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Siegel JT, Alvaro EM, Jones SP. Organ Donor Registration Preferences Among Hispanic Populations: Which Modes of Registration Have the Greatest Promise? HEALTH EDUCATION & BEHAVIOR 2016; 32:242-52. [PMID: 15749969 DOI: 10.1177/1090198104272251] [Citation(s) in RCA: 50] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
There is little debate over Hispanics’ need for viable organs. Although organ donor registries can potentially assist in alleviating this need, the U.S. Department of Health and Human Services (DHHS) has called on researchers to investigate methods to maximize such potential. This research effort answers the aforementioned call by surveying Hispanics, both those who prefer to use Spanish (SP, n = 239) and those who prefer not to use Spanish (NSP, n = 364) about the methods of donor registration that they would most likely utilize. When provided with different options for organ donor registration, signing up by applying for a driver’s license, through a place of worship, or through a doctor’s office were among the most popular methods; over the telephone, tax forms, or through the use of home computer were among the least popular. Furthermore, the DHHS-suggested idea of registering via organ donor kiosks was very well received.
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Affiliation(s)
- Jason T Siegel
- Claremont Graduate University, Tucson, Arizona 85716, USA.
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Frazer AL, Rubens S, Johnson-Motoyama M, DiPierro M, Fite PJ. Acculturation Dissonance, Acculturation Strategy, Depressive Symptoms, and Delinquency in Latina/o Adolescents. CHILD & YOUTH CARE FORUM 2016. [DOI: 10.1007/s10566-016-9367-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Vaughan EL, Martinez S, Escobar OS, Denton LK. School Factors and Alcohol Use: The Moderating Effect of Nativity in a National Sample of Latino Adolescents. Subst Use Misuse 2016; 51:742-51. [PMID: 27070949 DOI: 10.3109/10826084.2016.1155603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND School is an important developmental context for adolescents and may be related to adolescent alcohol use. Less is known as to whether the relationships between school factors and alcohol use differ between Latino youth born outside of the United States versus those born in the United States. OBJECTIVE The aim of this study is to test nativity as a moderator of the relationship between school factors and alcohol use among Latino adolescents. METHODS This study used data from Waves I and II of the National Longitudinal Study of Adolescent Health (Add Health) to test nativity as a moderator of the relationship between school factors and alcohol use in a subsample of Latino adolescents. RESULTS Results found that during adolescence, nativity moderates the relationship between school connectedness and Wave I alcohol use. For those born outside of the United States, school connectedness was not related to alcohol use. Significant main effects emerged for grades in school and truancy. Better grades were associated with less alcohol use, while truancy was associated with greater alcohol use. The longitudinal relationships between school factors and Wave II alcohol use were not statistically significant. CONCLUSIONS School connectedness is a contemporaneous risk factor for alcohol use among those born in the United States. Prevention efforts that address school contextual factors may be important for all Latino students to reduce engagement in alcohol use and optimize well-being.
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Affiliation(s)
- Ellen L Vaughan
- a Department of Counseling and Educational Psychology , Indiana University , Bloomington , Indiana , USA
| | - Sylvia Martinez
- b Educational Leadership and Policy Studies, Indiana University , Bloomington , Indiana , USA
| | - Oscar S Escobar
- a Department of Counseling and Educational Psychology , Indiana University , Bloomington , Indiana , USA
| | - Lisa K Denton
- c Department of Psychology, State University of New York at Fredonia , Fredonia , New York , USA
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Goldbach JT, Berger Cardoso J, Cervantes RC, Duan L. The relation between stress and alcohol use among Hispanic adolescents. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2015; 29:960-8. [PMID: 26551265 PMCID: PMC4701595 DOI: 10.1037/adb0000133] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
We explored the relation between 8 domains of Hispanic stress and alcohol use and frequency of use in a sample of Hispanic adolescents between 11 and 19 years old (N = 901). Independent t tests were used to compare means of domains of Hispanic stress between adolescents who reported alcohol use and those who reported no use. In addition, multinomial logistic regression was used to examine whether domains of Hispanic stress were related to alcohol use and whether the relation differed by gender and age. Multiple imputation was used to address missing data. In the analytic sample, 75.8% (n = 683) reported no use and 24.2% (n = 218) reported alcohol use during the previous 30 days. Higher mean Hispanic stress scores were observed among youths who reported alcohol use during the previous 30 days in 5 domains: acculturation gap, community and gang violence, family economic, discrimination, and family and drug-related stress. Increased community and gang violence, family and drug, and acculturative gap stress were found to be associated with some alcohol use categories beyond the effect of other domains. Few differences in the association between Hispanic stress and alcohol use by gender and age were observed. Study findings indicate that family and drug-related, community and gang violence, and acculturative gap stress domains are salient factors related to alcohol use among Hispanic adolescents, and their implications for prevention science are discussed.
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Affiliation(s)
| | | | | | - Lei Duan
- School of Social Work, University of Southern California
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Vaughan EL, Gassman RA, Jun MC, Seitz de Martinez BJ. Gender Differences in Risk and Protective Factors for Alcohol Use and Substance Use Problems among Hispanic Adolescents. JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE 2015. [DOI: 10.1080/1067828x.2013.826609] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Strunin L, Díaz-Martínez A, Díaz-Martínez LR, Kuranz S, Hernández–Ávila CA, García-Bernabé CC, Fernández-Varela H. Alcohol Use among Mexican Youths: Is Familismo Protective for Moderate Drinking? JOURNAL OF CHILD AND FAMILY STUDIES 2015; 24:309-316. [PMID: 25642122 PMCID: PMC4308979 DOI: 10.1007/s10826-013-9837-8] [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: 06/04/2023]
Abstract
The construct of familismo has been identified as a potential protective cultural value in Hispanic cultures. This paper considers familismo and alcohol use among young people in Mexico. We conducted a qualitative study using ethnographic open ended interviews with 117 first year students at a large free public university in Mexico City between April-May 2011. The findings indicate that dimensions of familismo can act as protective factors against misuse of alcohol among Mexican youths and may be protective for moderate drinking. Future research should explore the relationship of familismo to gender roles and other cultural values during adolescence. Given the enduring influence of Mexican cultural values among Mexican Americans the research has implications for prevention programs for both Mexican and Mexican American youths.
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Affiliation(s)
- Lee Strunin
- Department of Community Health Sciences, Boston University School of Public Health Medical Campus, 801 Massachusetts Avenue, Rm 452, Boston, MA 02118
| | - Alejandro Díaz-Martínez
- Department of Psychiatry and Mental Health, Faculty of Medicine, National Autonomous University of Mexico, UNAM, Mexico City, Mexico
| | - L. Rosa Díaz-Martínez
- Department of Psychiatry and Mental Health, Faculty of Medicine, National Autonomous University of Mexico, UNAM, Mexico City, Mexico
| | - Seth Kuranz
- Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA
| | - Carlos A Hernández–Ávila
- Department of Psychiatry and Alcohol Research Center, University of Connecticut School of Medicine, Farmington, CT, USA
| | - C. Camilo García-Bernabé
- National Institute on Psychiatry Ramón de la Fuente Muñíz, Calzada México-Xochimilco no.101, Colonia San Lorenzo Huipulco, Delegacion Tlalpan, Mexico City, Mexico
| | - Héctor Fernández-Varela
- Director General, General Medical Services, National Autonomous University of Mexico, UNAM, Mexico City, Mexico
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D'Amico EJ, Tucker JS, Shih RA, Miles JNV. Does diversity matter? The need for longitudinal research on adolescent alcohol and drug use trajectories. Subst Use Misuse 2014; 49:1069-73. [PMID: 24779507 PMCID: PMC4119610 DOI: 10.3109/10826084.2014.862027] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
The existing research aimed at understanding alcohol and drug (AOD) use patterns from early to late adolescence typically does not examine samples with substantial racial and ethnic diversity. This is a critical research gap because studies have suggested that non-white adolescents often have worse health outcomes compared to white adolescents, even with less AOD use. In this paper, we discuss the need for future research on this topic, given demographic shifts in the racial and ethnic composition of the USA. We also outline how this research can provide information on what periods might be most relevant for each racial/ethnic group, and suggest measures that epidemiological studies on early substance use should assess to capture the underlying cultural, acculturation, psychosocial, and contextual factors that explain racial/ethnic differences in AOD trajectories.
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Jensen MR, Wong JJ, Gonzales NA, Dumka LE, Millsap R, Coxe S. Long-term effects of a universal family intervention: mediation through parent-adolescent conflict. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY : THE OFFICIAL JOURNAL FOR THE SOCIETY OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY, AMERICAN PSYCHOLOGICAL ASSOCIATION, DIVISION 53 2014; 43:415-27. [PMID: 24730357 PMCID: PMC4008685 DOI: 10.1080/15374416.2014.891228] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
This randomized trial of a family-focused preventive intervention for Mexican American middle schoolers examined internalizing, externalizing, and substance use outcomes in late adolescence, 5 years after completing the intervention. Parent-adolescent conflict was tested as a mediator of these effects. The role of parent and adolescent acculturation in these pathways was also examined. There were 494 seventh-grade adolescents and their primary female caregivers randomized to receive either a 9-week multicomponent intervention or a brief workshop control group. Assessments were conducted at pretest, 2-year follow-up (9th grade), and 5-year follow-up (when most participants were in the 12th grade). The Bridges program significantly reduced mother-adolescent conflict measured in the 9th grade, with conflict mediating program effects on internalizing and externalizing symptoms, adolescent substance use, and diagnosed internalizing disorder in late adolescence. Mother and child acculturation were both significantly predictive of late adolescence outcomes. Contrary to hypotheses, neither mother nor child acculturation emerged as a significant predictor of mother-adolescent conflict, and the interaction of mother and adolescent acculturation was similarly not related to mother-adolescent conflict. Intervention effects were largely consistent across different levels of acculturation. These findings provide support for the efficacy of family-focused intervention during early adolescence, both in reducing mental health problems and substance use in the long term and in impacting parent-adolescent conflict processes that appear to play an important role in the development of later adjustment problems.
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Cook WK, Bond J, Karriker-Jaffe KJ, Zemore S. Who's at risk? Ethnic drinking cultures, foreign nativity, and problem drinking among Asian American young adults. J Stud Alcohol Drugs 2014; 74:532-41. [PMID: 23739016 DOI: 10.15288/jsad.2013.74.532] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE Despite the low overall prevalence of alcohol use among Asian Americans, rates of alcohol use disorder are high among Asian American young adults. The influence of ethnic drinking cultures on immigrants and their descendants has been overlooked in past research. We took an integrative approach to examine the influence of ethnic drinking culture, acculturation, and socioeconomic disparities on problem drinking among Asian American young adults. METHOD This study was a nationally representative sample of 854 Asian American young adults extracted from the Wave 4 National Longitudinal Study of Adolescent Health data. About 48% of the sample was female and 52% male. Several multiple logistic regression models were fitted. RESULTS Controlling for other covariates, two dimensions of ethnic drinking culture were associated with alcohol outcomes only for the foreign born: (a) detrimental drinking pattern with frequent drunkenness and alcohol-abuse symptoms and (b) drinking prevalence with alcohol-dependence symptoms. Financial hardship was a significant predictor of symptoms of alcohol abuse and dependence only for the U.S. born. Asian language use was protective against alcohol-abuse symptoms and alcohol-dependence symptoms for the foreign born. CONCLUSIONS Cultural and socioeconomic factors of problem drinking may be different for U.S.-and foreign-born Asian American young adults. Ethnic drinking cultures may significantly influence problem drinking of foreign-born Asian American young adults, independent of their acculturation into U.S. cultures. To inform effective interventions targeted at immigrants and their descendants, future research might further investigate the cultural and socioeconomic processes in immigrant communities that might significantly influence drinking.
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Affiliation(s)
- Won Kim Cook
- Alcohol Research Group, Public Health Institute, Emeryville, California 94608-1010, USA.
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Rubens SL, Fite PJ, Gabrielli J, Evans SC, Hendrickson ML, Pederson CA. Examining Relations Between Negative Life Events, Time Spent in the United States, Language Use, and Mental Health Outcomes in Latino Adolescents. CHILD & YOUTH CARE FORUM 2013. [DOI: 10.1007/s10566-013-9205-2] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Stein KF, Keller C, Fishstrom A. An unexplored ethical issue in clinical research: disclosure of individual findings in the Creando Posibilidades [Creating Possibilities] study. Res Nurs Health 2013; 36:311-9. [PMID: 23408475 DOI: 10.1002/nur.21533] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/09/2013] [Indexed: 11/08/2022]
Abstract
Individual disclosure refers to the presumptive ethical responsibility of an investigator to communicate to a study participant information that was collected as a part of a research study protocol and is specific to the individual. Currently, there are no federal regulatory guidelines specifying the conditions and management of disclosure of health-related individual-specific information. In this report, the authors discuss the challenges associated with individual disclosure in the context of a longitudinal descriptive study. Arguments favoring disclosure and those challenging disclosure as a general ethical duty are presented. Finally, strategies for addressing individual disclosure are discussed using a research exemplar in which risk behaviors related to health outcomes were measured.
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Affiliation(s)
- Karen Farchaus Stein
- School of Nursing, University of Rochester, Box SON, Helen Wood Hall, 601 Elmwood Avenue, Rochester, NY 14642, USA
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Allen ML, Garcia-Huidobro D, Hurtado GA, Allen R, Davey CS, Forster JL, Hurtado M, Lopez-Petrovich K, Marczak M, Reynoso U, Trebs L, Svetaz MV. Immigrant family skills-building to prevent tobacco use in Latino youth: study protocol for a community-based participatory randomized controlled trial. Trials 2012; 13:242. [PMID: 23253201 PMCID: PMC3543344 DOI: 10.1186/1745-6215-13-242] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2012] [Accepted: 11/28/2012] [Indexed: 01/12/2023] Open
Abstract
Background Despite declines over recent years, youth tobacco and other substance use rates remain high. Latino youth are at equal or increased risk for lifetime tobacco, alcohol, marijuana, and other illicit drug use compared with their white peers. Family plays an important and influential role in the lives of youth, and longitudinal research suggests that improving parenting skills may reduce youth substance use. However, few interventions are oriented towards immigrant Latino families, and none have been developed and evaluated using a community-based participatory research (CBPR) process that may increase the effectiveness and sustainability of such projects. Therefore, using CBPR principles, we developed a randomized clinical trial to assess the efficacy of a family-skills training intervention to prevent tobacco and other substance use intentions in Latino youth. Methods/Design In collaboration with seven Latino community-serving agencies, we will recruit and randomize 336 immigrant families, into intervention or delayed treatment conditions. The primary outcome is youth intention to smoke 6 months post intervention. The intervention consists of eight parent and four youth sessions targeting parenting skills and parent–youth relational factors associated with lower smoking and other substance use in youth. Discussion We present the study protocol for a family intervention using a CBPR randomized clinical trial to prevent smoking among Latino youth. The results of this trial will contribute to the limited information on effective and sustainable primary prevention programs for tobacco and other substance use directed at the growing US Latino communities. Trial registration ClinicalTrials.gov: NCT01442753
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Affiliation(s)
- Michele L Allen
- Department of Family Medicine and Community Health, School of Medicine, University of Minnesota, 717 Delaware Street S,E,, Suite 166, Minneapolis, MN, 55414, USA.
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Gender, acculturation and alcohol use among Latina/o adolescents: a multi-ethnic comparison. J Immigr Minor Health 2011; 12:153-65. [PMID: 18807187 DOI: 10.1007/s10903-008-9179-6] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
This is the first study to examine the relationship between acculturation and alcohol use by gender and ethnicity using a nationally representative sample of Hispanic and non-Hispanic white adolescents. Specifically, we use data from the National Longitudinal Study of Adolescent Health (Add Health) to explore alcohol use and binge drinking for a sample that includes 6792 non-Hispanic whites, 910 Mexican Americans, 290 Cuban Americans, and 336 Puerto Ricans. Bivariate results reveal significant gender differences in alcohol use among first generation Mexican American, first generation Puerto Rican, and second generation Cuban American adolescents. In addition, these results indicate binge drinking differs significantly by gender among first generation Mexican American, first generation Cuban American, third plus generation Puerto Rican, and third plus generation non-Hispanic white adolescents. Multivariate logistic regression reveals that gender also moderates the effect of acculturation as well as ethnicity on alcohol use and abuse. Among both males and females, first generation immigrants are significantly less likely than third plus generation immigrants to use alcohol and binge drink while selective acculturation significantly reduces the odds of both behaviors. However, the effects of immigrant generation and selective acculturation on binge drinking are larger for females. Further, the trajectories that alcohol use and binge drinking follow with acculturation differ significantly by gender and ethnicity. These results reaffirm the need to further develop theoretical models and intervention strategies that are both gender-specific and culturally-specific, targeting high risk groups in particular in these efforts.
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Wilkinson AV, Shete S, Spitz MR, Swann AC. Sensation seeking, risk behaviors, and alcohol consumption among Mexican origin youth. J Adolesc Health 2011; 48:65-72. [PMID: 21185526 PMCID: PMC3148938 DOI: 10.1016/j.jadohealth.2010.05.002] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2009] [Revised: 03/24/2010] [Accepted: 05/08/2010] [Indexed: 11/27/2022]
Abstract
PURPOSE To examine factors associated with ever use of alcohol among Mexican origin youth. METHODS Using a prospective study design, we followed 1,053 Mexican origin adolescents. Participants completed two surveys in their homes and three follow-up telephone interviews, every 6-8 months, in between. The second home survey was completed 30 months (SD = 4.8 months) after baseline. Acculturation, subjective social status, and family cohesion were assessed at baseline and final home visit. Ever drinking, risk behaviors, and sensation-seeking tendencies were assessed at the final home visit only. RESULTS Overall, 30% of the study participants reported ever drinking alcohol. Multivariate models revealed that being female, increasing age, lower levels of acculturation, family cohesion and subjective social status, higher sensation-seeking tendencies, and concomitantly engaging in three or four other risk behaviors were associated with ever drinking. Also, social disinhibition, an aspect of sensation seeking, mediated the relationship between engaging in other risk behaviors and alcohol use. This is consistent with previous research, suggesting that social disinhibition is a common factor that underlies the use of alcohol, tobacco, illicit drugs, and other problem behaviors. CONCLUSIONS The results of this study support taking a family-based approach to prevention that includes discussion of other risk behaviors, especially smoking, among Mexican origin youth. In addition, tailoring programs by gender, directly addressing how changes in social norms resulting from acculturation can affect a youth's decision to drink alcohol and underlying gender-based differences in why youth drink could improve the efficacy of preventive interventions.
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Affiliation(s)
| | - Sanjay Shete
- Department of Epidemiology, Unit 1340, U.T. M.D. Anderson Cancer Center, P.O. Box 301439, Houston, TX 77230-1439
| | - Margaret R. Spitz
- Department of Epidemiology, Unit 1340, U.T. M.D. Anderson Cancer Center, P.O. Box 301439, Houston, TX 77230-1439
| | - Alan C. Swann
- Department of Psychiatry and Behavioral Sciences, University of Texas - Mental Sciences Institute, 1300 Moursund, Houston, TX 77030
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Marsiglia FF, Kulis S, Hussaini SK, Nieri TA, Becerra D. Gender differences in the effect of linguistic acculturation on substance use among Mexican-origin youth in the southwest United States. J Ethn Subst Abuse 2010; 9:40-63. [PMID: 20390972 PMCID: PMC2903967 DOI: 10.1080/15332640903539252] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
This study tested for gender differences in the impact of linguistic acculturation on pro-drug norms, substance use intentions, and actual substance use among youth of Mexican heritage in a large metropolitan area in the Southwest United States. The authors analyzed baseline survey data provided by 2,487 middle school students of Mexican heritage who were part of a larger, multiethnic randomized efficacy trial of a drug abuse prevention program. Using multi-group structural equation modeling, the authors found that linguistic acculturation was positively and directly related to adherence to pro-drug norms, substance use intentions, and recent alcohol use, controlling for age, poor grades, and socioeconomic status. In addition, linguistic acculturation had an indirect effect on substance use intentions and recent alcohol use through pro-drug norms. The direct effect of linguistic acculturation on pro-drug norms was stronger for girls than for boys, as was its indirect effect on substance use intentions.
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Affiliation(s)
- Flavio F Marsiglia
- Southwest InterdisciplinaryResearch Center, Arizona State University, School of Social Work, 411 North Central Avenue, Phoenix, AZ 85004-0693, USA.
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Siqueira LM, Crandall LA. Risk and protective factors for binge drinking among Hispanic subgroups in Florida. J Ethn Subst Abuse 2009; 7:81-92. [PMID: 19842302 DOI: 10.1080/15332640802083238] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
This study examines differences in risk and protective factors for binge drinking among six ethnic/national subgroups of Hispanic adolescents in Florida. We note differences in the frequency of binge drinking by gender and ethnic subgroup as well as differences in the salience of items drawn from the five domains of risk and protective factors among these subgroups. Rather than treating all Hispanics as a unitary culture, tailoring of prevention programs to address risk and protective factors that differentially affect national/ethnic subgroups may be a valuable strategy when adolescents live in communities that are relatively homogenous in terms of nationality/ethnicity.
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Affiliation(s)
- Lorena M Siqueira
- Miami Children's Hospital, 3100 South West 62nd Avenue, Miami, FL 33155, USA.
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Eitle TM, Wahl AMG, Aranda E. Immigrant generation, selective acculturation, and alcohol use among Latina/o adolescents. SOCIAL SCIENCE RESEARCH 2009; 38:732-42. [PMID: 19856707 PMCID: PMC2699685 DOI: 10.1016/j.ssresearch.2009.01.006] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
Do alcohol use and binge drinking among Latina/o adolescents increase in the second and third generation? This study explores generational differences in alcohol use behaviors for three Latina/o ethnic groups. Using data from the National Longitudinal Study of Adolescent Health on 1504 Latina/o adolescents in secondary school, we found that the factors associated with alcohol use behaviors differed across the Latina/o groups. For Mexican and Cuban adolescents, but not Puerto Ricans, immigrant generation was associated with alcohol use. For Mexican, but not Cuban adolescents, acculturation mediated the effect of immigrant generation on alcohol use behaviors. Although generally social capital and a co-ethnic presence were protective factors against alcohol use behaviors, we found that some forms of social capital were actually risk factors for Cubans and Puerto Ricans. Our results provide support for segmented-assimilation theory.
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Myers R, Chou CP, Sussman S, Baezconde-Garbanati L, Pachon H, Valente TW. Acculturation and substance use: social influence as a mediator among Hispanic alternative high school youth. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR 2009; 50:164-79. [PMID: 19537458 PMCID: PMC4181567 DOI: 10.1177/002214650905000204] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Research suggests that acculturation increases the risk of substance use among Hispanic youth. However, this process is not well understood. This study examined associations between acculturation and several substance use indicators among a sample of 714 Hispanic youth attending alternative high schools in southern California. Peer social influence was assessed as a potential mediator. Acculturation, measured by language use, was associated with increased risk of lifetime alcohol, marijuana, and current alcohol, cigarettes, marijuana, and hard drug use, controlling for age, socioeconomic status, and gender. Results of mediation analyses indicate that peer social influence mediated the relationship between acculturation and lifetime alcohol and current alcohol, cigarettes, and hard drug use. Evidence for partial mediation was observed with lifetime and current marijuana use. These results provide evidence that peer social influence is an important mediating variable that should be considered when examining the relationship between acculturation and substance use.
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Affiliation(s)
- Raquel Myers
- University of Utah S.J. Quinney College of Law, 332 South 1400 East, Salt Lake City, UT 84112-0730, USA.
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Stolberg VB. Lack of Gender Differences in Lifetime Substance Use Reported Among African-American Urban Community College Students. J Ethn Subst Abuse 2009; 8:70-98. [DOI: 10.1080/15332640802683466] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Allen ML, Elliott MN, Fuligni AJ, Morales LS, Hambarsoomian K, Schuster MA. The relationship between Spanish language use and substance use behaviors among Latino youth: a social network approach. J Adolesc Health 2008; 43:372-9. [PMID: 18809135 PMCID: PMC5478169 DOI: 10.1016/j.jadohealth.2008.02.016] [Citation(s) in RCA: 73] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2007] [Revised: 01/28/2008] [Accepted: 02/13/2008] [Indexed: 10/22/2022]
Abstract
PURPOSE Greater acculturation is associated with higher rates of substance use among Latino adolescents, but the reasons are poorly understood. One potential explanation is that social networks change with acculturation, leading to decreased protection and increased risk. Our objective was to identify Spanish language-sensitive individual and social network attributes associated with substance use in Latino adolescents. METHODS Latino eighth-grade students in a Los Angeles public middle school completed a computerized, self-administered survey about tobacco, alcohol, drug use, and parental monitoring; and description of 30 social network members. Regression analyses were used to estimate the independent associations of network-level Spanish language use and other factors with a substance use behavior scale. Mediation analysis identified Spanish language-sensitive attributes. RESULTS Network-level Spanish language use was associated with a substance use scale in bivariate but not multivariate models. Protective Spanish language-sensitive attributes included greater numbers of extended family members in the network, less substance use among network members, and greater perceived parental monitoring. Risky Spanish language-insensitive attributes include more high school aged network members. CONCLUSIONS These results suggest that parental monitoring and some characteristics of social networks account for the relationship between Spanish language use and substance use among Latino adolescents. Clinic- or community-based interventions that enhance protective characteristics of social networks in Latino adolescents may be effective.
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Affiliation(s)
- Michele L. Allen
- Department of Family Medicine, University of Minnesota, Minneapolis-St. Paul, Minnesota,UCLA/RAND Center for Adolescent Health Promotion, Los Angeles, California,Address correspondence to: Michele Allen, M.D., M.S., University of Minnesota, Department of Family Medicine, 717 Delaware St. S.E., Minneapolis MN 55414.
| | - Marc N. Elliott
- UCLA/RAND Center for Adolescent Health Promotion, Los Angeles, California,RAND Health, Santa Monica, California
| | - Andrew J. Fuligni
- Departments of Psychiatry and Psychology, University of California, Los Angeles, California
| | - Leo S. Morales
- Division of General Internal Medicine and Health Services Research, Department of Medicine, University of California, Los Angeles, California
| | | | - Mark A. Schuster
- UCLA/RAND Center for Adolescent Health Promotion, Los Angeles, California,RAND Health, Santa Monica, California,Children’s Hospital Boston and Harvard Medical School, Boston, Massachusetts
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21
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Kulis S, Nieri T, Yabiku S, Stromwall LK, Marsiglia FF. Promoting reduced and discontinued substance use among adolescent substance users: effectiveness of a universal prevention program. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2007; 8:35-49. [PMID: 17096196 PMCID: PMC3055561 DOI: 10.1007/s11121-006-0052-3] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2005] [Accepted: 09/08/2006] [Indexed: 10/23/2022]
Abstract
Efforts to address youth substance use have focused on prevention among non-users and treatment among severe users with less attention given to youth occupying the middle ground who have used substances but not yet progressed to serious abuse or addiction. Using a sample from 35 middle schools of 1,364 youth who reported using substances, this study examined the effectiveness of a universal youth substance use prevention program, the SAMHSA Model Program keepin' it REAL, in promoting reduced or recently discontinued alcohol, cigarette, and marijuana use. Discrete-time event history methods modeled the rates of reduced and recently discontinued use across four waves of data. Each substance (alcohol, cigarettes, and marijuana) was modeled separately. Beginning at the second wave, participants who reported use at wave 1 were considered at risk of reducing or discontinuing use. Since the data sampled students in schools, multi-level models accounted for the nesting of data at the school level. Results indicated that prevention program participation influenced the rates of reduced and recently discontinued use only for alcohol, controlling for baseline use severity, age, grades, socioeconomic status, ethnicity and gender. Among youth who reported use of alcohol in wave 1 (N=1,028), the rate of reducing use for program participants was 72% higher than the rate for control students. The rate of discontinuing use was 66% higher than the rate for control students. Among youth who reported use of one or more of the three substances in wave 1 (N=1,364), the rate of discontinuing all use was 61% higher for program participants than for control students. Limitations and implications of these findings and plans for further research are discussed.
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Affiliation(s)
- Stephen Kulis
- Department of Sociology, Arizona State University, Tempe, AZ 85287-3701, USA.
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22
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Kulis S, Marsiglia FF, Sicotte D, Nieri T. Neighborhood Effects on Youth Substance Use in a Southwestern City. SOCIOLOGICAL PERSPECTIVES : SP : OFFICIAL PUBLICATION OF THE PACIFIC SOCIOLOGICAL ASSOCIATION 2007; 50:273-301. [PMID: 21339890 PMCID: PMC3040571 DOI: 10.1525/sop.2007.50.2.273] [Citation(s) in RCA: 50] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
This study examines neighborhood influences on alcohol, cigarette and marijuana use among a predominantly Latino middle school sample. Drawing on theories of immigrant adaptation and segmented assimilation, we test whether neighborhood immigrant, ethnic, and socioeconomic composition, violent crime, residential instability, and family structure have differential effects on substance use among youth from different ethnic and acculturation backgrounds. Data are drawn from self-reports from 3,721 7(th) grade students attending 35 Phoenix, Arizona middle schools. Analysis was restricted to the two largest ethnic groups, Latino students of Mexican heritage and non-Hispanic Whites. After adjusting for individual-level characteristics and school- level random effects, only one neighborhood effect was found for the sample overall, an undesirable impact of neighborhood residential instability on recent cigarette use. Sub-group analyses by individual ethnicity and acculturation showed more patterned neighborhood effects. Living in neighborhoods with high proportions of recent immigrants was protective against alcohol, cigarette, and marijuana use for Latino students at different acculturation levels, while living in predominantly Mexican heritage neighborhoods (mostly non-immigrants) was a risk factor for alcohol and marijuana use for less acculturated Latinos. There were scattered effects of neighborhood poverty and crime, which predicted more cigarette and alcohol use, respectively, but only among more acculturated Latinos. Inconsistent effects confined to bilingual and more acculturated Latinos were found for the neighborhood's proportion of single mother families and its residential instability. No neighborhood effects emerged for non-Hispanic White students. Results suggested that disadvantaged neighborhoods increase substance use among some ethnic minority youth, but immigrant enclaves appear to provide countervailing protections.
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Affiliation(s)
- Stephen Kulis
- Sociology Program, and Southwest Interdisciplinary Research Center, Arizona State University, Tempe, AZ 85287-3701
- Address correspondence to: Stephen Kulis, Sociology, Box 873701, Arizona State University, Tempe, AZ 85287-3701. Phone: 602-496-0700
| | - Flavio Francisco Marsiglia
- School of Social Work, and Southwest Interdisciplinary Research Center, Arizona State University, Phoenix, AZ 85287-4320
| | - Diane Sicotte
- Department of Culture & Communication, Drexel University, 3141 Chestnut St., Philadelphia, PA 19104
| | - Tanya Nieri
- Sociology Program, and Southwest Interdisciplinary Research Center, Arizona State University, Tempe, AZ 85287-3701
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Yabiku S, Kulis S, Marsiglia FF, Lewin B, Nieri T, Hussaini S. Neighborhood effects on the efficacy of a program to prevent youth alcohol use. Subst Use Misuse 2007; 42:65-87. [PMID: 17366126 PMCID: PMC3046879 DOI: 10.1080/10826080601094264] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
This study examines how neighborhood characteristics affect program efficacy. Data come from a randomized trial of a substance use prevention program called keepin' it REAL, which was administered to a predominantly Mexican American sample of 4,622 middle school students in Phoenix, Arizona, beginning in 1998. Multilevel models and multiple imputation techniques address clustered data and attrition. Among less linguistically acculturated Latinos, living in poorer neighborhoods and those with many single-mother families decreased program effectiveness in combating alcohol use. High neighborhood immigrant composition increased program effectiveness. Unexpectedly, the program was also more effective in neighborhoods with higher rates of crime. There were no significant effects on program efficacy for the more linguistically acculturated Latinos and non-Hispanic White students. Findings are discussed in light of theories of neighborhood social disorganization, immigrant adaptation, and social isolation.
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Affiliation(s)
- Scott Yabiku
- School of Social and Family Dynamics, Southwest Interdisciplinary Research Center, Arizona State University, Tempe, Arizona 85287-3701, USA.
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24
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Chapter 6. Psychosocial Stressors, Psychiatric Diagnoses and Utilization of Mental Health Services Among Undocumented Immigrant Latinos. ACTA ACUST UNITED AC 2005. [DOI: 10.1300/j191v03n01_06] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Chapter 4: Alcohol Use Among Dominican-Americans. ALCOHOLISM TREATMENT QUARTERLY 2005. [DOI: 10.1300/j020v23n02_04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Marsiglia FF, Kulis S, Wagstaff DA, Elek E, Dran D. Acculturation Status and Substance Use Prevention with Mexican and Mexican-American Youth. JOURNAL OF SOCIAL WORK PRACTICE IN THE ADDICTIONS 2005; 5:85-111. [PMID: 21660128 PMCID: PMC3110070 DOI: 10.1300/j160v5n01_05] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
This study examined whether language preference, as an indicator of acculturation, moderated the effects of a culturally grounded substance use prevention intervention for Mexican and Mexican American middle school students (N = 2,146) in Phoenix, Arizona. The main hypothesis was that levels of program effectiveness would vary based on the language preference of the students and the specific culturally grounded version of the intervention they were assigned. Findings show that matching language preference to particular versions of the intervention did not influence substance use related program outcomes, but that overall program effects (intervention versus control) did vary by language preference. English-language dominant participants, the most at risk sub-group, responded more positively to the intervention, while Spanish dominant, who had low substance use rates at baseline, and bilingual participants did not demonstrate significant differences between the intervention and control groups. Implications for school social work prevention interventions and prevention science in general, are discussed.
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Affiliation(s)
- Flavio F Marsiglia
- Southwest Interdisciplinary Research Consortium, School of Social Work, Arizona State University, P.O. Box 873711, Tempe, AZ 85287-3711
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