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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 1/2015

01.01.2015 | Original Paper

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

verfasst von: Christopher P. Salas-Wright, Trenette T. Clark, Michael G. Vaughn, David Córdova

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 1/2015

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Abstract

Purpose

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.

Methods

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.

Results

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).

Conclusions

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.
Literatur
1.
Zurück zum Zitat 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):2069–2075PubMedCentralPubMedCrossRef 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):2069–2075PubMedCentralPubMedCrossRef
2.
Zurück zum Zitat 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 (1980) Acculturation as varieties of adaptation. In: Padilla AM (ed) Acculturation: theory, models, and some new findings. Westview, Boulder, pp 9–25
3.
Zurück zum Zitat Berry JW (1997) Immigration, acculturation, and adaptation. Appl Psychol 46(1):5–34 Berry JW (1997) Immigration, acculturation, and adaptation. Appl Psychol 46(1):5–34
4.
Zurück zum Zitat Bui HN (2013) Racial and ethnic differences in the immigrant paradox and substance use. J Immigr Minor Health 15:866–881PubMedCrossRef Bui HN (2013) Racial and ethnic differences in the immigrant paradox and substance use. J Immigr Minor Health 15:866–881PubMedCrossRef
5.
Zurück zum Zitat 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):56–63PubMedCrossRef 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):56–63PubMedCrossRef
6.
Zurück zum Zitat 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):96–123CrossRef 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):96–123CrossRef
7.
Zurück zum Zitat De La Rosa M (2002) Acculturation and Latino adolescents’ substance use: a research agenda for the future. Subst Use Misuse 37(4):429–456CrossRef De La Rosa M (2002) Acculturation and Latino adolescents’ substance use: a research agenda for the future. Subst Use Misuse 37(4):429–456CrossRef
8.
Zurück zum Zitat Gordon M (1964) Assimilation in American life. Oxford University Press, New York Gordon M (1964) Assimilation in American life. Oxford University Press, New York
9.
Zurück zum Zitat 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 71:7–16PubMedCrossRef 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 71:7–16PubMedCrossRef
10.
Zurück zum Zitat 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 39:37–44PubMedCrossRef 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 39:37–44PubMedCrossRef
11.
Zurück zum Zitat 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 44:133–141PubMedCrossRef 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 44:133–141PubMedCrossRef
12.
Zurück zum Zitat 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):443–459PubMedCentralPubMedCrossRef 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):443–459PubMedCentralPubMedCrossRef
13.
Zurück zum Zitat 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 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
14.
Zurück zum Zitat Lopez-Class M, Castro FG, Ramirez AG (2011) Conceptions of acculturation: a review and statement of critical issues. Soc Sci Med 72(9):1555–1562PubMedCrossRef Lopez-Class M, Castro FG, Ramirez AG (2011) Conceptions of acculturation: a review and statement of critical issues. Soc Sci Med 72(9):1555–1562PubMedCrossRef
15.
Zurück zum Zitat Long JS, Freese J (2006) Regression models for categorical dependent variables using Stata. Stata Press, College Station Long JS, Freese J (2006) Regression models for categorical dependent variables using Stata. Stata Press, College Station
16.
Zurück zum Zitat 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):40–63PubMedCentralPubMedCrossRef 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):40–63PubMedCentralPubMedCrossRef
17.
18.
Zurück zum Zitat 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 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
19.
Zurück zum Zitat 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):728–735PubMedCrossRef 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):728–735PubMedCrossRef
20.
Zurück zum Zitat Piontkowski U, Florack A, Hoelker P, Obdrzalek P (2000) Predicting acculturation attitudes of dominant and nondominant groups. Int J Intercult Relat 24:1–26CrossRef Piontkowski U, Florack A, Hoelker P, Obdrzalek P (2000) Predicting acculturation attitudes of dominant and nondominant groups. Int J Intercult Relat 24:1–26CrossRef
21.
Zurück zum Zitat 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):674–686PubMedCentralPubMedCrossRef 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):674–686PubMedCentralPubMedCrossRef
22.
Zurück zum Zitat 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):5–36CrossRef 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):5–36CrossRef
23.
Zurück zum Zitat Schwartz SJ, Zamboanga BL (2008) Testing Berry’s model of acculturation: a confirmatory latent class approach. Cult Divers Ethnic Minor Psychol 14(4):275CrossRef Schwartz SJ, Zamboanga BL (2008) Testing Berry’s model of acculturation: a confirmatory latent class approach. Cult Divers Ethnic Minor Psychol 14(4):275CrossRef
24.
Zurück zum Zitat 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, 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
25.
Zurück zum Zitat Schwartz SJ, Unger JB, Zamboanga BL, Szapocznik J (2010) Rethinking the concept of acculturation: implications for theory and research. Am Psychol 65(4):237PubMedCentralPubMedCrossRef Schwartz SJ, Unger JB, Zamboanga BL, Szapocznik J (2010) Rethinking the concept of acculturation: implications for theory and research. Am Psychol 65(4):237PubMedCentralPubMedCrossRef
26.
Zurück zum Zitat StataCorp. (2013) Stata Statistical Software: Release 13. StataCorp LP, College Station StataCorp. (2013) Stata Statistical Software: Release 13. StataCorp LP, College Station
27.
Zurück zum Zitat Vega WA, Gil AG (2008) A model for explaining drug use behavior among Hispanic adolescents. Drugs Soc 14(1–2):57–74 Vega WA, Gil AG (2008) A model for explaining drug use behavior among Hispanic adolescents. Drugs Soc 14(1–2):57–74
28.
Zurück zum Zitat 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 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
29.
Zurück zum Zitat 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 (2004) Latent class analysis. In: Lewis-Beck MS, Bryman A, Liao TF (eds) The Sage encyclopedia of social sciences research methods, pp 549–553
30.
Zurück zum Zitat Vermunt JK, Magidson J (2008) LG-syntax user’s guide: Manual for Latent GOLD 4.5 syntax module. Statistical Innovations Inc, Belmont Vermunt JK, Magidson J (2008) LG-syntax user’s guide: Manual for Latent GOLD 4.5 syntax module. Statistical Innovations Inc, Belmont
31.
Zurück zum Zitat Viruell-Fuentes EA (2007) Beyond acculturation: immigration, discrimination, and health research among Mexicans in the United States. Soc Sci Med 65(7):1524–1535PubMedCrossRef Viruell-Fuentes EA (2007) Beyond acculturation: immigration, discrimination, and health research among Mexicans in the United States. Soc Sci Med 65(7):1524–1535PubMedCrossRef
32.
Zurück zum Zitat 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):1690–1691CrossRef 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):1690–1691CrossRef
Metadaten
Titel
Profiles of acculturation among Hispanics in the United States: links with discrimination and substance use
verfasst von
Christopher P. Salas-Wright
Trenette T. Clark
Michael G. Vaughn
David Córdova
Publikationsdatum
01.01.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 1/2015
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-014-0889-x

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