1
|
Atkinson JS, Fernández-Esquer ME, Field C. At-Risk Drinking and Workplace Conditions among Latino Day Laborers. Subst Use Misuse 2023; 59:1-9. [PMID: 37727109 DOI: 10.1080/10826084.2023.2257315] [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] [Indexed: 09/21/2023]
Abstract
Background: Latino Day Laborers (LDL) face a variety of factors which have been associated with at-risk drinking. The objective of this study was to assess the association of at-risk drinking with measures of work site conditions. Methods: Data from surveys conducted with 307 LDL in Houston, TX in 2015 were analyzed. Sociodemographic information and measures of exposures to hazardous products at the worksite, adverse working conditions, and work stressors were collected. Measures of positive working climate at the jobsite and a climate that promoted jobsite safety were also included. Participants were administered the Hazardous Use items from the Alcohol Use Disorders Identification Test of Consumption (AUDIT-C). Participants were classified as low-risk or at-risk drinkers based on AUDIT-C score. Logistic regression models were run to assess the associations of the sociodemographic and worksite related variables with drinking status. Results: One-hundred-five (34.2%) participants were classified as at-risk drinkers. At-risk drinking was associated with past-month income, being formerly married (compared to having never married), and lack of housing. At-risk drinking was also associated with measures of a positive working climate and a climate that promoted jobsite safety. Conclusions: One-third of our participants were classified as at-risk drinkers. At-risk drinking was associated with stressors in the form of lack of housing and no longer having a spouse but was also associated with increased income and with positive workplace factors. At-risk drinking was thus a function of both stressors and positive factors, including a positive work site.
Collapse
Affiliation(s)
- John S Atkinson
- Center for Health Promotion, University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, TX, USA
| | - Maria Eugenia Fernández-Esquer
- Center for Health Promotion, University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, TX, USA
| | - Craig Field
- Latino Alcohol and Health Disparities Research Center, University of Texas at El Paso, El Paso, TX, USA
| |
Collapse
|
2
|
Arcury TA, Smith SA, Talton JW, Chen H, Laurienti PJ, Quandt SA. Depressive Symptoms of Latinx Women in Rural Farmworker and Urban Non-Farmworker Families in North Carolina. J Racial Ethn Health Disparities 2022; 9:2351-2360. [PMID: 34697765 PMCID: PMC8544181 DOI: 10.1007/s40615-021-01172-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Revised: 10/05/2021] [Accepted: 10/14/2021] [Indexed: 12/29/2022]
Abstract
BACKGROUND Mental health among low-income Latinx women in the United States (US), including those in farmworker families, is a health equity concern. This analysis (1) describes the depressive symptoms among Latinx women in rural farmworker families and urban non-farmworker families and (2) delineates immigration and acculturation, family composition and disruption, and financial characteristics associated with depressive symptoms experienced by these women. METHODS Data are from a 2019-2020 cross-sectional survey of 66 rural farmworker and 52 urban non-farmworker women with a child participating in a study of pesticide exposure and neurocognitive development. Depressive symptoms were measured with the CES-D Short Form. RESULTS The median (25th-75th percentiles) depressive symptom score reported was 2.0 (1.0-4.0), with 10 (8.5%) women having depressive symptom scores of 10 or greater. In bivariate analysis, among immigration and acculturation characteristics, women born in the USA and who spoke English fluently had lower depressive symptom scores. Among family composition and disruption characteristics, married women, and those with two adults in the household had lower depressive symptom scores. No financial status characteristic had statistically significant associations with depressive symptom score. In multivariate analysis, rural farmworker women had an expected median score one point lower than did urban non-farmworker women. CONCLUSION Addressing mental health among immigrant women, particularly those in farmworker families, is a complex undertaking. Rural versus urban locality provides a context for mental health. Determining the proximal determinants of locality requires further analysis.
Collapse
Affiliation(s)
- Thomas A Arcury
- Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
| | - Sydney A Smith
- Department of Biostatistics and Data Science, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | - Jennifer W Talton
- Department of Biostatistics and Data Science, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | - Haiying Chen
- Department of Biostatistics and Data Science, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | - Paul J Laurienti
- Department of Radiology, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | - Sara A Quandt
- Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA
| |
Collapse
|
3
|
Kwon M, Ahn SY, Kim SA. Factors Influencing Depressive Symptoms in Middle-Aged South Korean Workers by Job Type: A Population-Based Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14310. [PMID: 36361189 PMCID: PMC9654879 DOI: 10.3390/ijerph192114310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 10/28/2022] [Accepted: 10/29/2022] [Indexed: 06/16/2023]
Abstract
Depressive symptoms can be influenced by different factors, including job types. In this study, we identified factors that affect depressive symptoms among South Korean workers by job type using data from the Korea National Health and Nutrition Examination Survey. Examined respondents were between 40 and 69 years (N = 9375). A complex sample linear regression analysis revealed various significant factors based on job type. For office workers, the number of household members, health-related quality of life, diabetes, sitting time, subjective health, and stress were significant influencing factors for depressive symptoms (explanatory power of 23.2%) (p < 0.001). For service workers, gender, health-related quality of life, food intake, aerobic exercise, sitting time, subjective health, and stress were significant influencing factors for depressive symptoms (explanatory power of 49.6%) (p < 0.001). For labor workers, gender, type of living, health-related quality of life, BMI, weight change, weight control, aerobic exercise, diabetes, subjective health, and stress were significant influencing factors for depressive symptoms (explanatory power of 35.8%) (p < 0.001). These differences highlight the need for customized programs targeted at each job type to maintain and promote mental health among workers.
Collapse
Affiliation(s)
- Myoungjin Kwon
- Department of Nursing, Faculty of Health and Medical Sciences, Daejeon University, Daejeon 34520, Korea
| | - Sung Yun Ahn
- Department of Nursing, Faculty of Life and Health Sciences, Pai Chai University, Daejeon 35345, Korea
| | - Sun Ae Kim
- Department of Nursing, Faculty of Health and Life Science, Korea National University of Transportation, Chungju-si 27909, Korea
| |
Collapse
|
4
|
Ruiz M, Johnson A, Campbell L. Acculturation and drinking behavior among Latinxs: a narrative review. J Ethn Subst Abuse 2022; 23:21-57. [PMID: 35635435 DOI: 10.1080/15332640.2022.2080144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Research suggests that acculturation is associated with increased alcohol consumption among Latinxs. The purpose of this narrative review is to contribute to this literature by examining the association between acculturation and alcohol use within current theoretical and etiological frameworks on cultural norms, acculturative stress, and acculturative gaps. This review also compares the utility of these explanatory frameworks for guiding future research. Two databases (PubMed and PsycInfo) were used to identify peer-reviewed studies pertaining to the associations between acculturation and alcohol use among Latinxs. Studies that examined drinking norms, acculturative stress, acculturation gaps, and drinking behavior in Latinxs were included. The types of study approaches and designs included quantitative, qualitative, cross-sectional, cohort, and longitudinal studies published between January 2000 and December 2021. Quality assessment and data synthesis were conducted by two reviewers. A total of 65 articles reporting empirical studies were included in the final review. Eighteen studies did not utilize a specific framework, but generally supported that acculturation is associated with increased alcohol consumption and alcohol related consequences among Latinxs. Additionally, sixteen studies examined cultural norms, twenty-two examined acculturative stress, while only nine utilized a gap discrepancy framework. Studies examining drinking norms appeared to largely explain changes in drinking behavior among Latinas, while studies examining acculturative stress seemed to be better equipped to explain changes in drinking behavior among Latino men. Meanwhile, the Gap Discrepancy Model articulates the gap between old and new cultural influences and can be conceptualized as an additional dimension of acculturative stress.
Collapse
Affiliation(s)
- Michelle Ruiz
- East Carolina University, Greenville, North Carolina
| | | | - Lisa Campbell
- East Carolina University, Greenville, North Carolina
| |
Collapse
|
5
|
Alvarez MJ, Ramirez SO, Frietze G, Field C, Zárate MA. A Meta-Analysis of Latinx Acculturation and Intimate Partner Violence. TRAUMA, VIOLENCE & ABUSE 2020; 21:844-854. [PMID: 30253733 DOI: 10.1177/1524838018801327] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
OBJECTIVE Intimate partner violence (IPV) is a serious public health concern that affects many Latinx couples. The present study conducted a systematic review and meta-analysis to quantitatively assess acculturation as a predictor of IPV among Latinxs and subgroup analyses to evaluate the effect size by gender and type of acculturation measure. METHOD The meta-analysis implemented the preferred reporting items for systematic reviews and meta-analyses guidelines to retrieve studies assessing the relationship between acculturation and intimate partner victimization among foreign-born and U.S.-born Latinx adults. A fixed effects model (FEM) and a random effects model (REM) were employed. Additional subgroup analyses examined the strength of the relationship by gender and type of acculturation measure. RESULTS The meta-analysis included 27 independent effect sizes across 21 studies. An REM yielded a weighted average correlation of .11 (95% confidence interval [.02, .20]). The strength of the correlation differed by scale and ranged from -.003 to .47. For both men and women, higher acculturation was associated with increased IPV. CONCLUSIONS Our results yielded three important findings: (1) the overall effect of acculturation on IPV is relatively small, (2) acculturation differentially influences male-to-female and female-to-male partner violence, and (3) the strength of the correlation between acculturation and IPV differs by scale. This body of work provides evidence for the effect of acculturation on IPV, with potential implications for interventions targeting Latinxs.
Collapse
Affiliation(s)
- Miriam J Alvarez
- Department of Psychology, The University of Texas at El Paso, El Paso, TX, USA
| | | | - Gabriel Frietze
- Department of Psychology, The University of Texas at El Paso, El Paso, TX, USA
| | - Craig Field
- Department of Psychology, The University of Texas at El Paso, El Paso, TX, USA
| | - Michael A Zárate
- Department of Psychology, The University of Texas at El Paso, El Paso, TX, USA
| |
Collapse
|
6
|
Cano MÁ, Sánchez M, De La Rosa M, Rojas P, Ramírez-Ortiz D, Bursac Z, Meca A, Schwartz SJ, Lorenzo-Blanco EI, Zamboanga BL, Garcini LM, Roncancio AM, Arbona C, Sheehan DM, de Dios MA. Alcohol use severity among Hispanic emerging adults: Examining the roles of bicultural self-efficacy and acculturation. Addict Behav 2020; 108:106442. [PMID: 32353693 DOI: 10.1016/j.addbeh.2020.106442] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Revised: 03/13/2020] [Accepted: 04/10/2020] [Indexed: 02/06/2023]
Abstract
OBJECTIVE This study aimed to (1) examine respective associations of acculturation orientations (e.g., U.S. orientation and Hispanic orientation) and domains (e.g., social groundedness and role repertoire) of bicultural self-efficacy, the perceived confidence to function effectively within the receiving culture and the heritage culture, with alcohol use severity among Hispanic emerging adults. This study also aimed to (2) examine potential moderating factors of respective associations among acculturation orientations and bicultural self-efficacy with alcohol use severity. METHOD 200 Hispanic emerging adults from Arizona (n = 99) and Florida (n = 101) completed a cross-sectional survey. Inclusion criteria were being ages 18-25, self-identify as Hispanic or Latina/o, and currently living in Maricopa County or Miami-Dade County. Data were analyzed using hierarchical multiple regression and moderation analyses. RESULTS Findings indicate that neither of the acculturation orientations nor role repertoire had main effects with alcohol use severity. However, higher social groundedness was associated with lower alcohol use severity. Moderation analyses indicate that the interaction between the U.S. orientation and study site and the interaction between the Hispanic orientation and social groundedness were statistically significant in relation to alcohol use severity. CONCLUSIONS Considering that the U.S. orientation was associated with alcohol use severity only in Arizona highlights the need for multisite studies on acculturation. Our findings demonstrate that other sociocultural processes such as acculturation can impact bicultural self-efficacy; and that the association between bicultural self-efficacy and alcohol merits further investigation. However, more thorough assessments of bicultural self-efficacy are needed to better understand its effects on alcohol.
Collapse
|
7
|
Serna CA, Sanchez J, Arevalo O, Tomar SL, McCoy V, Devieux J, De La Rosa M, Bastida E. Self-reported factors associated with dental care utilization among Hispanic migrant farmworkers in South Florida. J Public Health Dent 2020; 80:186-193. [PMID: 32301123 DOI: 10.1111/jphd.12364] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2019] [Revised: 02/25/2020] [Accepted: 03/18/2020] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To explore patterns of dental care utilization among adult Hispanic migrant farmworkers utilizing the Andersen Behavioral Model of Health Services. METHODS In 2010, 278 Hispanic migrant workers participated in the oral health assessment. Hierarchical logistic regression modeling was used to assess the effects of multiple factors on having a past-year dental visit. Predisposing variables included age, education, and knowledge toward preventing tooth decay. Enabling factors included medical insurance, place for medical care, and social support. Need measures included oral health problems and treatment. RESULTS Only 20.5 percent of Hispanic migrant farmworkers reported a past-year dental visit. More than one-half (52.5 percent) needed oral health treatment and nearly two-thirds (61.2 percent) stated that they perceived their mouth to be in poor condition. The final model indicated that those who reported preventing tooth decay by brushing and flossing, brushed their teeth once a day, and stated a good condition of their mouth were more likely to have had a past-year dental visit. CONCLUSIONS Most Hispanic migrant farmworkers in south Florida have not had a past year dental visit. Similar to other ethnic minorities in the United States, migrant farmworkers experience poor oral health outcomes and have inadequate access to health-care services.
Collapse
Affiliation(s)
- Claudia A Serna
- Public Health, Nova Southeastern University, Fort Lauderdale, FL, USA
| | - Jesus Sanchez
- Sociobehavioral and Administrative Pharmacy, Nova Southeastern University, Fort Lauderdale, FL, USA
| | - Oscar Arevalo
- Pediatric Dentistry, Nicklaus Children's Hospital University of Puerto Rico School of Dentistry, Miami, FL, USA
| | - Scott L Tomar
- Community Dentistry and Behavioral Science, University of Florida College of Dentistry, Gainesville, FL, USA
| | - Virginia McCoy
- Health Promotion and Disease Prevention, Florida International University, Miami, FL, USA
| | - Jessy Devieux
- Health Promotion and Disease Prevention, Florida International University, Miami, FL, USA
| | | | - Elena Bastida
- Health Promotion and Disease Prevention, Florida International University, Miami, FL, USA
| |
Collapse
|
8
|
Almeida LYD, Oliveira JLD, Almeida LCD, Zanetti ACG, Pillon SC, Souza JD. THE ROLE OF MOOD STATES IN ALCOHOL CONSUMPTION, A STUDY WITH WORKERS. TEXTO & CONTEXTO ENFERMAGEM 2020. [DOI: 10.1590/1980-265x-tce-2019-0094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: to identify factors related to harmful alcohol consumption, considering both sociodemographic characteristics and mood states. Method: a quantitative cross-sectional study, carried out with 395 non-teaching workers on a campus of a public university in the interior of the state of São Paulo, from July 2017 to June 2018. Information on the sociodemographic profile, mood state and alcohol use pattern were used. Pearson's Chi Square, Fischer Exact and Logistic Regression Tests were performed for data analysis, using the SPSS statistical program. Results: it was identified that 66% of workers had consumed alcoholic beverages in the last 12 months. Of these, 19% were classified in the range of harmful alcohol consumption. It is noteworthy that 35.2% (n=139) of workers mentioned the use in binge and 26.5% (n=105) consume alcohol two to four times a month. These variables were statistically associated with gender, religion and educational level. In addition, a negative correlation was identified between the AUDIT score and the “fatigue” factor of the mood scale. In the end, it was observed that male individuals and those with less education were more likely to consume alcohol in the harmful pattern. Conclusion: it is suggested the development of health promotion and disease prevention initiatives through health education actions and other psychosocial strategies for welcoming these workers.
Collapse
|
9
|
Ornelas IJ, Doyle SR, Torres VN, Serrano SE, Duran B, Donovan DM. Vida PURA: results from a pilot randomized trial of a culturally adapted screening and brief intervention to reduce unhealthy alcohol use among Latino day laborers. Transl Behav Med 2019; 9:1233-1243. [PMID: 31206579 PMCID: PMC6875653 DOI: 10.1093/tbm/ibz071] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Latino immigrant men are at increased risk for unhealthy alcohol use. Vida PURA is a culturally adapted evidence-based intervention that consists of promotores providing screening and brief intervention to reduce unhealthy alcohol use among Latino immigrant men. The purpose was to assess the efficacy of Vida PURA in a pilot randomized control trial. Participants were screened for eligibility at a day labor worker center using the Alcohol Use Disorders Identification Test (AUDIT). Those with an AUDIT score ≥ 6 (N = 121) were randomized into an intervention (N = 77) or control group (N = 44). Participants in the intervention group received a brief intervention from a promotor including personalized feedback, motivational interviewing to assess their readiness to change, and referral to services. Participants in the control group received information about local substance use treatment services. We assessed changes in AUDIT scores, drinks per drinking day, drinking days, and frequency of heavy episodic drinking at 2 and 8 weeks following the baseline survey using a mixed-effects regression model. Many men had high AUDIT scores, indicating dependence. Both the intervention and control groups reduced their alcohol-related behaviors over time, but there were no significant differences between the groups. A culturally adapted brief intervention may not be enough to significantly reduce alcohol use among Latino day laborers, especially among those that are dependent. We discuss lessons learned from this trial, including the value of community-based approaches to reaching high-risk and underserved populations.
Collapse
Affiliation(s)
- India J Ornelas
- Department of Health Services, University of Washington, Seattle, WA, USA
| | - Suzanne R Doyle
- Alcohol and Drug Abuse Institute, University of Washington, Seattle, WA, USA
| | - Vanessa N Torres
- Department of Health Services, University of Washington, Seattle, WA, USA
| | - Samantha E Serrano
- Department of Health Services, University of Washington, Seattle, WA, USA
| | - Bonnie Duran
- School of Social Work, University of Washington, Seattle, WA, USA
| | - Dennis M Donovan
- Alcohol and Drug Abuse Institute, University of Washington, Seattle, WA, USA
| |
Collapse
|
10
|
Arcury TA, Furgurson KF, O’Hara HM, Miles K, Chen H, Laurienti PJ. Conventional and Complementary Therapy Use among Mexican Farmworkers in North Carolina: Applying the I-CAM-Q. J Agromedicine 2019; 24:257-267. [PMID: 30860961 PMCID: PMC6570560 DOI: 10.1080/1059924x.2019.1592049] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Objectives: This analysis documents the use of conventional health-care providers, traditional healers, and complementary therapies by Mexican farmworkers; identifies the purposes and perceived helpfulness of these modalities; and delineates variation in the use of traditional healers and complementary therapies. Methods: Two-hundred Mexican farmworkers in North Carolina completed interviews May-September, 2017. The International Complementary and Alternative Medicine Questionnaire (I-CAM-Q) elicited use of conventional health-care providers, traditional healers, and complementary therapies in the previous 12 months. Results: Most of the farmworkers had been treated by a conventional provider (63.0%). One-in-five had been treated by any traditional healer; 19.5% had been treated by a sobador, 4.5% by a curandero, 2.0% by an herbalist, and 2.0% by a spiritual healer. Conventional providers (69.8%) and sobadores (84.6%) most often treated acute conditions; 62.5% had used an herb, 46.0% a vitamin, 57.0% an over-the-counter medicine, and 13.5% a home remedy. Participants used various self-care practices, including music (36.5%), sleep (18.0%), prayer for health (15.0%), and social media (14.0%). Education was inversely associated with the use of a traditional healer and herbs; treatment by a conventional health-care provider was positively associated with using a traditional healer and vitamins. Conclusions: Mexican farmworkers use conventional health-care providers as well as traditional healers and complementary therapies. Research on how use of complementary therapies and a system of medical pluralism affects farmworker health is needed. Health-care providers need to recognize complementary therapy use and provide patient education about ineffective or harmful therapies.
Collapse
Affiliation(s)
- Thomas A. Arcury
- Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA
- Center for Worker Health, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA
| | - Katherine F. Furgurson
- Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA
| | - Heather M. O’Hara
- Department of Family and Community Medicine, Meharry Medical College, Nashville, Tennessee, USA
| | - Kenya Miles
- Department of Family and Community Medicine, Meharry Medical College, Nashville, Tennessee, USA
| | - Haiying Chen
- Department of Biostatistical Science, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA
| | - Paul J. Laurienti
- Department of Radiology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA
| |
Collapse
|
11
|
Acculturation Versus Cultural Retention: The Interactive Impact of Acculturation and Co-ethnic Ties on Substance Use Among Chinese Students in the United States. J Immigr Minor Health 2019; 20:546-560. [PMID: 28528462 DOI: 10.1007/s10903-017-0598-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Acculturation is often found to increase substance use among immigrants in the U.S., but such effect may depend on how immigrants are attached to their co-ethnic community. Meanwhile, the high socioeconomic status of some new immigrant groups also challenges the classical assumption that ties to co-ethnic community are associated with deviance. With a sample (n = 960) collected from a population of Chinese students in a large public university in the U.S., we tested how do the interplays between acculturation and co-ethnic ties affect substance use. This study establishes that: (1) different dimensions of acculturation have opposite effects on substance use; (2) acculturative stress does not explain the association between acculturation and substance use; (3) acculturation increases the likelihood of substance use only when one has weak attachment to their co-ethnic community. The findings are consistent for three dependent variables: smoking, drinking, and drunkenness, and for the different constructs of acculturation and co-ethnic ties. Ties to co-ethnic community may provide important social support for immigrants, while acculturation may alleviate the insular subculture that promotes at-risk behaviors. We encourage policy makers to consider the cooperative nature of acculturation and cultural retention for the improvement of health among this growing population.
Collapse
|
12
|
Castañeda SF, Garcia ML, Lopez-Gurrola M, Stoutenberg M, Emory K, Daviglus ML, Kaplan R, Giachello AL, Molina KM, Perreira KM, Youngblood ME, Vidot DC, Talavera GA. Alcohol use, acculturation and socioeconomic status among Hispanic/Latino men and women: The Hispanic Community Health Study/Study of Latinos. PLoS One 2019; 14:e0214906. [PMID: 30947280 PMCID: PMC6449031 DOI: 10.1371/journal.pone.0214906] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2018] [Accepted: 03/21/2019] [Indexed: 12/20/2022] Open
Abstract
The objective of this study was to examine the prevalence and patterns of alcohol use among U.S. Hispanic/Latino adults of diverse backgrounds. The population-based Hispanic Community Health Study/ Study of Latinos (HCHS/SOL) enrolled a cohort of Hispanic/Latino adults (N = 16,415) ages 18–74 years at time of recruitment, from four US metropolitan areas between 2008–11. Drinking patterns and socio-demographics questionnaires were administered as part of the baseline examination. The relationship between age, sex, socio-demographics, acculturation, current alcohol use, and alcohol risk disorder, defined by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) [no risk (i.e., never drinker), low risk (i.e., women<7 drinks/week; men<14 drinks/week), and at-risk (i.e., women>7 drinks/week; men>14 drinks/week)] were assessed in unadjusted and adjusted multinomial logistic regression analyses. Men reported a higher prevalence than women of at-risk drinking. For women, increased odds of at-risk alcohol use was associated with: a younger age, greater education, full-time employment, and acculturation after adjustment. For men, having a lower income (vs. higher income) or a higher income (vs. not reported) and being employed fulltime (vs. retired) was associated with at-risk alcohol use. For both men and women, there were variations in odds of at-risk drinking across Hispanic/Latino heritage backgrounds, after adjustment. Exact values, odds ratios and p-values are reported within the text. Common factors across sex associated with at-risk drinking included being of Mexican background and being employed full-time. Intervention strategies should consider diversity within the Hispanic/Latino community when designing alcohol abuse prevention programs.
Collapse
Affiliation(s)
- Sheila F. Castañeda
- Southbay Latino Research Center, School of Public Health, San Diego State University, San Diego, California, United States of America
- * E-mail:
| | - Melawhy L. Garcia
- Department of Health Science, California State University, Long Beach, Long Beach, California, United States of America
| | - Maria Lopez-Gurrola
- Southbay Latino Research Center, School of Public Health, San Diego State University, San Diego, California, United States of America
| | - Mark Stoutenberg
- Department of Health & Human Performance, University of Tennessee at Chattanooga, Chattanooga, Tennessee, United States of America
| | - Kristen Emory
- School of Public Health, San Diego State University, San Diego, California, United States of America
| | - Martha L. Daviglus
- Institute for Minority Health Research, University of Illinois at Chicago, Chicago, Illinois, United States of America
| | - Robert Kaplan
- Einstein College of Medicine, Bronx, New York, United States of America
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America
| | - Aida L. Giachello
- Northwestern University, Chicago, Illinois, United States of America
| | - Kristine M. Molina
- Institute for Minority Health Research, University of Illinois at Chicago, Chicago, Illinois, United States of America
| | - Krista M. Perreira
- University of North Carolina, Chapel Hill, North Carolina, United States of America
| | | | - Denise C. Vidot
- University of Miami, Miami, Florida, United States of America
| | - Gregory A. Talavera
- Southbay Latino Research Center, School of Public Health, San Diego State University, San Diego, California, United States of America
| |
Collapse
|
13
|
Hill CM, Williams EC, Ornelas IJ. Help Wanted: Mental Health and Social Stressors Among Latino Day Laborers. Am J Mens Health 2019; 13:1557988319838424. [PMID: 30880547 PMCID: PMC6438433 DOI: 10.1177/1557988319838424] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2018] [Revised: 01/28/2019] [Accepted: 02/22/2019] [Indexed: 12/22/2022] Open
Abstract
Latino day laborers may be especially vulnerable to poor mental health due to stressful life experiences, yet few studies have described patterns of mental health outcomes and their correlates in this population. Patterns of depression (PHQ-9) and anxiety (GAD-7), and associations with demographic characteristics, social stressors, and substance use in a recruited sample of male Latino day laborers ( n = 101) are described. High rates of depression and anxiety were identified. Specifically, 39% screened positive for moderate or severe depression and 25% for moderate or severe anxiety. Higher levels of depression and anxiety symptoms were associated with being single, being homeless or in temporary housing, experiencing discrimination, acculturation stress, and marijuana use. While tobacco and unhealthy alcohol use were common in this sample (39% and 66%, respectively), they were not associated with depression and anxiety. These findings suggest that depression and anxiety are common among Latino day laborers and associated with stressful life experiences. Future research should further assess ways to ameliorate social stressors and reduce risk for poor mental health.
Collapse
Affiliation(s)
- Clara M. Hill
- Veterans Health Administration (VA),
Seattle-Denver Center of Innovation for Veteran-Centered & Value-Driven Care, VA
Puget Sound Health Services Research & Development, Seattle, WA, USA
- Department of Health Services,
University of Washington, Seattle, WA, USA
| | - Emily C. Williams
- Veterans Health Administration (VA),
Seattle-Denver Center of Innovation for Veteran-Centered & Value-Driven Care, VA
Puget Sound Health Services Research & Development, Seattle, WA, USA
- Department of Health Services,
University of Washington, Seattle, WA, USA
| | - India J. Ornelas
- Department of Health Services,
University of Washington, Seattle, WA, USA
| |
Collapse
|
14
|
Arcury TA, Sandberg JC, Talton JW, Laurienti PJ, Daniel SS, Quandt SA. Mental Health Among Latina Farmworkers and Other Employed Latinas in North Carolina. RURAL MENTAL HEALTH 2018; 42:89-101. [PMID: 30237844 PMCID: PMC6141195 DOI: 10.1037/rmh0000091] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The mental health of Latinas with manual occupations, particularly those employed in agriculture, is a public health concern. The goals of this analysis were to describe the mental health of Latina farmworkers, and to compare their mental health with that of other Latina manual workers. Participants included 35 employed Latina farmworkers, 35 employed non-farmworkers, and 25 unemployed non-farmworkers who completed interviews in 2012. Measures included stress, anxiety, depressive symptoms, elevated depressive symptoms, and risk for alcohol dependence. Farmworkers had greater stress and anxiety than did employed and unemployed non-farmworkers. Employed Latinas, whether farmworkers or in other occupations, had greater stress and anxiety than unemployed Latinas. Depressive symptoms, although high, did not differ significantly by occupation and employment. Few were at risk for alcohol dependence. Concrete steps are needed to address the mental health of Latina farmworkers, and to continue documentation of mental health concerns and their causes in this population.
Collapse
Affiliation(s)
- Thomas A Arcury
- Department of Family and Community Medicine, and Center for Worker Health, Wake Forest School of Medicine
| | - Joanne C Sandberg
- Department of Family and Community Medicine, and Center for Worker Health, Wake Forest School of Medicine
| | - Jennifer W Talton
- Department of Biostatistical Sciences, Division of Public Health Sciences, Wake Forest School of Medicine
| | | | - Stephanie S Daniel
- Department of Family and Community Medicine, Wake Forest School of Medicine
| | - Sara A Quandt
- Department of Epidemiology and Prevention, Division of Public Health Sciences, and Center for Worker Health, Wake Forest School of Medicine
| |
Collapse
|
15
|
Oliveira JLD, Souza JD. Fatores associados ao consumo de álcool entre trabalhadores públicos da manutenção. ACTA PAUL ENFERM 2018. [DOI: 10.1590/1982-0194201800004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Objetivo: Analisar o consumo de álcool entre trabalhadores públicos da manutenção e identificar os fatores sociodemográficos associados. Métodos: Estudo quantitativo transversal, realizado com trabalhadores públicos da manutenção de uma universidade do interior do estado de São Paulo. Foi utilizado um questionário de dados sociodemográficos e o Teste para Identificação de Problemas Relacionados ao uso de Álcool (AUDIT). Resultados: Identificou-se que 78% dos trabalhadores consumiram bebidas alcoólicas nos últimos 12 meses. Dentre os participantes não abstêmios, 43% apresentaram consumo de baixo risco, 50% eram bebedores abusivos e 7% se encontravam no padrão de consumo indicativa de dependência. Destaca-se que 54% referiram o consumo de quatro doses ou mais quando bebiam e 82% dos participantes referiram consumo em binge. Os fatores associados ao consumo foram anos de estudo, função, gênero, renda e cor e o consumo de quatro doses ou mais foi associado com a função de trabalhador braçal. Conclusão: Identificou-se que a prevalência do consumo de trabalhadores no padrão “consumo abusivo ou provável dependência” foi maior (em termos descritivos) do que a identificada em um dos principais levantamentos nacionais. Os anos de estudo foi o fator sociodemográfico de maior relevância, uma vez que, cada ano a menos de estudo aumentava cerca de 20% as chances de “consumo abusivo ou provável dependência”.
Collapse
|
16
|
Alvarez MJ, Frietze G, Ramos C, Field C, Zárate MA. A Quantitative Analysis of Latino Acculturation and Alcohol Use: Myth Versus Reality. Alcohol Clin Exp Res 2017; 41:1246-1256. [PMID: 28614615 DOI: 10.1111/acer.13420] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2016] [Accepted: 05/05/2017] [Indexed: 11/29/2022]
Abstract
Research on health among Latinos often focuses on acculturation processes and the associated stressors that influence drinking behavior. Given the common use of acculturation measures and the state of the knowledge on alcohol-related health among Latino populations, the current analyses tested the efficacy of acculturation measures to predict various indicators of alcohol consumption. Specifically, this quantitative review assessed the predictive utility of acculturation on alcohol consumption behaviors (frequency, volume, and quantity). Two main analyses were conducted-a p-curve analysis and a meta-analysis of the observed associations between acculturation and drinking behavior. Results demonstrated that current measures of acculturation are a statistically significant predictor of alcohol use (Z = -20.75, p < 0.0001). The meta-analysis included a cumulative sample size of 29,589 Latino participants across 31 studies. A random-effects model yielded a weighted average correlation of 0.16 (95% confidence interval = 0.12, 0.19). Additional subgroup analyses examined the effects of gender and using different scales to measure acculturation. Altogether, results demonstrated that acculturation is a useful predictor of alcohol use. In addition, the meta-analysis revealed that a small positive correlation exists between acculturation and alcohol use in Latinos with a between-study variance of only 1.5% (τ2 = 0.015). Our analyses reveal that the association between current measures of acculturation and alcohol use is relatively small.
Collapse
Affiliation(s)
- Miriam J Alvarez
- Department of Psychology, University of Texas at El Paso, El Paso, Texas
| | - Gabriel Frietze
- Department of Psychology, University of Texas at El Paso, El Paso, Texas
| | - Corin Ramos
- Department of Psychology, University of Texas at El Paso, El Paso, Texas
| | - Craig Field
- Department of Psychology, University of Texas at El Paso, El Paso, Texas
| | - Michael A Zárate
- Department of Psychology, University of Texas at El Paso, El Paso, Texas
| |
Collapse
|
17
|
Martins-Fonteyn EMV, Sommerland N, Meulemans H, Degomme O, Raimundo I, Wouters E. Targeting vulnerable populations: a synthetic review on alcohol use and risky sexual behaviour among migrant populations. AIDS Res Ther 2016; 13:33. [PMID: 27688794 PMCID: PMC5034415 DOI: 10.1186/s12981-016-0117-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2016] [Accepted: 09/12/2016] [Indexed: 11/16/2022] Open
Abstract
Background Research has demonstrated a link between alcohol use and risky sexual behaviour among different types of migrant populations. Therefore, research investigating risk factors associated with alcohol consumption among them is a public health priority. This review aimed to explore the intersection between migration, alcohol consumption and risky sexual behaviour. Methods This article is a synthetic review of empirical studies on the association of alcohol and high-risk sexual behaviour among different types of the migrant populations, focusing on measurable outcomes generated from quantitative data. A descriptive analysis generated from global and situational studies was used to interpret the reviewed research and to discuss critically the factors that drive migrants to engage in alcohol consumption and high-risk behaviour. Results This review found out that there is a significant and positive association between global and situational alcohol use and several outcomes of risky sexual behaviour among different types of migrant populations. This association was however mainly observed at high quantities and frequencies of alcohol use, mainly among male migrants, and was often tied to a specific situation or context, for instance the type of sexual partner, the level of mobility and to environmental factors such as living arrangements and entertainment venues. Conclusions The study supports previous research that alcohol use is associated with risky sexual behaviour among different types of migrant populations. Therefore, future interventions should target mobile, male migrant heavy drinkers. Additional research is needed using more event-level and longitudinal methodologies that overcome prior methodological limitations.
Collapse
|
18
|
Arcury TA, Talton JW, Summers P, Chen H, Laurienti PJ, Quandt SA. Alcohol Consumption and Risk for Dependence Among Male Latino Migrant Farmworkers Compared to Latino Nonfarmworkers in North Carolina. Alcohol Clin Exp Res 2016; 40:377-84. [PMID: 26842256 PMCID: PMC4743540 DOI: 10.1111/acer.12969] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2015] [Accepted: 11/19/2015] [Indexed: 11/30/2022]
Abstract
BACKGROUND Our aim was to describe alcohol consumption behavior of male Latino migrant farmworkers, compare their alcohol consumption behavior with that of other male Latino immigrants, and determine factors associated with risk for alcohol dependence among Latino immigrant workers. METHODS Cross-sectional data were drawn from baseline interviews conducted as part of a larger community-based participatory research project examining the cognitive and neurological outcomes of pesticide exposure. A total of 235 farmworkers and 212 nonfarmworkers completed interviews between May and August 2012. RESULTS Although 17.5% of the North Carolina Latino farmworkers report never having drunk alcohol, and a total of 34.5% report not having drunk alcohol in the previous 3 months, 48.5% engaged in heavy episodic drinking (HED) in the previous 3 months, and 23.8% frequently engaged in HED during this period. Farmworkers and nonfarmworkers did not differ significantly in alcohol consumption behavior. Farmworkers and nonfarmworkers did differ significantly in each component of the CAGE scale, with 37.9% of farmworkers and 16.0% of nonfarmworkers being at risk for alcohol dependence (p < 0.0001). Significant factors for being at risk for alcohol dependence were stress (odds ratio 1.06, 95% confidence interval 1.03, 1.09) and being a farmworker (odds ratio 3.58, 95% confidence interval 2.12, 6.06). Being married reduced the risk of alcohol dependence (odds ratio 0.45, 95% confidence interval 0.23, 0.87). CONCLUSIONS Latino farmworkers and nonfarmworkers consume relatively large amounts of alcohol and engage in HED at relatively high rates. Latino farmworkers have very high rates of risk for alcohol dependence. Policy changes and public health interventions are needed to address these concerns for a population that is vital to the agricultural economy.
Collapse
Affiliation(s)
- Thomas A. Arcury
- Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC 27157
- Center for Worker Health, Wake Forest School of Medicine, Winston-Salem, NC 27157
| | - Jennifer W. Talton
- Department of Biostatistical Sciences, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC 27157
| | - Phillip Summers
- Center for Worker Health, Wake Forest School of Medicine, Winston-Salem, NC 27157
- Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC 27157
| | - Haiying Chen
- Center for Worker Health, Wake Forest School of Medicine, Winston-Salem, NC 27157
- Department of Biostatistical Sciences, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC 27157
| | - Paul J. Laurienti
- Department of Radiology, Wake Forest School of Medicine, Winston-Salem, NC 27157
| | - Sara A. Quandt
- Center for Worker Health, Wake Forest School of Medicine, Winston-Salem, NC 27157
- Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC 27157
| |
Collapse
|
19
|
Mora DC, Quandt SA, Chen H, Arcury TA. Associations of Poor Housing with Mental Health Among North Carolina Latino Migrant Farmworkers. J Agromedicine 2016; 21:327-34. [PMID: 27409300 PMCID: PMC5019947 DOI: 10.1080/1059924x.2016.1211053] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
This analysis examines the associations of housing conditions with mental health among migrant farmworkers. Data are from a 2010 cross-sectional study conducted in 16 North Carolina counties. Interviews and housing inspections were completed with 371 farmworkers in 186 camps. Mental health measures included depression (Center for Epidemiologic Studies Depression Scale, CES-D), anxiety (Personality Assessment Inventory, PAI), and alcohol misuse (Alcohol Use Disorders Identification Test, AUDIT-C). Housing measures were number of people per sleeping room, perceived security of self and belongings, having a key to dwelling's door, having bedroom storage, toilet privacy issues, and number of housing regulation violations. Sixty (16.7%) participants had substantial depressive symptoms (CES-D ≥10), 31 (8.8%) had substantial anxiety (PAI ≥27), and 185 (50.1%) had the potential for alcohol misuse (AUDIT-C ≥4). Those with 5+ persons sleeping per room were more likely to have a depression score ≥10 (31.5% vs. 13-14%, P = .01) and an anxiety scores ≥27 (19.6% vs. 5-9%, P = .02). Those who did not feel they or their belongings were secure were more likely to have a depression score ≥10 (19.4% vs. 9.1%, P = .01). Those without a key were more likely to have an anxiety score ≥27 (11.5% vs. 5.1%, P = .04). Those with no bedroom storage were more likely to have a depression score ≥10 (28.9% vs. 14.9%, P = .03). This article suggests links between poor housing and farmworkers' mental health. These results inform regulations surrounding farmworker housing and inform health care providers on how to prevent and treat poor mental health among migrant farmworkers.
Collapse
Affiliation(s)
- Dana C. Mora
- Department of Family and Community Medicine, Wake Forest School of Medicine
| | - Sara A. Quandt
- Center for Worker Health, Wake Forest School of Medicine
- Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest School of Medicine
| | - Haiying Chen
- Center for Worker Health, Wake Forest School of Medicine
- Department of Biostatistical Sciences, Division of Public Health Sciences, Wake Forest School of Medicine
| | - Thomas A. Arcury
- Department of Family and Community Medicine, Wake Forest School of Medicine
- Center for Worker Health, Wake Forest School of Medicine
| |
Collapse
|