Profiles of acculturation among Hispanics in the United States: links with discrimination and substance use

Social psychiatry - Tập 50 - Trang 39-49 - 2014
Christopher P. Salas-Wright1, Trenette T. Clark2, Michael G. Vaughn3, David Córdova4
1School of Social Work, The University of Texas at Austin, Austin, USA
2School of Social Work, University of North Carolina, Chapel Hill, USA
3School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, USA
4School of Social Work, University of Michigan, Ann Arbor, USA

Tóm tắt

Recent research suggests that acculturation is a multifaceted construct with implications for substance use among Hispanics. However, few, if any, studies examining profiles of acculturation have been conducted using national samples. Moreover, no cluster-based studies have examined how acculturation relates to discrimination and substance use disorders among Hispanics in the United States. The present study, employing Wave 2 data on Hispanics (n = 6,359) from the National Epidemiologic Survey of Alcohol and Related Conditions, aims to address these gaps. We use latent profile analysis to identify profiles of acculturation among Hispanics in the United States and, in turn, examine the relationships between membership in these profiles and experiences of discrimination and the prevalence of substance use disorders. A five-class solution was the optimal modeling of the data. Classes were identified as Class 1: Spanish-dominant/strongly separated (17 %), Class 2: Spanish-dominant/separated (18 %), Class 3: bilingual/bicultural (33 %), Class 4: English-dominant/bicultural (16 %), and Class 5: English-dominant/assimilated (16 %). Bilingual/bicultural Hispanics (Class 3) reported the highest prevalence of discrimination (31 %). Spanish-language dominant Hispanics (Classes 1 and 2) reported the lowest prevalence of substance use disorders. Significant differences in the prevalence of substance use disorders were observed between the bilingual/bicultural (Class 3) and English-dominant/assimilated classes (Class 5), but no differences were noted between the two English-dominant classes (Classes 4 and 5). Study findings indicate that acculturation is heterogeneous in its expression among Hispanics and suggest that Hispanics who maintain their Spanish-language capacity are at a substantially lower risk for a variety of substance use disorders.

Tài liệu tham khảo

Almeida J, Johnson RM, Matsumoto A, Godette DC (2012) Substance use, generation and time in the United States: the modifying role of gender for immigrant urban adolescents. Soc Sci Med 75(12):2069–2075 Berry JW (1980) Acculturation as varieties of adaptation. In: Padilla AM (ed) Acculturation: theory, models, and some new findings. Westview, Boulder, pp 9–25 Berry JW (1997) Immigration, acculturation, and adaptation. Appl Psychol 46(1):5–34 Bui HN (2013) Racial and ethnic differences in the immigrant paradox and substance use. J Immigr Minor Health 15:866–881 Burnett-Zeigler I, Bohnert KM, Ilgen MA (2013) Ethnic identity, acculturation and the prevalence of lifetime psychiatric disorders among Black, Hispanic, and Asian adults in the US. J Psychiatr Res 47(1):56–63 Cox RB, Burr B, Blow AJ, Parra Cardona JR (2011) Latino adolescent substance use in the United States: using the bioecodevelopmental model as an organizing framework for research and practice. J Fam Theory Rev 3(2):96–123 De La Rosa M (2002) Acculturation and Latino adolescents’ substance use: a research agenda for the future. Subst Use Misuse 37(4):429–456 Gordon M (1964) Assimilation in American life. Oxford University Press, New York Grant BF, Dawson DA, Stinson FS, Chou PS, Kay W, Pickering R (2003) The Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS- IV): reliability of alcohol consumption, tobacco use, family history of depression and psychiatric diagnostic modules in a general population sample. Drug Alcohol Depend 71:7–16 Grant BF, Hartford T, Dawson DA, Chou PS, Pickering R (1995) The Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS): reliability of alcohol and drug modules in the general population sample. Drug Alcohol Depend 39:37–44 Hasin D, Carpenter KM, McCloud S, Grant BF (1997) The alcohol use disorders and associated disabilities interview schedule (AUDADIS): reliability of alcohol and drug modules in a clinical sample. Drug Alcohol Depend 44:133–141 Kulis S, Marsiglia FF, Nieri T (2009) Perceived ethnic discrimination versus acculturation stress: influences on substance use among Latino youth in the Southwest. J Health Soc Behav 50(4):443–459 Li K, Wen M (2013). Substance use, age at migration, and length of residence among adult immigrants in the united states. J Immigr Minor Health. doi:10.1007/s10903-013-9887-4 Lopez-Class M, Castro FG, Ramirez AG (2011) Conceptions of acculturation: a review and statement of critical issues. Soc Sci Med 72(9):1555–1562 Long JS, Freese J (2006) Regression models for categorical dependent variables using Stata. Stata Press, College Station Marsiglia FF, Kulis S, Hussaini SK, Nieri TA, Becerra D (2010) Gender differences in the effect of linguistic acculturation on substance use among Mexican-origin youth in the southwest United States. J Ethn Subst Abuse 9(1):40–63 McLachlan G, Peel D (2000) Finite mixture models. Wiley, New York Molina KM, Simon Y (2013). Everyday discrimination and chronic health conditions among Latinos: the moderating role of socioeconomic position. J Behav Med. doi: 10.1007/s10865-013-9547-0 Ortega AN, Rosenheck R, Alegria M, Desai RA (2000) Acculturation and the lifetime risk of psychiatric and substance use disorders among Hispanics. J Nerv Ment Dis 188(11):728–735 Piontkowski U, Florack A, Hoelker P, Obdrzalek P (2000) Predicting acculturation attitudes of dominant and nondominant groups. Int J Intercult Relat 24:1–26 Pokhrel P, Herzog TA, Sun P, Rohrbach LA, Sussman S (2013) Acculturation, social self-control, and substance use among Hispanic adolescents. Psychol Addict Behav 27(3):674–686 Prado G, Szapocznik J, Maldonado-Molina MM, Schwartz SJ, Pantin H (2008) Drug use/abuse prevalence, etiology, prevention, and treatment in Hispanic adolescents: a cultural perspective. J Drug Issues 38(1):5–36 Schwartz SJ, Zamboanga BL (2008) Testing Berry’s model of acculturation: a confirmatory latent class approach. Cult Divers Ethnic Minor Psychol 14(4):275 Schwartz SJ, Unger JB, Des Rosiers SE, Lorenzo-Blanco EI, Zamboanga BL, Huang S, Szapocznik J (2013) Domains of acculturation and their effects on substance use and sexual behavior in recent Hispanic immigrant adolescents. Prev Sci. doi: 10.1007/s11121-013-0419-1 Schwartz SJ, Unger JB, Zamboanga BL, Szapocznik J (2010) Rethinking the concept of acculturation: implications for theory and research. Am Psychol 65(4):237 StataCorp. (2013) Stata Statistical Software: Release 13. StataCorp LP, College Station Vega WA, Gil AG (2008) A model for explaining drug use behavior among Hispanic adolescents. Drugs Soc 14(1–2):57–74 Vega WA, Zimmerman R, Gil A, Warheit GJ, Apospori E (1994) Acculturation strain theory: its application in explaining drug use behavior among Cuban and other Hispanic youth. NIDA Res Monogr 130:144–144 Vermunt JK, Magidson J (2004) Latent class analysis. In: Lewis-Beck MS, Bryman A, Liao TF (eds) The Sage encyclopedia of social sciences research methods, pp 549–553 Vermunt JK, Magidson J (2008) LG-syntax user’s guide: Manual for Latent GOLD 4.5 syntax module. Statistical Innovations Inc, Belmont Viruell-Fuentes EA (2007) Beyond acculturation: immigration, discrimination, and health research among Mexicans in the United States. Soc Sci Med 65(7):1524–1535 Zhang J, Yu K (1998) What’s the relative risk? A method of correcting the odds ratio in cohort studies of, and outcomes. J Am Med Assoc 280(19):1690–1691