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Lebeaut A, Zegel M, Healy NA, McGrew SJ, Viana AG, Vujanovic AA. Posttraumatic Stress and Alcohol Use Among Hispanic/Latinx University Students: A Moderated Indirect Effect Model of Coping-Related Drinking and Anxiety Sensitivity. J Dual Diagn 2024; 20:236-250. [PMID: 38569201 PMCID: PMC11211699 DOI: 10.1080/15504263.2024.2335177] [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: 04/05/2024]
Abstract
OBJECTIVE Posttraumatic stress symptoms (PTSS) and anxiety sensitivity (AS) are associated with increased alcohol use and coping-motivated drinking among university students. This study among trauma-exposed Hispanic/Latinx university students sought to examine the indirect effect of PTSS on alcohol use severity through coping-motivated drinking and test the moderating role of AS and AS subfacets. METHODS University students who identified as Hispanic/Latinx (N = 830) were recruited from a large, urban, southern university and completed online, self-report questionnaires. RESULTS A significant interactive effect of PTSS and AS on coping-motivated drinking emerged. PTSS exerted a significant indirect effect on alcohol use severity, through coping-motivated drinking. Simple slope analyses revealed that PTSS was associated with coping-motivated drinking across all levels of AS. Post hoc results revealed unique biological sex differences in probable diagnosis odds ratios. CONCLUSIONS These findings indicate that PTSS and AS are associated with coping-motivated drinking and alcohol use severity in trauma-exposed, Hispanic/Latinx university students.
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Affiliation(s)
- Antoine Lebeaut
- Department of Psychology, University of Houston, Houston,
Texas
| | - Maya Zegel
- Department of Psychology, University of Houston, Houston,
Texas
| | | | - Shelby J. McGrew
- Department of Psychological and Brain Sciences, Texas
A&M University, College Station, Texas
| | - Andres G. Viana
- Department of Psychiatry and Behavioral Sciences, Texas
A&M School of Medicine, Bryan, Texas
| | - Anka A. Vujanovic
- Department of Psychology, University of Houston, Houston,
Texas
- Department of Psychological and Brain Sciences, Texas
A&M University, College Station, Texas
- Department of Psychiatry and Behavioral Sciences, Texas
A&M School of Medicine, Bryan, Texas
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Waldron KA, Wolfe E, Plisiewicz A, Turrisi RJ, Romano E. Long-term impact of familismo and ethnic identity on latinx college student drinking and high-risk consequences. J Ethn Subst Abuse 2024; 23:201-221. [PMID: 38768079 PMCID: PMC11106522 DOI: 10.1080/15332640.2022.2082618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Familismo, ethnic pride, and ethnic shame were examined as longitudinal predictors of Latinx college student alcohol use and high-risk alcohol-related consequences. Latinx students completed measures during the fall of their first (T1), second (T2), and fourth (T4) year of college. T1 familismo was positively associated with T2 ethnic pride and negatively associated with T2 ethnic shame. T2 ethnic pride was negatively associated with T4 drinking, while T2 ethnic shame was positively associated with T4 drinking. T4 drinking was positively associated with T4 consequences. Results suggest that Latinx ethnic pride and ethnic shame during the second-year of college act as mediators between first-year familismo and fourth-year drinking and consequences.
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Affiliation(s)
| | - Erin Wolfe
- Penn State University, University Park, Pennsylvania
| | | | | | - Eduardo Romano
- Pacific Institute for Research and Evaluation, Calverton, Maryland
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3
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Sanchez-Garciaguirre AI, Najera SN, Portillo EM, Field CA. The indirect effects of self-regulation on the association of social support with increased protective drinking behavior and decreased alcohol problems in a predominantly Hispanic college student sample. ALCOHOL, CLINICAL & EXPERIMENTAL RESEARCH 2024; 48:409-419. [PMID: 38148672 DOI: 10.1111/acer.15253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 12/11/2023] [Accepted: 12/14/2023] [Indexed: 12/28/2023]
Abstract
BACKGROUND Research suggests that self-regulation, which refers to one's ability to manage a behavior, and social support are related to alcohol use. Other research suggests that social support may serve as a precursor to self-regulation and health-promoting behaviors. We examined whether self-regulation has an indirect effect on the association between social support and both protective drinking behaviors and alcohol problems. METHODS A random sample of students at a Hispanic Serving Institution completed an online survey, which included sociodemographic questions, the Multidimensional Perceived Social Support Scale, the Short Self-Regulation Questionnaire, the Protective Behavioral Strategies (PBS) Scale, and the Rutgers Alcohol Problem Index. Undergraduate students (n = 192) who reported drinking in the last month were included in the analysis. A path analysis using Mplus8 was conducted to investigate the relationships among social support, self-regulation, PBS, and alcohol-related problems. RESULTS The sample was mostly female (58.9) and of Hispanic ethnicity (89.6). Analyses showed that social support had a significant positive association with PBS and a significant negative association with alcohol-related problems. When self-regulation was added to the models, these associations were no longer significant, and self-regulation had a significant indirect effect on the relationship between social support and both PBS and alcohol-related problems. CONCLUSIONS The results of the current cross-sectional study suggest that a viable hypothesis in future longitudinal studies is that self-regulation is a mechanism by which social support increases PBS and reduces alcohol problems. Future research should assess longitudinally both the mediating effects of self-regulation between social support and drinking outcomes and potential moderators, such as ethnicity.
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Affiliation(s)
- Aitiana I Sanchez-Garciaguirre
- The Latino Alcohol and Health Disparities Research and Training Center, The University of Texas at El Paso, El Paso, Texas, USA
| | - Sarah N Najera
- The Latino Alcohol and Health Disparities Research and Training Center, The University of Texas at El Paso, El Paso, Texas, USA
| | - Erin M Portillo
- The Latino Alcohol and Health Disparities Research and Training Center, The University of Texas at El Paso, El Paso, Texas, USA
| | - Craig A Field
- The Latino Alcohol and Health Disparities Research and Training Center, The University of Texas at El Paso, El Paso, Texas, USA
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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.
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Affiliation(s)
- Michelle Ruiz
- East Carolina University, Greenville, North Carolina
| | | | - Lisa Campbell
- East Carolina University, Greenville, North Carolina
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5
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Sanchez A, Gainza Perez M, Field CA. The role of resilience in alcohol use, drinking motives, and alcohol-related consequences among Hispanic college students. THE AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE 2022; 48:100-109. [PMID: 34843425 DOI: 10.1080/00952990.2021.1996584] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Background: Hispanic college students experience minority stressors and are therefore at greater risk of experiencing alcohol-related consequences. Resilience may protect against problem drinking and related consequences, yet its relationship to drinking motives remains unexplored. Given that drinking motives precede both alcohol use and its consequences, investigating the role of resilience in such associations may inform interventions to reduce alcohol-related health disparities.Objectives: The current study investigated whether greater resilience predicted fewer drinking motives, lower alcohol consumption, and reduced the negative impact of drinking motives on alcohol consequences among Hispanic college students.Methods: Resilience, drinking motives and alcohol consequences were assessed among 443 students living on the U.S./Mexico border recruited via e-mail (68% female; Mage = 22.6 years, SD = 5.09). Linear regressions assessed whether drinking motives (i.e., coping, conformity, social, enhancement) and resilience predicted alcohol consumption. A linear regression also assessed resilience, drinking motives, and alcohol consumption as potential predictors of alcohol consequences. Lastly, linear regressions tested the moderating effects of resilience between each drinking motive and alcohol consumption as well as alcohol consequences.Results: Greater resilience predicted fewer alcohol-related consequences (β = -.024, p = .028). Additionally, resilience moderated the relationships social (β = -.095, p = .050) and enhancement drinking motives (β = -.084, p = .050) had with alcohol consequences. Higher social and enhancement motives were not associated with alcohol consequences among resilient individuals.Conclusion: Strengthening resilience among Hispanic students whose drinking is motivated by a desire for socialization or mood enhancement may protect against alcohol-related consequences.
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Affiliation(s)
- Aitiana Sanchez
- Department of Psychology, The University of Texas at El Paso, El Paso, TX, USA
| | | | - Craig A Field
- Department of Psychology, The University of Texas at El Paso, El Paso, TX, USA
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Ethnic discrimination and alcohol-related problem severity among Hispanic/Latin drinkers: The role of social anxiety in the minority stress model. J Subst Abuse Treat 2022; 138:108730. [DOI: 10.1016/j.jsat.2022.108730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 11/30/2021] [Accepted: 01/19/2022] [Indexed: 11/18/2022]
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Lui PP, Krantz SM, Madson MB. Ethnic/Racial Differences in Alcohol Use: Does Drinking Refusal Self-Efficacy Matter? Subst Use Misuse 2022; 57:1653-1662. [PMID: 35959555 DOI: 10.1080/10826084.2022.2107669] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
Introduction: College students-including those of Hispanic backgrounds-are at risk for hazardous drinking. Research has shown robust group differences between Hispanic and White individuals in alcohol use outcomes. The ability to resist alcohol consumption can be leveraged to reduce hazardous drinking; however, little research has examined Hispanic-White differences and whether drinking refusal self-efficacy accounts for group differences in hazardous drinking. Considering Hispanic individuals make up the largest ethnic/racial minority group in the United States, it is important to identify malleable psychological factors that prevent and reduce drinking problems. Method: Hispanic and White college students at two predominantly White institutions (N = 389; 58.6% women, Mage= 20.22) completed measures assessing drinking refusal self-efficacy, hazardous drinking, and negative drinking consequences. Results: Hispanic students reported lower levels of hazardous drinking, alcohol-related problems, and drinking refusal self-efficacy than White students. Drinking refusal self-efficacy was found to partially explain Hispanic-White differences in the levels of hazardous drinking and drinking-related problems. Specifically, drinking refusal self-efficacy was associated with alcohol use outcomes only among White students and not Hispanic students. Conclusion: The correspondence between drinking refusal self-efficacy and actual behaviors to turn down drinks, ethnic/racial distinctiveness in ratings of self-efficacy and cultural orientations, and situational contexts that surround drinking should be examined in future research.
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Affiliation(s)
- P Priscilla Lui
- Department of Psychology, Southern Methodist University, Dallas, TX, USA
| | - Savannah M Krantz
- Department of Psychology, Southern Methodist University, Dallas, TX, USA
| | - Michael B Madson
- School of Psychology, University of Southern Mississippi, Hattiesburg, MS, USA
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Le TP, Iwamoto DK, Samee AA. Examining the association between sexism, self-objectification, empowerment, and alcohol-related problems: Pathways through drinking to cope. Addict Behav 2021; 120:106964. [PMID: 33940338 DOI: 10.1016/j.addbeh.2021.106964] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Revised: 03/04/2021] [Accepted: 04/06/2021] [Indexed: 11/25/2022]
Abstract
While research suggests that sexism is associated with college women's hazardous alcohol use, few studies have investigated the psychological factors that underlie the association between sexism and alcohol-related problems. Thus, the purpose of the present study was to examine the direct and indirect effect of gender-relevant sociocultural factors, including sexism, self-objectification, and empowerment, on college women's alcohol-related problems through drinking to cope. 450 women attending a large public university completed a cross-sectional survey that assessed these gender-relevant sociocultural factors and alcohol-related outcomes. Controlling for Greek membership, perceived drinking norms, and alcohol use, sexism and empowerment were both directly associated with alcohol-related problems, while sexism, self-objectification, and empowerment were indirectly associated with alcohol-related problems through the mechanism of drinking to cope. The results of this study highlight the importance of taking into account gender-relevant risk factors for women's alcohol-related problems, as well as the role of psychological processes such as drinking to cope. Pathways for intervention on both individual and systemic levels are discussed.
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