Meta-Analysis on the Relation Between Acculturation and Alcohol Use Among Immigrant Youth

Şirin, Selçuk R.; Choi, Elysia; Sin, Esther J.

doi:10.1016/j.jadohealth.2021.09.021

Cited by 9 publications

(8 citation statements)

References 77 publications

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“…This was particularly evident among males (except those born in CE Europe), due to the higher rates of Italian-born males drinking alcohol. Virtuous behavior still present in immigrant population should be encouraged and maintained to prevent the effect of acculturation, which can lead to an increase in alcohol consumption [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Migrant status disparities in blood pressure: a multiple mediation analysis of modifiable factors

Zuanna

Batzella

Russo

et al. 2023

J Epidemiol Glob Health

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Background We examined differences in blood pressure (BP) levels between first-generation immigrants and natives in adult residents in Northeast Italy, and investigated the role of lifestyle behaviors, body mass index (BMI), and education as potentially modifiable mediating factors. Methods We included 20–69-year-old participants from the Health Surveillance Program of the Veneto Region (n = 37,710). Immigrants born in a high migratory pressure country (HMPC) were further grouped into geographical macro-areas. The outcomes were systolic BP (SBP) and hypertension. Multiple mediation analyses were performed to determine the contribution of each mediator of the SBP/migrant status association. Results Of the 37,380 subjects included, 8.7% were born in an HMPC. BMI, education, alcohol, sweets and meat consumption were included as potential mediators. A small advantage in SBP was seen for immigrants compared to natives (β = – 0.71,95%CI – 1.30; – 0.10). The direct effect (net of the covariates) of immigrant status on SBP was a reduction of 1.62 mmHg (95%CI – 2.25; – 0.98). BMI played the highest suppressive role (β = 1.14,95%CI 0.99; 1.35), followed by education. Alcohol consumption amplified the health advantage of immigrants. The suppressing effect of BMI was particularly evident among women and North Africans compared to natives. Similar results were seen for hypertension rates. Conclusions Although causation cannot be proven given the cross-sectional design, our findings identify BMI as the most effective target to preserve the health advantage of immigrants with respect to BP levels.

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Section: Discussionmentioning

confidence: 99%

Migrant status disparities in blood pressure: a multiple mediation analysis of modifiable factors

Zuanna

Batzella

Russo

et al. 2023

J Epidemiol Glob Health

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“…Finally, the link between acculturation and drinking behaviors can also vary depending on how alcohol consumption is measured and by country of settlement. For example, in their recent meta-analytic review, Sirin et al (2022) found the positive association between acculturation and alcohol use was evident in U.S. studies only (although less evidence is available from other national contexts). Clearly, there is a need for more investigations in a range of contexts.…”

Section: International Research On Acculturation and Aod Use Among Youthmentioning

confidence: 99%

“…Research conducted with immigrant youth in other countries reveals heterogeneous patterns of AOD use, although there is a trend toward higher alcohol drinking levels with greater years of residence and successive generations (Chan et al, 2016). This suggests that acculturation to mainstream norms and attitudes of the host society can be associated with greater alcohol use (Sirin et al, 2022). A similar trend is evident among adults who have immigrated to Australia (Chan et al, 2016), although there is limited evidence.…”

Section: International Research On Acculturation and Aod Use Among Youthmentioning

confidence: 99%

“…The role of acculturation in youth health behaviors such as AOD use has been examined extensively, particularly among Hispanic/Latinx immigrant youth in the United States (e.g., Cano et al, 2015; Ruiz et al, 2024; Schwartz et al, 2014; Zamboanga et al, 2017). Although findings are mixed and highlight the role of moderating factors such as cultural context, race/ethnicity, and gender (Lui & Zamboanga, 2018), a general pattern of higher AOD use with greater acculturation to the host culture is evident (Sirin et al, 2022). Regarding drinking alcohol, the effect is most evident for those who have emigrated from countries in which alcohol consumption is typically low; for those emigrating from cultures in which alcohol use is common, such as Scandinavia and northern Europe, there is often little difference postimmigration (Dandy et al, 2023).…”

Section: International Research On Acculturation and Aod Use Among Youthmentioning

confidence: 99%

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Cultural factors in alcohol and other drug use among immigrant youth in Western Australia: A qualitative investigation.

Dandy,

Ng Tseung-Wong,

George

et al. 2024

Cultural Diversity & Ethnic Minority Psychology

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Objectives: Our aim was to identify the influence of heritage cultural factors and mainstream Australian cultural norms on young culturally and linguistically diverse (CaLD) immigrants' alcohol and other drug (AOD) use attitudes, motives for use, and behaviors. Method: We conducted nine focus groups with 55 youth (aged 16-30; 22 female, 33 male). Participants were from diverse cultural backgrounds including India,

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“…A subgroup of adolescents that may be particularly susceptible to engaging in such risk behaviors is that of immigrants since the migration process could be associated with higher rates of health risk behaviors due to the high level of stress during both the actual displacement phase and the so-called "acculturation" process [24]. In fact, acculturation has been associated with a higher prevalence of substance use than native peers [25][26][27][28][29]. The same phenomenon has been observed for gambling [30], as acculturation stress increases the likelihood of frequency and severity of problem gambling [31].…”

Section: Introductionmentioning

confidence: 99%

Risk Behaviors among Migrant Adolescents in Italy

Koumantakis,

Comoretto,

Dalmasso

et al. 2023

Children

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Adolescence is a critical period for engaging in health risk behaviors. Migrant adolescents may face unique challenges due to acculturation stress. This study aims to monitor substance use and problem gambling among migrant adolescents living in Italy. Data from the 2017/18 Health Behavior in School-Aged Children survey in Italy were analyzed. The 18,794 participants included 15-year-olds, categorized as native or migrants, with ethnic backgrounds from Western, Eastern European, or non-Western/non-European countries. Girls had higher smoking rates, while boys exhibited higher prevalence of alcohol-related risk behaviors, cannabis use, and gambling. Boys from Eastern European countries displayed a greater risk of drunkenness (OR: 1.58, 95% CI: 1.06–2.37), particularly in the first generation, while those from Western countries showed a higher risk of multiple substance use (OR: 1.44, 95% CI: 1.05–1.96). Girls from Eastern European and non-Western/non-European countries had a lower risk of alcohol consumption (OR: 0.50, 95% CI: 0.29–0.85; OR: 0.55, 95% CI: 0.33–0.91, respectively). Finally, boys, especially those from Eastern European and non-Western/non-European countries, had a significantly higher risk of problem gambling (OR: 1.83, 95% CI: 1.04–3.22; OR: 2.10, 95% CI: 1.29–3.42, respectively). This disparity was more pronounced in the first generation, possibly due to acculturation challenges and socio-economic factors. Risk behaviors in adolescents are influenced by complex interplays of gender, cultural factors, and migration generation. Preventive strategies should consider these factors to effectively address substance use and gambling in this heterogeneous population.

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Meta-Analysis on the Relation Between Acculturation and Alcohol Use Among Immigrant Youth

Cited by 9 publications

References 77 publications

Migrant status disparities in blood pressure: a multiple mediation analysis of modifiable factors

Migrant status disparities in blood pressure: a multiple mediation analysis of modifiable factors

Cultural factors in alcohol and other drug use among immigrant youth in Western Australia: A qualitative investigation.

Risk Behaviors among Migrant Adolescents in Italy

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