Alcohol Use Trajectories of Latino Immigrants during their First Decade in the US

拉丁裔移民在美国第一个十年的饮酒轨迹

• 批准号: 9106387
• 负责人: Mario R De La Rosa
• 金额: $ 32.63万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-20 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9106387
• 关键词: Acculturation; Adolescent; Adult; Age; Alcohol abuse; Alcohol consumption; Area; Attenuated; Behavior; Biogenesis; Central America; Cohort Studies; Communities; Cuba; Data; Family; Female; Growth; Health; Heavy Drinking; Immigrant; Immigration; Intervention; Investigation; Knowledge; Latino; Legal Status; Longitudinal Studies; Mexican; National Institute on Alcohol Abuse and Alcoholism; Outcome; Participant; Pattern; Policy Developments; Population; Population Heterogeneity; Process; Public Health; Research; Risk; Risk Factors; Risk-Taking; Role; Rosa; Sampling; Sampling Studies; Social Environment; Social Policies; Social support; South America; Stress; System; Time; United States; Woman; alcohol misuse; base; cohesion; cultural values; drinking; emerging adult; experience; health disparity; male; men; prospective; public health relevance; retention rate; social

 DESCRIPTION (provided by applicant): The escalation of regular and problematic alcohol use among Latino immigrants as their time in the United States (US) increases is a well-documented but not well-understood phenomenon. Evidence suggests that shifts in cultural factors related to the acculturation process, such as a waning of protective cultural values, are partially responsible for rises in such health compromising behaviors. The overarching aim of the present study is to examine how changes in social determinants interact with various cultural mechanisms (i.e., cultural practices, cultural values, cultural identifications) to impact pre- to post-immigration alcohol use trajectories of early adult recent Latino immigrants during their first decade in the US. The proposed study builds upon our Recent Latino Immigrant Study (RLIS) (P20MD002288; PI: De La Rosa) by collecting an additional 3 annual waves of data from the original RLIS sample. The RLIS was the first prospective cohort study to document the pre-immigration alcohol use behaviors of early adult recent Latino immigrants, as well as the underlying social determinants contributing to these trajectories after immigration. Baseline data collected retrospective pre- immigration information from 527 early adult Latinos who had immigrated to the US within the last year. Two follow-ups, 12 months apart, collected post-immigration data. Rather than indicating typical patterns of increased alcohol use among women (and little change in men) over time, our findings revealed decreases in alcohol use for documented (but not undocumented) men with no significant change in women. Results revealed associations between various social determinants as potential risk/protective factors of acculturative stress and alcohol use. Collectively, these outcomes suggest that, for at least some subsets of Latino immigrants, the well-known escalation of alcohol use as their time in the US increases may not hold. There is a need for future research that identifies how risk/protective social determinants interact with various cultural mechanisms to impact distinct pre- to post-immigration alcohol use patterns among male and female recent Latino immigrants as their time in the US increases. The aims of the proposed study are to: 1) Examine how changes in pre- to post-immigration risk/protective social determinants impact alcohol use trajectories among male and female early adult Latino immigrants, 2) Identify how cultural mechanisms impact the alcohol use trajectories of male and female early adult Latino immigrants, 3) Determine the moderating role of cultural mechanisms on the relationship between changes in pre- to post-immigration social determinants and alcohol use trajectories among male and female Latino immigrants during early adulthood. Recognizing the personal and social contexts in which cultural mechanisms influence alcohol use patterns among Latino immigrants is a critical step in developing effective and culturally appropriate interventions that target associated vulnerability factors and take advantage of key protective factors in this population.

 描述（由适用提供）：拉丁裔移民在美国的时间（美国）的升级是有据可查但没有充分理解的现象。有证据表明，与培养过程有关的文化因素的转变（例如受保护的文化价值观的减弱）部分负责这种健康妥协行为的崛起。本研究的总体目的是研究社会决定者的变化如何与各种文化机制（即文化实践，文化价值观，文化认同）相互作用 在美国的前十年中，最近成年拉丁裔移民的早期迁移饮酒轨迹。拟议的研究基于我们最近的拉丁裔移民研究（RLIS）（P20MD002288; PI：de la Rosa），通过从原始RLIS样本中收集3年的数据浪潮。 RLI是第一项前瞻性队列研究，记录了迁移前的饮酒前，是成年早期的拉丁裔移民的前进性饮酒行为，以及在移民后为这些轨迹做出贡献的基本社会决定者。基线数据收集了从去年在美国移民到美国的527个早期拉丁美洲人的回顾前移民信息。相隔12个月的两个随访收集了移民后数据。我们的发现并没有表明女性（男性变化很小）的典型模式，我们的发现表明，在饮酒中使用的饮酒减少了（但没有证明的）男性，女性没有显着变化。结果表明，各种社会决定者之间的关联是适应性压力和饮酒的潜在风险/保护因素。总的来说，这些结果表明，至少对于某些拉丁裔移民子集，随着他们在美国的时间增加，众所周知的饮酒升级可能无法满足。未来的研究需要确定风险/保护性社会决定者如何与各种文化机制相互作用，以影响男性和女性最近的拉丁裔移民的不同移民前饮酒模式，因为他们在美国的时代增加了。拟议的研究的目的是：1）研究如何在移民前到移民后的变化/保护性社会决定者会影响男性和女性早期的成年拉丁裔早期拉丁裔移民之间的酒精使用轨迹，2）确定文化机制如何影响饮酒机制如何影响男性和女性早期拉丁美洲早期拉丁裔移民的饮酒轨迹，以实现现代化的型在文化上的作用，3）确定在现代化的跨性别范围内，3）确定涉及现代化的型号，3）确定何种现代化的转变，3）在成年初期的男性和女性拉丁裔移民中。认识到文化机制在拉丁裔移民中影响饮酒方式的个人和社会环境是开发有效且具有文化适当干预措施的关键步骤 目标相关的脆弱性因素并利用该人群中的关键保护因素。