Alcohol, tobacco, and other drug use among Asian American and Pacific Islander Adolescents in California and Hawaii

Wong, Maria M.; Klingle, Renee Storm; Price, Rumi Kato

doi:10.1016/s0306-4603(03)00079-0

Cited by 121 publications

(125 citation statements)

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“…Moreover, information is sparse for rates and correlates of substance use across specific Asian American subpopulations (Harachi et al, 2001;Wong et al, 2004;Zane and Kim, 1994). Although national and state epidemiological surveys often report that Asian Americans exhibit low rates of alcohol use, studies examining adult populations in Asia and the United States {Chi et al, 1989); Kitano and Chi, 1989) and adolescents in the United States (Wong et al, 2004) reveal substantial variation in alcohol use across Asian subgroups. Failure to compare ethnic subgroups in studies of substance use not only precludes examination of intragroup heterogeneity but also may serve to underestimate actual prevalence of substance use among Asian Americans (Wong et al, 2004).…”

Section: Conclusion-resultsmentioning

confidence: 99%

“…Although national and state epidemiological surveys often report that Asian Americans exhibit low rates of alcohol use, studies examining adult populations in Asia and the United States {Chi et al, 1989); Kitano and Chi, 1989) and adolescents in the United States (Wong et al, 2004) reveal substantial variation in alcohol use across Asian subgroups. Failure to compare ethnic subgroups in studies of substance use not only precludes examination of intragroup heterogeneity but also may serve to underestimate actual prevalence of substance use among Asian Americans (Wong et al, 2004). Studies of Asian American youth that attend to potential variability in correlates of drinking across ethnic subgroups would therefore broaden existing knowledge of alcohol use etiology in this population.…”

Section: Conclusion-resultsmentioning

confidence: 99%

“…Longitudinal studies are needed to identify temporal junctures at which environmental factors interact with or give way to genetic factors in predicting alcohol use in this population. In addition, the possibility that ethnicity moderates the effect of acculturation on alcohol use reinforces the importance of attending to subgroup differences in future studies of substance use etiology in Asian Americans (Chi et al, 1989;Harachi et al, 2001;Wong et al, 2004). Identification of subgroup-specific etiologic factors will inform the design of culturally tailored treatment or prevention programs for Asian American subpopulations.…”

Section: Discussionmentioning

confidence: 99%

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Psychosocial, cultural and genetic influences on alcohol use in Asian American youth.

et al. 2005

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Objective-Environmental and cultural factors, as well as a genetic variant of the aldehyde dehydrogenase gene (the ALDH2*2 allele) have been identified as correlates of alcohol use among Asian Americans. However, concurrent examination of these variables has been rare. The present study assessed parental alcohol use, acculturation and ALDH2 gene status in relation to lifetime, current and heavy episodic drinking among Chinese and Korean American undergraduates.Method-Participants (N = 428, 51% women; 52% Chinese American, age 18-19 years) were firstyear college students in a longitudinal study of substance use initiation and progression. Data were collected via structured interview and self-report, and participants provided a blood sample for genotyping at the ALDH2 locus.Results-Gender, parental alcohol use and acculturation significantly predicted drinking behavior. However, none of the hypothesized moderating relationships were significant. In contrast with previous studies, ALDH2 gene status was not associated with alcohol use. Conclusions-Resultsindicate that although the variables examined influence alcohol use, moderating effects were not observed in the present sample of Asian American college students. Findings further suggest that the established association ALDH2 status and drinking behavior in Asians may not be evident in late adolescence. It is possible that ALDH2 status is associated with alcohol consumption only following initiation and increased drinking experience.Asian Americans Comprise the fastest-growing ethnic minority population in the United States (Varma and Siris, 1996); accordingly, understanding the etiology of substance use in this group is increasingly important. It has been noted that substance use prevention initiatives should attend to culture-specific factors influencing use among emergent ethnic minority populations (Castro and Alarcon, 2002;Unger et al., 2002). To accomplish this goal it is necessary to first identify such factors, as well as to determine how culture-specific variables give rise to crossethnic differences in substance use. As adolescence is often marked by initiation and escalation of substance use (O'Malley et al., 1998), studies of Asian American youth are important to the identification of etiologic factors specific to alcohol and other drug use in this population.

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Section: Conclusion-resultsmentioning

confidence: 99%

Section: Conclusion-resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Psychosocial, cultural and genetic influences on alcohol use in Asian American youth.

et al. 2005

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“…Among studies that viewed within-group differences, Chinese individuals report the lowest substance use rates (Iwamoto et al, 2012;Lee et al, 2013;Wong, Klingle, & Price, 2004). Individuals of Korean descent typically report the highest drinking rates among Asian subgroups (Lee et al, 2013;Lum et al, 2009;Parrish, 1995;Weatherspoon, Danko, & Johnson, 1992).…”

Section: Ijadr International Journal Of Alcohol and Drug Researchmentioning

confidence: 99%

Comparison of heavy episodic drinking patterns between Korean and Chinese immigrants

Ruderman

Clapp

Hofstetter

et al. 2016

IJADR

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Objective: Drinking-related problems are increasing among Asian immigrants despite the popular perceptions of a "model minority." Sociocultural factors may relate to differing drinking patterns among subsets of Asian American populations. This study explores the relationship between nationality and alcohol consumption among Chinese and Korean Americans, specifically in regards to acculturation and social networks.Method: First-generation Chinese and Korean immigrants residing in the greater Los Angeles area were recruited (N = 2715). Structured interviews were conducted over the phone and by professional bilingual interviewers in the language of participant preference.Results: Although subsamples were demographically similar, Chinese immigrants were less likely to report heavy episodic drinking (HED) than Korean immigrants. Participants in each group with social networks composed of drinkers or problem drinkers and those that encouraged drinking were more likely to report HED themselves. Conclusions:Alcohol consumption and its dynamics are impacted by peer networks among first-generation Chinese and Koreans residing in the United States. While drinking behaviors differ for Chinese and Korean immigrants, the impact of peer's drinking behaviors on one's own drinking is paramount. This result has important implications for interventions and the need for further research focusing on the impact of peer interactions and alcohol use among this population.Chinese and Korean Americans are among the fastest growing immigrant populations in the United States, with increases of approximately 43% from

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“…The prevalence of current smoking among Hawaiian/Pacific Islander 7th grade boys (10%) exceeds the rate for boys of all other ethnic backgrounds. However, by high school, current smoking rates for white male and female students (26 = 32%) equal those of Hawaiian/ Pacific Islander youth (27 = 32%; Appleyard et al 2001;Wong et al 2004). Nevertheless, little is known about the determinants of tobacco use among Native Hawaiian youth.…”

Section: Introductionmentioning

confidence: 99%

Tobacco Use among Native Hawaiian Middle School Students: Its Prevalence, Correlates and Implications

Glanz¹,

Mau²,

Steffen³

et al. 2007

Ethnicity & Health

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Objectives-This study sought to explore whether Native Hawaiian primary ethnic identity is associated with cigarette use among Native Hawaiian middle school students. This study also explored whether social influence, psychosocial and cultural factors are associated with cigarette use in this sample.Design-The data are from a cross-sectional survey of 1,695 Native Hawaiian middle school students at 22 public and private schools on five islands in Hawaii. A subset of these students from Native Hawaiian serving schools (N = 136) completed additional measures of Hawaiian cultural variables.Results-Based on univariate analyses, students whose primary ethnic identification was Hawaiian were more likely to have tried smoking (p<0.001) and to be current smokers (p<0.05) as compared to those classified as part Hawaiian. However, these findings were no longer significant in multivariate analyses. Social influence variables (i.e. peer and parental smoking) were most influential in explaining both prior and current smoking. Attendance at public school was also an important factor in explaining previous (OR = 2.43; 95% CI = 1.74, 3.38) and current (OR = 7.20; 95% CI = 4.58, 11.32) smoking behavior. Finally, cultural variables such as valuing Hawaiian folklore, customs, activities and lifestyle were largely unassociated with smoking behavior among Native Hawaiian middle school youth.Conclusions-Additional research is needed to understand what aspects of ethnic identity are associated with smoking behavior among Native Hawaiian youth. The strong influence of peer and parental smoking suggests the need for interventions that support the creation of social environments that discourage tobacco use.

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Alcohol, tobacco, and other drug use among Asian American and Pacific Islander Adolescents in California and Hawaii

Cited by 121 publications

References 9 publications

Psychosocial, cultural and genetic influences on alcohol use in Asian American youth.

Psychosocial, cultural and genetic influences on alcohol use in Asian American youth.

Comparison of heavy episodic drinking patterns between Korean and Chinese immigrants

Tobacco Use among Native Hawaiian Middle School Students: Its Prevalence, Correlates and Implications

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