This randomized controlled trial (Clinicaltrials.gov NCT [01996280]) compared the efficacy of a brief motivational interview (MI) adapted to address social stressors and cultural influences (culturally adapted MI [CAMI]) to a standard MI for heavy-drinking Latinxs. CAMI was hypothesized to reduce heavy drinking days and frequency of alcohol-related consequences more than MI. Moderators of treatment effect were explored. Method: Latinxs (N ϭ 296; 63% male, M age ϭ 41 years) who reported 2ϩ past month heavy drinking episodes received a single-session (MI/CAMI), with assessments at baseline and 3, 6, and 12 months. Results: Both conditions showed significant reductions in percent heavy drinking days and frequency of alcohol-related consequences through 12-month follow-up when compared with baseline; reductions were not significantly different by condition. Acculturation moderated treatment condition effect on alcohol-related problems at 3 months (d ϭ .22, 95% CI [.02, .41]); less acculturated individuals experienced less frequent consequences of drinking after CAMI than MI (d ϭ .34, 95% CI [Ϫ.60, Ϫ.08]). Discrimination moderated condition effect on frequency of alcohol-related consequences at 3 months (d ϭ .17, 95% CI [Ϫ.33, Ϫ.01]); individuals with higher levels of baseline discrimination had less frequent consequences after CAMI than MI (d ϭ .20, 95% CI [Ϫ.39, Ϫ.01]). Conclusions: Participants in both groups improved with no significant differences between groups. Moderation effects suggest that cultural adaptation has particular benefit for more vulnerable individuals and support the theory of change in this adaptation model. MI is efficacious with Latinx heavy drinkers and should be used to mitigate health disparities related to alcohol misuse.
Although 90% of women between the ages of 18 and 29 report using makeup, research on the motivation and effects of makeup use on self-esteem is lacking. The purposes of this qualitative study is to (1) understand the effects of intrinsic and extrinsic motivation to use makeup on self-esteem, (2) explore whether makeup use may serve as a buffer for low self-esteem, and (3) explore the impact of sociocultural scripts and hegemonic beauty on self-esteem in ethnoracially diverse YouTube beauty influencers. Jacobsen’s Aesthetics of Psychology framework was used to classify narratives of nine female beauty influencers aged between 21 and 40 years from the United States and Great Britain, who self-identified as Black, Hispanic, and White. Makeup use may have a more direct effect on self-esteem if internally motivated and viewed as a mechanism for creativity, mastery, agency, and human connection. Likewise, makeup use may indirectly buffer low mood/self-esteem for those who are externally motivated to use makeup in order to avoid guilt, enhance ego, and promote audience confidence. Results elucidate the importance of motivation to use makeup and its implications for positive mood regulation/enhanced self-esteem through the development of mental health interventions involving makeup application. Findings illuminate the experiences of women in media and public domains and are particularly salient for women of color who may be more extrinsically motivated to use makeup due to hegemonic beauty standards, as Black beauty influencers reported industry disparities in pay/salary, sponsorships, and subscriber count compared with young, White influencers.
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