth mixture models to identify trajectory classes of frequent heavy episodic drinking and drunkenness. We fitted multinomial logistic regression models to identify predictors of trajectory class membership. RESULTS Two dimensions of ethnic drinking culture-drinking prevalence and detrimental drinking pattern in the country of origin-were predictive of problematic heavy episodic drinking and drunkenness trajectories. Higher neighborhood socioeconomic status in adolescence was predictive of the trajectory class indicating increasing frequency of drunkenness. Neighborhood coethnic density was not predictive of trajectory class membership. CONCLUSIONS Drinking cultures in the country of origin may have enduring effects on drinking among Asian Americans. Further research on ethnic drinking cultures in the United States is warranted for prevention and intervention.
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Affiliation(s)
- Won Kim Cook
- All authors are with the Alcohol Research Group, Public Health Institute, Emeryville, CA. Camillia Lui is also with the School of Public Health, University of California, Berkeley
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Reingle JM, Caetano R, Mills BA, Vaeth PAC. The role of immigration age on alcohol and drug use among border and non-border Mexican Americans. Alcohol Clin Exp Res 2014; 38:2080-6. [PMID: 24846850 PMCID: PMC4106976 DOI: 10.1111/acer.12440] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2014] [Accepted: 03/21/2014] [Indexed: 11/29/2022]
Abstract
BACKGROUND To determine the age of immigration at which the marked increase in risk for alcohol- and drug-use problems in adulthood is observed among Mexican American adults residing in 2 distinct contexts: the U.S.-Mexico border, and cities not proximal to the border. METHODS We used 2 samples of Mexican American adults: specifically, 1,307 who resided along the U.S.-Mexico border, and 1,288 non-border adults who were interviewed as a part of the 2006 Hispanic Americans Baseline Alcohol Survey study. Survey logistic and Poisson regression methods were used to examine how immigration age during adolescence is related to alcohol- and drug-use behavior in adulthood. RESULTS We found that participants who immigrate to the United States prior to age 14 have qualitatively different alcohol- and drug-related outcomes compared to those who immigrate later in life. Adults who immigrated at younger ages have alcohol- and drug-use patterns similar to those who were U.S.-born. Adults who immigrated at young ages and reside distal from the U.S.-Mexico border are at greater risk for alcohol and drug use than those who live in border contexts. CONCLUSIONS Immigration from Mexico to the U.S. before age 14 results in alcohol- and drug-related behavior that mirrors the behavior of U.S.-born residents, and the alcohol- and drug-use effects were more pronounced among adults who did not reside proximal to the U.S.-Mexico border.
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Affiliation(s)
- Jennifer M. Reingle
- Corresponding author: Jennifer M. Reingle, PhD,
University of Texas Health Science Center at Houston, 5323 Harry Hines Blvd.,
V8.112, Dallas, TX 75390, Telephone: 214-648-1519, Fax: 214-648-1081,
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Cook WK, Bond J, Karriker-Jaffe KJ, Zemore S. Who's at risk? Ethnic drinking cultures, foreign nativity, and problem drinking among Asian American young adults. J Stud Alcohol Drugs 2014; 74:532-41. [PMID: 23739016 DOI: 10.15288/jsad.2013.74.532] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE Despite the low overall prevalence of alcohol use among Asian Americans, rates of alcohol use disorder are high among Asian American young adults. The influence of ethnic drinking cultures on immigrants and their descendants has been overlooked in past research. We took an integrative approach to examine the influence of ethnic drinking culture, acculturation, and socioeconomic disparities on problem drinking among Asian American young adults. METHOD This study was a nationally representative sample of 854 Asian American young adults extracted from the Wave 4 National Longitudinal Study of Adolescent Health data. About 48% of the sample was female and 52% male. Several multiple logistic regression models were fitted. RESULTS Controlling for other covariates, two dimensions of ethnic drinking culture were associated with alcohol outcomes only for the foreign born: (a) detrimental drinking pattern with frequent drunkenness and alcohol-abuse symptoms and (b) drinking prevalence with alcohol-dependence symptoms. Financial hardship was a significant predictor of symptoms of alcohol abuse and dependence only for the U.S. born. Asian language use was protective against alcohol-abuse symptoms and alcohol-dependence symptoms for the foreign born. CONCLUSIONS Cultural and socioeconomic factors of problem drinking may be different for U.S.-and foreign-born Asian American young adults. Ethnic drinking cultures may significantly influence problem drinking of foreign-born Asian American young adults, independent of their acculturation into U.S. cultures. To inform effective interventions targeted at immigrants and their descendants, future research might further investigate the cultural and socioeconomic processes in immigrant communities that might significantly influence drinking.
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Affiliation(s)
- Won Kim Cook
- Alcohol Research Group, Public Health Institute, Emeryville, California 94608-1010, USA.
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Perez-Carceles MD, Medina MD, Perez-Flores D, Noguera JA, Pereniguez JE, Madrigal M, Luna A. Screening for hazardous drinking in migrant workers in southeastern Spain. J Occup Health 2014; 56:39-48. [PMID: 24430840 DOI: 10.1539/joh.13-0119-oa] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
OBJECTIVES Despite the great impact the migration has had in economic, social and health-related fields, and the repercussions of alcohol consumption on them, few data exist concerning the extent of alcohol consumption in migrant workers. The aims of this study were to identify workers with a hazardous drinking problem by means of a self-reported questionnaire (Alcohol Use Disorders Identification Test-AUDIT) and a biomarker (carbohydrate-deficient transferrin-CDT) and to ascertain associated risk factors. METHODS A cross-sectional survey was conducted using a random sample of 385 migrant workers, undergoing a routine health examination as part of occupational health services. RESULTS The results showed that 13.8% (n=53) of the workers were screened as positive with the AUDIT (≥8) and/or CDT (>2.6) and identified as hazardous drinkers and that 53.8% (n=207) were teetotallers. Being a man (OR: 2.0), working in the construction industry (OR: 2.8) or agriculture (OR: 2.2), being resident in Spain for more than 7 years (OR: 2.3) and sharing a house with friends were the factors most closely associated with hazardous drinking. CONCLUSIONS Prevention-orientated programs, adjusted to the characteristics of each country and the origin of the migrants themselves, should be instituted to modify the drinking habits of migrant workers considered at risk.
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Affiliation(s)
- Maria D Perez-Carceles
- Department of Health and Social Sciences, Regional Campus of International Excellence "Campus Mare Nostrum", School of Medicine, University of Murcia, E30100
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Li K, Simons-Morton BG, Hingson R. Impaired-driving prevalence among US high school students: associations with substance use and risky driving behaviors. Am J Public Health 2013; 103:e71-7. [PMID: 24028236 PMCID: PMC3828696 DOI: 10.2105/ajph.2013.301296] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/18/2013] [Indexed: 11/04/2022]
Abstract
OBJECTIVES We examined the prevalence of impaired driving among US high school students and associations with substance use and risky driving behavior. METHODS We assessed driving while alcohol or drug impaired (DWI) and riding with alcohol- or drug-impaired drivers (RWI) in a nationally representative sample of 11th-grade US high school students (n = 2431). We examined associations with drinking and binge drinking, illicit drug use, risky driving, and demographic factors using multivariate sequential logistic regression analysis. RESULTS Thirteen percent of 11th-grade students reported DWI at least 1 of the past 30 days, and 24% reported RWI at least once in the past year. Risky driving was positively associated with DWI (odds ratio [OR] = 1.25; P < .001) and RWI (OR = 1.09; P < .05), controlling for binge drinking (DWI: OR = 3.17; P < .01; RWI: OR = 6.12; P < .001) and illicit drug use (DWI: OR = 5.91; P < .001; RWI: OR = 2.29; P = .05). DWI was higher for adolescents who drove after midnight (OR = 15.7), drove while sleepy or drowsy (OR = 8.6), read text messages (OR = 11.8), sent text messages (OR = 5.0), and made cell phone calls (OR = 3.2) while driving. CONCLUSIONS Our findings suggest the need for comprehensive approaches to the prevention of DWI, RWI, and other risky driving behavior.
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Affiliation(s)
- Kaigang Li
- Kaigang Li and Bruce G. Simons-Morton are with the Health Behavior Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD. Ralph Hingson is with the Epidemiology and Prevention Research Division, National Institute on Alcohol Abuse and Alcoholism, Bethesda
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Comparing Patterns and Predictors of Immigrant Offending Among a Sample of Adjudicated Youth. J Youth Adolesc 2013; 43:1914-33. [DOI: 10.1007/s10964-013-0045-z] [Citation(s) in RCA: 77] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2013] [Accepted: 10/12/2013] [Indexed: 11/25/2022]
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Delcher C, Johnson R, Maldonado-Molina MM. Driving after drinking among young adults of different race/ethnicities in the United States: unique risk factors in early adolescence? J Adolesc Health 2013; 52:584-91. [PMID: 23608720 PMCID: PMC3634100 DOI: 10.1016/j.jadohealth.2012.10.274] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2012] [Revised: 10/12/2012] [Accepted: 10/14/2012] [Indexed: 11/27/2022]
Abstract
PURPOSE National guidelines for alcohol screening and brief interventions advise practitioners to consider age, drinking frequency, and context to identify at-risk youth. The purpose of this study was to identify the contextual risk and protective factors in high school-aged adolescents associated with future driving after drinking (Drinking Under the Influence [DUI] at age 21) by race/ethnicity. METHODS Data included 10,271 adolescents (67% white, 12% Hispanic, 16% black, 3.6% Asian; 49% Male) who participated in the National Longitudinal Study of Adolescent Health (Waves I, II, and III) from 1995 to 2001. A lagged panel design and survey logistic regression was used to examine the association between multiple contextual factors (e.g., demographics, parents, peers, social context) during adolescence and self-reported DUI in young adulthood. RESULTS As expected, the likelihood of DUI was higher among whites followed by Hispanics, Asians, and blacks in all models. Perception of easy home access to alcohol increased risk for future DUI for whites (OR: 1.25 CI: 1.04-1.49), Hispanics (OR: 2.02 CI: 1.29-3.16), and Asians (OR: 1.90 CI: 1.13-3.22), but not for black youth. Drinking frequency and prior DUI were not risk factors for Hispanics. Risk-taking attitudes, marijuana use, and religious affiliation were risk factors for whites only. CONCLUSIONS Findings suggest that in addition to screening for drinking behaviors, brief interventions and prevention efforts should assess perceived home access to alcohol and other race-specific factors to reduce alcohol-related injuries and harm.
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Affiliation(s)
- Chris Delcher
- University of Florida, College of Medicine, Department of Health Outcomes and Policy and Institute for Child Health Policy 1329 SW 16 St. Room 5130, PO Box 100177, Gainesville, FL 32610-0177 U.S.A
| | - Rachel Johnson
- University of Florida, College of Medicine, Department of Health Outcomes and Policy and Institute for Child Health Policy 1329 SW 16 St. Room 5130, PO Box 100177, Gainesville, FL 32610-0177 U.S.A
| | - Mildred M. Maldonado-Molina
- University of Florida, College of Medicine, Department of Health Outcomes and Policy and Institute for Child Health Policy 1329 SW 16 St. Room 5130, PO Box 100177, Gainesville, FL 32610-0177 U.S.A
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Reingle JM, Maldonado-Molina MM, Jennings WG, Komro KA. Racial/ethnic differences in trajectories of aggression in a longitudinal sample of high-risk, urban youth. J Adolesc Health 2012; 51:45-52. [PMID: 22727076 PMCID: PMC3383599 DOI: 10.1016/j.jadohealth.2011.11.008] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2011] [Revised: 11/07/2011] [Accepted: 11/08/2011] [Indexed: 11/24/2022]
Abstract
PURPOSE To estimate trajectories of aggression among African Americans and Hispanics using a longitudinal sample of urban adolescents, and test multiple domains of risk factors to differentiate profiles of aggression. METHODS Participants included 3,038 adolescents followed from sixth to eighth grade. Trajectories of aggression were estimated for African Americans and Hispanics separately, and multinomial regression procedures were used to evaluate the effect of multiple domains of risk and protective factors. Mediation analyses were conducted to evaluate the indirect effects of contextual variables on aggression. RESULTS Four profiles of aggression were identified. Among Hispanics, groups included: (1) low-aggression, (2) desistors, (3) escalators, and (4) consistent aggression; among African Americans: (1) low-aggression, (2) escalators, (3) moderate-consistent aggression, and (4) consistent aggression. Differences in the multiple domains of risk factors emerged between racial/ethnic groups. CONCLUSIONS Contextual variables (peer alcohol use, adult alcohol consumption, and access to alcohol at home) increased risk for aggression differentially by racial/ethnic group.
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Affiliation(s)
- Jennifer M. Reingle
- University of Florida, College of Public Health and Health Professions and College of Medicine, Department of Epidemiology, 101 S. Newell Dr., Gainesville, FL 32610-0177
| | - Mildred M. Maldonado-Molina
- University of Florida, College of Medicine, Department of Health Outcomes and Policy and Institute for Child Health Policy, 1329 SW 16th, Gainesville, FL 32610-0177
| | - Wesley G. Jennings
- University of South Florida, Department of Criminology, University of South Florida, 4202 E. Fowler Ave, Tampa, FL 33620
| | - Kelli A. Komro
- University of Florida, College of Medicine, Department of Health Outcomes and Policy and Institute for Child Health Policy, 1329 SW 16th, Gainesville, FL 32610-0177
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Des Rosiers SE, Schwartz SJ, Zamboanga BL, Ham LS, Huang S. A Cultural and Social Cognitive Model of Differences in Acculturation Orientations, Alcohol Expectancies, and Alcohol-Related Risk Behaviors Among Hispanic College Students. J Clin Psychol 2012; 69:319-40. [DOI: 10.1002/jclp.21859] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
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Reingle JM, Jennings WG, Maldonado-Molina MM. The Mediated Effect of Contextual Risk Factors on Trajectories of Violence: Results from a Nationally Representative, Longitudinal Sample of Hispanic Adolescents. AMERICAN JOURNAL OF CRIMINAL JUSTICE : AJCJ 2011; 36:327-343. [PMID: 24072961 PMCID: PMC3782310 DOI: 10.1007/s12103-011-9138-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The current study sought to estimate trajectories of violent behavior and evaluate the direct and indirect effects of contextual factors among Hispanics, stratified by gender. Relying on data from 3,719 Hispanic adolescents surveyed as a part of the National Longitudinal Study of Adolescent Health (Add Health), violence trajectories were estimated using group-based trajectory modeling. The results identified three groups of violence trajectories for both males and females (non-violent, desistors, and escalators) and there were considerable gender differences in the direct and indirect effects of risk and protective factors on violent behavior. Study limitations and policy implications are also discussed.
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Affiliation(s)
- Jennifer M. Reingle
- College of Medicine, Department of Health Outcomes and Policy and Institute for Child Health Policy, University of Florida, 1329 SW 16th St. Room 5130, PO Box 100177, Gainesville, FL 32610-0177, USA
| | - Wesley G. Jennings
- College of Behavioral and Community Sciences, Department of Criminology, SOC 326, University of South Florida, Tampa, FL 33620, USA
| | - Mildred M. Maldonado-Molina
- College of Medicine, Department of Health Outcomes and Policy and Institute for Child Health Policy, University of Florida, 1329 SW 16th St. Room 5130, PO Box 100177, Gainesville, FL 32610-0177, USA
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