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Nisar M, Khan A, Kolbe‐Alexander TL. 'Cost, culture and circumstances': Barriers and enablers of health behaviours in South Asian immigrants of Australia. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e3138-e3149. [PMID: 35181973 PMCID: PMC9543603 DOI: 10.1111/hsc.13759] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Revised: 12/30/2021] [Accepted: 02/06/2022] [Indexed: 05/10/2023]
Abstract
The health behaviours related to chronic diseases experienced by South Asian immigrants are interrelated with their culture and socioeconomic conditions. South Asian immigrants experience a disproportionate burden of chronic disease compared with non-immigrants Australian-born general population. The primary aim of this study was to gain an in-depth understanding of health behaviours and healthcare access in the South Asian immigrant population of Australia. Five focus group discussions (FGDs) were conducted with South Asian immigrants (n = 29; 18 females) aged 27-50 years in Brisbane, Australia. Separate FGDs were conducted for males and females in the English language. Semi-structured guided questions related to the perception, barriers and facilitators of health behaviours. Data were analysed with Nvivo-12 following a thematic analysis. A conceptual model is proposed to provide a summarised understanding of barriers and facilitators of health behaviours in South Asian immigrants. The major reported constraints for participating in physical activity were cultural beliefs, lack of time, work stress and high fees of fitness activities, while parks and peer modelling were mentioned as a strong motivator for walking, cycling and participating in group sports activities. The cultural and religious connections, cost of cigarettes and drink driving penalties were the most mentioned facilitators for a healthy lifestyle. The important factors related to unhealthy eating habits were the traditional cooking methods, social interactions and the high cost of fruits and vegetables. Community perceptions and language barriers were also acknowledged as the main factors for the decrease in accessing health care services. This study illustrates that cultural beliefs, high cost of healthy food and facilities and social circumstances are mainly linked with the health behaviours and healthcare access in South Asian immigrant's lifestyles.
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Affiliation(s)
- Mehwish Nisar
- School of Health & Rehabilitation SciencesThe University of QueenslandBrisbaneAustralia
| | - Asaduzzaman Khan
- School of Health & Rehabilitation SciencesThe University of QueenslandBrisbaneAustralia
| | - Tracy L. Kolbe‐Alexander
- School of Health & WellbeingUniversity of Southern QueenslandIpswichAustralia
- Division of Exercise Science and Sports MedicineDepartment of Human BiologyFaculty of Health SciencesUniversity of Cape TownCape TownSouth Africa
- School of Human Movement and Nutrition SciencesThe University of QueenslandBrisbaneAustralia
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Sanchez M, Diez S, Fava NM, Cyrus E, Ravelo G, Rojas P, Li T, Cano MA, De La Rosa M. Immigration Stress among Recent Latino Immigrants: The Protective Role of Social Support and Religious Social Capital. SOCIAL WORK IN PUBLIC HEALTH 2019; 34:279-292. [PMID: 31033427 PMCID: PMC9872174 DOI: 10.1080/19371918.2019.1606749] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Religious institutions can be a source of support for recent Latino immigrants struggling to adjust to a new culture. For undocumented immigrants, who are often marginalized from other formal institutions, they may symbolize a place of refuge and hope through supportive social networks that mitigate common challenges such as social isolation and other forms of immigration stress. This cross-sectional study examined the impact of religious social capital and social support on immigration stress among documented and undocumented recent Latino immigrants (N = 408). Religious social capital was associated with higher levels of social support, while social support was protective against immigration stress. Social support mediated associations between religious social capital and immigration stress, but only among undocumented immigrants. Findings suggest religious social capital may be a particularly useful resource for undocumented immigrants, aiding in the provision of social support and in decreasing levels of immigration stress. Future research directions and implications for culturally tailored service delivery are presented.
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Affiliation(s)
- Mariana Sanchez
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), Robert Stempel, College of Public Health and Social Work, Florida International University, Miami, Florida, USA
- Department of Health Promotion & Disease Prevention, Robert Stempel College of Public, Health and Social Work, Florida International University, Miami, Florida, USA
| | - Stephanie Diez
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), Robert Stempel, College of Public Health and Social Work, Florida International University, Miami, Florida, USA
| | - Nicole M. Fava
- School of Social Work, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA
| | - Elena Cyrus
- Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA
| | - Gira Ravelo
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), Robert Stempel, College of Public Health and Social Work, Florida International University, Miami, Florida, USA
| | - Patria Rojas
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), Robert Stempel, College of Public Health and Social Work, Florida International University, Miami, Florida, USA
- Department of Health Promotion & Disease Prevention, Robert Stempel College of Public, Health and Social Work, Florida International University, Miami, Florida, USA
| | - Tan Li
- Department of Biostatistics, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA
| | - Miguel Angel Cano
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), Robert Stempel, College of Public Health and Social Work, Florida International University, Miami, Florida, USA
- Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA
| | - Mario De La Rosa
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), Robert Stempel, College of Public Health and Social Work, Florida International University, Miami, Florida, USA
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Kulis SS, Marsiglia FF, Nuño-Gutiérrez BL, Lozano MD, Medina-Mora ME. Traditional gender roles and substance-use behaviors, attitudes, exposure, and resistance among early adolescents in large cities of Mexico. JOURNAL OF SUBSTANCE USE 2017; 23:471-480. [PMID: 30705610 DOI: 10.1080/14659891.2017.1405088] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
This study investigated the associations between traditional gender roles (TGRs) and substance use among early adolescents in Mexico's largest cities. The sample of seventh grade students (n = 4,932) attended 26 public schools in Mexico City, Guadalajara, or Monterrey in 2014. Outcomes included recent alcohol, binge drinking, cigarette and marijuana use, and lifetime poly-substance use; substance-use intentions, norms, attitudes, and expectancies; and substance-use exposure (peer use, offers) and resistance (refusal confidence, refusal skills, and decision-making skills). A TGR scale assessed endorsement of a polarized gender division of family labor and power. As hypothesized, among males, TGRs were consistently associated with poorer outcomes, and this association was usually stronger for males than for females. In contrast, among females there was no evidence that TGRs were associated with desirable outcomes. Contrary to expectations, TGRs predicted poorer outcomes for both females and males, and to equivalent degrees, for binge drinking, cigarette use, positive substance-use expectancies, and friends' approval of substance use, and they predicted poorer outcomes for females but not for males on parental disapproval of substance use and drug-resistance skills. Interpretations highlight the persisting aspects of TGRs in the family and conflicting messages for females as Mexico undergoes changes in its gender order.
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Affiliation(s)
- Stephen S Kulis
- Global Center for Applied Health Research, Arizona State University, Phoenix, AZ, USA
| | - Flavio F Marsiglia
- Global Center for Applied Health Research, Arizona State University, Phoenix, AZ, USA
| | - Bertha L Nuño-Gutiérrez
- Centro de Estudios e Investigaciones en Comportamiento, Universidad de Guadalajara, Guadalajara, México
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Romano E, Sánchez M, De La Rosa M, Ertman B. Determinants of driving under the influence of alcohol or drugs among latino immigrants in miami-dade county, florida. J Ethn Subst Abuse 2017; 18:359-373. [PMID: 29068770 DOI: 10.1080/15332640.2017.1371655] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Little is known about the pre- and postimmigration drinking and drunk- and drugged-driving behavior of Latino immigrants. Despite showing risky drinking behaviors, many recent immigrants of low socioeconomic status (SES) do not drive while impaired by alcohol (DWI) due largely to limited access to a vehicle. This effort examines the DWI and driving while impaired by drugs (DWID) behaviors of Latino immigrants who have access to a vehicle. Data came from an ongoing longitudinal sample of Latino immigrants to Miami-Dade County, Florida. Bivariate analyses and logistic regression were applied. Preimmigration DWI and DWID was the best predictor of postimmigration DWI and DWID. Future interventions should make efforts to (a) identify immigrants who had DWI and DWID in their country of origin and (b) design and deliver specific and culturally relevant messages to persuade them not to engage in DWI and DWID after immigration.
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Affiliation(s)
- Eduardo Romano
- a Pacific Institute for Research and Evaluation , Calverton , Maryland
| | | | | | - Benjamin Ertman
- c St. Mary's College of Maryland , St. Mary's City , Maryland
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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.
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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
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Cano MÁ, Sánchez M, Trepka MJ, Dillon FR, Sheehan DM, Rojas P, Kanamori MJ, Huang H, Auf R, De La Rosa M. Immigration Stress and Alcohol Use Severity Among Recently Immigrated Hispanic Adults: Examining Moderating Effects of Gender, Immigration Status, and Social Support. J Clin Psychol 2017; 73:294-307. [PMID: 27228112 PMCID: PMC5159315 DOI: 10.1002/jclp.22330] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2015] [Revised: 04/19/2016] [Accepted: 04/24/2016] [Indexed: 12/22/2022]
Abstract
OBJECTIVE Identifying and understanding determinants of alcohol use behavior among Hispanic immigrants is an increasingly significant public health concern. Although prior research has examined associations of cultural stressors with alcohol use among Hispanics, few studies have tested these associations among recent adult immigrants. As such, this study aimed to examine (a) the association of immigration stress on alcohol use severity among recently immigrated Hispanic adults (≤ 1 year in the United States) and (b) the moderating effects of gender, immigration status, and social support. METHOD A hierarchical multiple regression and moderation analyses were conducted on a sample of 527 participants in South Florida. RESULTS Results indicated that, after controlling for demographic variables, preimmigration drinking behavior, and dimensions of social support, the association of higher immigration stress with higher alcohol use severity was statistically significant. Moderation analyses indicated that immigration stress had a statistically significant association with alcohol use severity among men, but not women. Also, dimensions of social support consistently reduced the deleterious effect of immigration stress on alcohol use severity. CONCLUSION This study adds to the scarce literature on cultural stressors and alcohol use among recent Hispanic immigrants. Findings suggest that it may be important to design gender-specific interventions and that increasing levels of social support may offset the effects of immigration stress on alcohol use.
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Affiliation(s)
- Miguel Ángel Cano
- Florida International University, Department of Epidemiology
- Florida International University, Center for Research on U.S. Latino HIV/AIDS and Drug Abuse
| | - Mariana Sánchez
- Florida International University, Center for Research on U.S. Latino HIV/AIDS and Drug Abuse
| | - Mary Jo Trepka
- Florida International University, Department of Epidemiology
- Florida International University, Center for Research on U.S. Latino HIV/AIDS and Drug Abuse
| | - Frank R. Dillon
- Florida International University, Center for Research on U.S. Latino HIV/AIDS and Drug Abuse
- University at Albany, School of Education
| | | | - Patria Rojas
- Florida International University, Center for Research on U.S. Latino HIV/AIDS and Drug Abuse
| | - Mariano J. Kanamori
- Florida International University, Center for Research on U.S. Latino HIV/AIDS and Drug Abuse
| | - Hui Huang
- Florida International University, Center for Research on U.S. Latino HIV/AIDS and Drug Abuse
- Florida International University, School of Social Work
| | - Rehab Auf
- Florida International University, Department of Epidemiology
| | - Mario De La Rosa
- Florida International University, Center for Research on U.S. Latino HIV/AIDS and Drug Abuse
- Florida International University, School of Social Work
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7
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Drinking and Driving among Recent Latino Immigrants: The Impact of Neighborhoods and Social Support. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:ijerph13111055. [PMID: 27801856 PMCID: PMC5129265 DOI: 10.3390/ijerph13111055] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/18/2016] [Revised: 10/19/2016] [Accepted: 10/22/2016] [Indexed: 12/13/2022]
Abstract
Latinos are disproportionately impacted by drinking and driving arrests and alcohol-related fatal crashes. Why, and how, these disparities occur remains unclear. The neighborhood environments that recent Latino immigrants encounter in their host communities can potentially influence health behaviors over time, including the propensity to engage in drinking and driving. This cross-sectional study utilizes a sample of 467 documented and undocumented adult recent Latino immigrants in the United States to answer the following research questions: (a) How do neighborhood-level factors, combined with social support, impact drinking and driving risk behaviors?; and (b) Does acculturative stress moderate the effects of those associations? Results indicate neighborhood-level factors (informal social control and social capital) have protective effects against drinking and driving risk behaviors via the mediating mechanism of social support. Acculturative stress moderated associations between neighborhood informal social control and social support, whereby the protective effects of informal social control on social support were not present for those immigrants with higher levels of acculturative stress. Our findings contribute to the limited knowledge of drinking and driving among Latino immigrants early in the immigration process and suggest that, in the process of developing prevention programs tailored to Latino immigrants, greater attention must be paid to neighborhood-level factors.
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Sanchez M, Dillon FR, Concha M, De La Rosa M. The Impact of Religious Coping on the Acculturative Stress and Alcohol Use of Recent Latino Immigrants. JOURNAL OF RELIGION AND HEALTH 2015; 54:1986-2004. [PMID: 24859922 PMCID: PMC4244280 DOI: 10.1007/s10943-014-9883-6] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
Religion plays a prominent role in Latino culture and could be influential during difficult life transitions, such as those experienced during the immigration process. This study examines relations between religious coping, acculturative stress, and alcohol use in a sample of 415 recent Latino immigrants. Higher levels of acculturative stress were associated more positive and negative religious coping. Positive religious coping was related to lower alcohol use. Negative religious coping moderated the relationship between acculturative stress and alcohol use. Participants who used more negative religious coping had higher rates of alcohol use when experiencing high levels acculturative stress. Implications for culturally tailored prevention/interventions are discussed.
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Affiliation(s)
- Mariana Sanchez
- Center for Research on US Latino HIV/AIDS and Drug Abuse (CRUSADA), Florida International University, 11200 SW 8th Street, PCA 360C, Miami, FL, 33199, USA.
| | - Frank R Dillon
- Center for Research on US Latino HIV/AIDS and Drug Abuse (CRUSADA), Florida International University, 11200 SW 8th Street, PCA 360C, Miami, FL, 33199, USA
| | | | - Mario De La Rosa
- Center for Research on US Latino HIV/AIDS and Drug Abuse (CRUSADA), Florida International University, 11200 SW 8th Street, PCA 360C, Miami, FL, 33199, USA
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Ibañez GE, Dillon F, Sanchez M, DE LA Rosa M, Li T, Villar ME. Changes in Family Cohesion and Acculturative Stress among Recent Latino Immigrants. JOURNAL OF ETHNIC & CULTURAL DIVERSITY IN SOCIAL WORK 2015; 24:219-234. [PMID: 27087789 PMCID: PMC4831569 DOI: 10.1080/15313204.2014.991979] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Family relationships can serve as an important source of support during the acculturation process; yet, how the stress related to acculturation, or acculturative stress, may impact family functioning across time is not clear. Participants (n = 479), between the ages of 18-34 were recruited using respondent driven sampling methodology. Findings suggest family cohesion decreased over time; however, it decreased less for those reporting more acculturative stress. The implication is that for those Latino immigrants who struggle to adapt to their new host culture, family remains a source of support more so than for those who do not struggle as much.
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Affiliation(s)
- Gladys E Ibañez
- Department of Epidemiology, Florida International University, 11200 SW 8 Street, Miami, Florida 33174
| | - Frank Dillon
- Florida International University, 11200 SW 8 Street, Miami, Florida 33174; Miami, Florida;
| | - Mariana Sanchez
- Florida International University, 11200 SW 8 Street, Miami, Florida 33174; Miami, Florida;
| | - Mario DE LA Rosa
- Florida International University, 11200 SW 8 Street, Miami, Florida 33174; Miami, Florida;
| | - Tan Li
- Department of Biostatistics, Florida International University, 11200 SW 8 Street, Miami, Florida 33174; Miami, Florida;
| | - Maria Elena Villar
- Florida International University, 11200 SW 8 Street, Miami, Florida 33174; Miami, Florida;
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Concha M, Sanchez M, de la Rosa M, Villar ME. A Longitudinal Study of Social Capital and Acculturation-Related Stress Among Recent Latino Immigrants in South Florida. HISPANIC JOURNAL OF BEHAVIORAL SCIENCES 2013; 35:469-485. [PMID: 24478535 DOI: 10.1177/0739986313499005] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study uses social capital to assess the effects of social support on acculturation-related stress among recently immigrated Hispanics in South Florida before and after immigration. At baseline (N = 527), first 12 months in the United States, acculturative stress was negatively related to support from friends (p < .044) and positively related to support from parents (p < .023). At first follow-up (n = 415), 24 months in the United States, emotional/informational support was negatively associated with acculturation-related stress (p < .028). In the second follow-up (n = 478), 36 months in the United States, support from children was negatively associated with acculturation-related stress (p < .016). Limited English proficiency was found to be negatively associated with acculturation stress at all three points (p < .001, p < .025, and p < .001, respectively). Implications of this study can be used in the design of culturally appropriate and family-oriented interventions for recent immigrants to ease the acculturation process.
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Alcohol use as a determinant of HIV risk behaviors among recent Latino immigrants in south Florida. J Assoc Nurses AIDS Care 2013; 25:135-44. [PMID: 23706771 DOI: 10.1016/j.jana.2013.02.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2012] [Accepted: 02/01/2013] [Indexed: 11/23/2022]
Abstract
Information on the association between alcohol use and Latino sexual risk behavior prior to immigrating to the United States is scarce. Given this population's rapid growth, documenting the influence of alcohol use on recent Latino immigrants' (RLI) sexual risk behaviors is essential. Data prior to immigration were retrospectively collected from 527 RLI ages 18-39 years. Quantity and frequency of alcohol use during the 90 days prior to immigration and pre-immigration sexual risk behaviors were measured. Structural equation modeling was used to examine the relationships. Males, single participants, and participants with higher incomes reported more alcohol use. Higher alcohol use was associated with lower condom use frequency, having sex under the influence, and more sexual partners among all participants. Results point to the importance of creating interventions targeting adult RLI men, given their likelihood to engage in alcohol consumption, sex under the influence of alcohol, and sex with multiple partners without using condoms.
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Kulis S, Marsiglia FF, Ayers SL, Booth J, Nuño-Gutiérrez BL. Drug resistance and substance use among male and female adolescents in alternative secondary schools in Guanajuato, Mexico. J Stud Alcohol Drugs 2012; 73:111-9. [PMID: 22152668 DOI: 10.15288/jsad.2012.73.111] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
OBJECTIVE Research is limited on the strategies that Mexican adolescents use to resist use of alcohol, cigarettes, and other drugs. Cultural norms and gender socialization patterns concerning the acceptability of use of various substances by women and men influence Mexican youths in their responses to offers of substances. This study explored the drug-resistance strategies used by youth in the central Mexican state of Guanajuato, how their use predicted patterns of substance use, and how these associations differed by gender. METHOD The analysis used cross-sectional survey data from 702 (60% male) students enrolled in eight alternative secondary education school sites in 2007. Participants reported the drug-resistance behaviors they used to deal with offers of alcohol, cigarettes, and marijuana. Past-12-month use of the four drug-resistance strategies employed most often by U.S. youth-refuse, explain, avoid, and leave (R.E.A.L.)-and any other strategies were measured. Composite measures of lifetime and recent use of alcohol, cigarettes, and marijuana were predicted in multivariate ordinary least squares regression analyses. Models were tested with and without controls for the frequency that respondents were offered substances and introduced gender interaction effects. RESULTS Controlling for substance use offers, more frequent use of a wide repertoire of R.E.A.L. strategies predicted less consumption of alcohol and cigarettes, and using non-R.E.A.L. strategies predicted less marijuana consumption. All of these relationships were either stronger for males than for females or significant for males only. CONCLUSIONS Gender differences exist in the impact of R.E.A.L. strategies on substance use among youth in Mexico. Despite a narrowing gender gap in substance use in Mexico, large exposure to and susceptibility of substance use remains. Developing effective prevention programs in Mexico based on teaching appropriate drug-resistance strategies and enhancing communication skills could aid in reducing substance use among Mexican adolescents.
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Affiliation(s)
- Stephen Kulis
- School of Social and Family Dynamics, Arizona State University, Tempe, Arizona 85004-0693, USA.
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13
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Kulis S, Marsiglia FF, Nagoshi JL. Gender roles and substance use among Mexican American adolescents: a relationship moderated by acculturation? Subst Use Misuse 2012; 47:214-29. [PMID: 22136419 PMCID: PMC3402241 DOI: 10.3109/10826084.2011.630438] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
This research assesses the effects of adaptive/ maladaptive gender roles and acculturation in predicting substance use in a 2007 sample of 1466 Mexican American seventh-grade adolescents from Phoenix, Arizona, U.S.A. Multiple regression analyses found significant effects for both adaptive and maladaptive gender roles, as well as several gender-specific interactions between gender roles and linguistic acculturation that predicted substance use. Limitations of the research are noted, as well as implications for understanding the impact of acculturation on how gender roles differentially affect substance use in Mexican American boys versus girls.
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Affiliation(s)
- Stephen Kulis
- Southwest Interdisciplinary Research Center, Arizona State University, Phoenix, Arizona, USA.
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14
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Marsiglia FF, Nagoshi JL, Parsai M, Castro FG. The influence of linguistic acculturation and parental monitoring on the substance use of Mexican-heritage adolescents in predominantly Mexican enclaves of the Southwest US. J Ethn Subst Abuse 2012; 11:226-41. [PMID: 22931157 PMCID: PMC3477602 DOI: 10.1080/15332640.2012.701566] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
This study presents the results of an assessment of 377 Mexican heritage 7th grade adolescents attending middle school in Arizona. The students answered questions concerning personal substance use, linguistic acculturation and parental monitoring. Linguistic acculturation in general did not predict substance use, while greater perceived parental monitoring significantly predicted a lesser likelihood to use substances for both boys and girls. There was a significant acculturation by parental monitoring interaction for every use of alcohol for boys, with parent monitoring effects being more pronounced in reducing alcohol use among highly acculturated boys. Results are discussed in terms of how acculturation impacts family processes and the drug use behaviors of Mexican heritage adolescents living in predominantly Mexican enclaves.
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Affiliation(s)
- Flavio F Marsiglia
- Southwest Interdisciplinary Research Center, School of Social Work, Arizona State University, 411 N. Central Ave., Suite 720, Phoenix, AZ 85004-0693, USA.
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Sanchez M, Dillon F, Ruffin B, De La Rosa M. The Influence of Religious Coping on the Acculturative Stress of Recent Latino Immigrants. JOURNAL OF ETHNIC & CULTURAL DIVERSITY IN SOCIAL WORK 2012; 21:10.1080/15313204.2012.700443. [PMID: 24307865 PMCID: PMC3845494 DOI: 10.1080/15313204.2012.700443] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
Acculturative stress negatively impacts the physical and mental health of Latino immigrants. Little is known about the pre-immigration resources that may influence the acculturative stress of Latino immigrants. Religion plays a prominent role in Latino culture and may prove to be an influential resource during difficult life transitions, such as those experienced during the immigration process. The present study examines the association between religious coping resources prior to immigration and acculturative stress after immigration within a multiethnic sample of 527 adult Latinos who have lived in the United States for less than 1 year. Path analyses revealed that pre-immigration external religious coping was associated with high levels of post-immigration acculturative stress. Illegal immigrant status was associated with high levels of pre-immigration religious coping as well as post-immigration acculturative stress. These findings expand scientific understanding as to the function and effect of specific religious coping mechanisms among Latino immigrants. Furthermore, results underscore the need for future research, which could serve to inform culturally relevant prevention and treatment programs.
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Affiliation(s)
- Mariana Sanchez
- Center for Research on U.S. Latino HIV/AIDS & Drug Abuse (CRUSADA), Florida International University, Miami, Florida, USA
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16
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Language use and adherence to multiple cancer preventive health behaviors among Hispanics. J Immigr Minor Health 2011; 13:849-59. [PMID: 21431332 DOI: 10.1007/s10903-011-9456-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Hispanics have lower cancer mortality rates than non-Hispanic Whites and Blacks, despite demographic profiles previously associated with higher cancer mortality. Differences in adherence to multiple cancer-preventive behaviors by acculturation may offer one explanation for this "Hispanic paradox," but the relationship is not well understood. We examined this relationship using the 2000 National Health Interview Survey, which provides cross-sectional data on a nationally representative sample of US Hispanics. Multinomial logistic regression models estimated relationships between language use (a measure of acculturation) and patterns of adherence, by gender, to multiple cancer-preventive health behaviors using adherence scores. Hispanics had greater odds of adherence to multiple behaviors compared to Non-Hispanics (OR = 2.76 [2.27, 3.36]). Hispanics with greater English language use had lower odds of adherence (OR = 0.45 [0.29, 0.69]). Women were more adherent than men (P < 0.01) and their language use was associated with patterns of behavioral adherence more so than among men. Differences by gender and language use were identified in patterns of adherence to behavioral recommendations among the Hispanic population. Greater English language use was negatively associated with tobacco, alcohol, fruit and vegetable recommendation adherence but not with exercise. Study findings support evidence behaviors occur in combination and contributes to understanding of the role of language use in patterns of behavioral adherence.
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Loury S, Jesse E, Wu Q. Binge drinking among male Mexican immigrants in Rural North Carolina. J Immigr Minor Health 2011; 13:664-70. [PMID: 20945099 DOI: 10.1007/s10903-010-9402-0] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
While it is clear that alcohol use among immigrants from Mexico has serious consequences, limited data exist on the correlates of this behavior for Mexican immigrants residing in rural, traditionally non-Hispanic settings. A cross-sectional survey with an outreach approach was used to target 173 male Mexican immigrants in rural eastern North Carolina. Questionnaires including demographics, pre and post immigration alcohol use, acculturation, stress, social support, and depressive symptoms were administered through oral interview by trained bilingual interpreters. Results show a higher prevalence of binge drinking in the study sample compared to rate of alcohol use by Hispanics in the United States. Relationships were identified between Pre-immigration alcohol use, lower perceived social support, socialization within one's own cultural group, and binge drinking. These findings provide a preliminary basis in the development of interventions to address the problem of binge drinking in this population. Further exploration of the interaction between social isolation and social support is also needed.
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Affiliation(s)
- Sharon Loury
- Undergraduate Nursing Program, College of Nursing, East Tennessee State University, PO Box 70676, Johnson City, TN 37614, USA.
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Ornelas IJ, Eng E, Perreira KM. Perceived barriers to opportunity and their relation to substance use among Latino immigrant men. J Behav Med 2011; 34:182-91. [PMID: 20865312 PMCID: PMC3138402 DOI: 10.1007/s10865-010-9297-1] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2009] [Accepted: 09/08/2010] [Indexed: 10/19/2022]
Abstract
Theory and empirical evidence suggest that perceived barriers to opportunity, such as discrimination, can lead to the adoption of unhealthy behaviors. The study assessed the relationship between perceived racial/ethnic, language and legal status barriers to opportunity and substance use among Latino immigrant men in North Carolina. Logistic regression was used to test for the association between perceived barriers and odds of binge drinking in the past 30 days and cigarette smoking. In both crude and adjusted models, perceived language barriers (OR = 3.05, 95% CI: 1.78-5.25) and legal status barriers (OR = 2.25, 95% CI: 1.26-4.01) were associated with increased odds of having engaged in binge drinking. Perceived barriers to opportunity were not significantly associated with cigarette smoking. Further research is needed to better understand the effect of language and legal status barriers on health among Latino immigrants.
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Affiliation(s)
- India J Ornelas
- University of Washington and Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North M3-B232, Seattle, WA 98109, USA.
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Dubowitz T, Heron M, Basurto-Davila R, Bird CE, Lurie N, Escarce JJ. Racial/ethnic differences in US health behaviors: a decomposition analysis. Am J Health Behav 2011; 35:290-304. [PMID: 21683019 DOI: 10.5993/ajhb.35.3.4] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE To quantify contributions of individual sociodemographic factors, neighborhood socioeconomic status (NSES), and unmeasured factors to racial/ethnic differences in health behaviors for non-Hispanic (NH) whites, NH blacks, and Mexican Americans. METHODS We used linear regression and Oaxaca decomposition analyses. RESULTS Although individual characteristics and NSES contributed to racial/ethnic differences in health behaviors, differential responses by individual characteristics and NSES also played a significant role. CONCLUSIONS There are racial/ethnic differences in the way that individual-level determinants and NSES affect health behaviors. Understanding the mechanisms for differential responses could inform community interventions and public health campaigns that target particular groups.
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Corte C, Rongmuang D, Farchaus Stein K. Nursing knowledge about alcohol use and alcohol problems in women: a review of the literature. J Am Psychiatr Nurses Assoc 2010; 16:252-61. [PMID: 21659277 PMCID: PMC5002222 DOI: 10.1177/1078390310378042] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
In this article, the authors review the nursing empirical literature on alcohol and women's health published over the past 5 years (2005-2010). A total of 36 data-based articles authored by nurse investigators met eligibility criteria and were included in this review. Most were single studies by individual nurse investigators; few studies reflected ongoing programs of research related to alcohol and women's health. Studies were categorized into four main groups, including (a) determinants of alcohol use and alcohol problems; (b) patterns of use, assessment of alcohol use, and comorbidity; (c) consequences of alcohol use; and (d) the effects of treatment or specific interventions and the contributions of nursing research to the knowledge base of each group are summarized. The authors then propose a research agenda for nursing that addresses the most pressing issues related to alcohol use and alcohol problems in women.
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Affiliation(s)
- Colleen Corte
- University of Illinois at Chicago, Chicago, IL, USA,
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Kulis S, Marsiglia FF, Nagoshi JL. Gender Roles, Externalizing Behaviors, and Substance Use Among Mexican-American Adolescents. JOURNAL OF SOCIAL WORK PRACTICE IN THE ADDICTIONS 2010; 10:283-307. [PMID: 21031145 PMCID: PMC2963473 DOI: 10.1080/1533256x.2010.497033] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
A sample of 60 male and 91 female Mexican-American adolescents (age 13-18) were administered measures of positive (i.e., assertive masculinity, affective femininity) and negative (i.e., aggressive masculinity, submissive femininity) gender roles, internalizing and externalizing problem behaviors, peer substance use, and own substance use (alcohol, cigarettes, marijuana). Negative gender roles were significantly correlated with internalizing and externalizing problems for both boys and girls, with aggressive masculinity also predicting peer substance use for both genders. Assertive masculinity significantly predicted lower alcohol use in boys, and this effect was not mediated by internalizing problems, externalizing problems, or peer substance use. Negative gender roles significantly predicted higher alcohol use in girls, but this effect was almost completely mediated by internalizing problems, externalizing problems, and peer substance use. Results are discussed in terms of gender role socialization among Mexican Americans.
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Affiliation(s)
- Stephen Kulis
- Cowden Distinguished Professor of Sociology, School of Social and Family Dynamics, Arizona State University, Tempe, Arizona, USA
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Shahtahmasebi S, Berridge D. A longitudinal analysis of teenage drinking patterns. Int J Adolesc Med Health 2009; 21:371-85. [PMID: 20014640 DOI: 10.1515/ijamh.2009.21.3.371] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This paper examines the multinomial recurrent outcome 'teenage drinking' within a statistical modeling paradigm. The proposed statistical modeling relates drinking to a set of explanatory variables, which include subjective as well as objective measures. In order to assess the degree to which explanatory variables influence smoking, an adequate statistical model must handle the possibility that substantial variation between respondents will be due to omitted variables, multicollinearity and past behavior. To address these issues, longitudinal data using appropriate statistical modeling are essential. In this paper we demonstrate the application of appropriate longitudinal modeling using data from the Yorkshire (UK) Health Related Behavior Questionnaire. The results suggest there may be substantial heterogeneity due to omitted variables in the data and complex inter-relationships between observed explanatory variables. For example, social cultures of drinking and parental involvement appear to influence heavy drinking and drug use.
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Caperchione CM, Kolt GS, Mummery WK. Physical Activity in Culturally and Linguistically Diverse Migrant Groups to Western Society. Sports Med 2009; 39:167-77. [PMID: 19290674 DOI: 10.2165/00007256-200939030-00001] [Citation(s) in RCA: 113] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- Cristina M Caperchione
- Institute for Health and Social Science Research, CQUniversity Australia, Rockhampton, Queensland, Australia.
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