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（由申请人提供）：随着拉丁裔移民在美国停留时间的增加，他们经常饮酒和有问题的饮酒情况不断升级，这是一个有据可查但尚不充分理解的现象，证据表明文化因素的变化与饮酒有关。文化适应过程，例如保护性文化价值观的减弱，是造成此类损害健康行为增多的部分原因。本研究的首要目的是研究社会决定因素的变化如何与各种文化机制相互作用。 （即文化习俗、文化价值观、文化认同）来影响 这项研究以我们的近期拉丁裔移民研究 (RLIS)（P20MD002288；PI：De La Rosa）为基础，收集了另外 3 个数据。 RLIS 是第一个前瞻性队列研究，记录了早期成年拉丁裔移民的移民前饮酒行为及其潜在的行为。移民后影响这些轨迹的社会决定因素收集了去年移民到美国的 527 名早期成年拉丁裔的回顾性信息，而不是收集了移民后的数据。我们的研究结果表明，随着时间的推移，女性饮酒的典型模式有所增加（男性的饮酒量几乎没有变化），但有记录的（但不是无证的）男性的饮酒量有所减少，而女性的饮酒量没有显着变化。结果揭示了各种社会之间的关联。总的来说，这些结果表明，至少对于某些拉丁裔移民来说，众所周知的随着在美国时间的增加而增加的饮酒情况可能并不成立。未来的研究需要确定风险/保护性社会决定因素如何与各种文化机制相互作用，以影响近期拉丁裔移民中男性和女性随着在美国停留时间的增加，移民前后不同的饮酒模式。 1) 研究移民前后风险/保护性社会决定因素的变化如何影响男性和女性早期成年拉丁裔移民的饮酒轨迹，2) 确定文化机制如何影响男性和女性早期成年拉丁裔移民的饮酒轨迹3) 确定文化机制对移民前后社会决定因素变化与成年早期男性和女性拉丁裔移民饮酒轨迹之间关系的调节作用。文化机制影响拉丁裔移民饮酒模式的个人和社会背景是制定有效且文化上适当的干预措施的关键一步， 针对相关的脆弱因素并利用该人群的关键保护因素。