Substance Abuse Treatment: Culture and Barriers in the Asian-American Community

Ja, Davis; Aoki, Bart

doi:10.1080/02791072.1993.10472592

Cited by 82 publications

(57 citation statements)

References 28 publications

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“…Increasingly, however, this assumption is viewed as erroneous. More recent publications, especially those drawing from locally based studies, highlight the extent to which substance use is significant and increasing within Asian American communities (Harachi, Catalano, Kim, & Choi, 2001;Ja & Aoki, 1993;Jang, 1996;Nemoto et al, 1999;O'Hare & Tran, 1998;Zane & Huh-Kim, 1994 Our previous research into the club drug use and the rave/dance/club scenes in the San Francisco area (see Hunt, Evans, Wu, and Reyes, 2005), combined with other local reports, indicated an increasing prominence of Asian Americans within club drug scenes, such as raves, warehouse parties, and dance clubs. We found numerous Asian American club promoters and event organizers and increasing numbers of Asian American youth attending clubs and dance events.…”

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confidence: 99%

Asian American Identity and Drug Consumption: From Acculturation to Normalization

Moloney

Hunt

Evans

2008

Journal of Ethnicity in Substance Abuse

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This article analyzes the relationship between substance use and ethnic identity in the narratives of 206 young Asian Americans in a dance club/rave scene. We examine the meaning of drug use and found three types of narratives invoked to explain their drug use. The first noted difficulties arising from their Asian-American identities, the experience of culture clash and stresses associated with acculturation and Americanization. The second viewed their drug consumption as unusual among Asian Americans and saw their drug use as indicative of the degree to which they've grown apart from Asian culture and toward white/American culture. The final group saw neither their identities as Asian Americans, as drug users, nor as Asian American drug users as problematic. Drug use was a normal, accepted, and mundane part of their leisure time, not something they viewed as problematic or unusual. KeywordsDrug Use; Asian American Youth; Ethnicity; Ethnic Identity; Normalization; Acculturation Despite improvements in recent years, the depth and breadth of scholarship on substance use among Asian American youth is far less than that of white and African American (and to a lesser extent, Latino) youth. This is not a trend unique to the drug and alcohol fields; indeed, Asian American youth remain somewhat understudied throughout the social sciences, humanities, and medicine and the insights of Asian American studies are often not fully integrated into more general youth cultural studies Maira, 2002). 1 The result is that we know relatively little about Asian American drug use. Epidemiological studies of Asian American drug use have often lacked "sufficient numbers of cases to examine patterns of drug use among young people who were not members of the three largest racial and ethnic groups (whites, African Americans, and Hispanic Americans)" (Wallace et al., 2002, p. S74). Most national studies either omit mention of Asian Americans entirely, or lump Asian Americans into a broader (and generally unstudied) category of "other" (Ja & Aoki, 1993, p. 61). The two major national studies of drug use -Monitoring the Future (MTF) and the National Household Survey on Drug Abuse (NHSDA) -still do not provide detailed information about Asian American drug use due to small sample sizes.Beyond the question of sample sizes, one of the primary reasons for the neglect of Asian Americans in drug scholarship has been the belief that drug use among Asian Americans is not a problem. This belief has stemmed in part from the results of a few national surveys that found Address correspondence to: Geoffrey Hunt, Institute for Scientific Analysis, 1150 Ballena Blvd., #211, Alameda, CA 94501 (e-mail: huntgisa@ix.netcom.com). 1 For a few key texts on Asian American youth, see Danico, 2004;Kibria, 2002; S. J. Lee, 1996;Maira, 2002;Min, 2002. NIH Public Access for Asian Americans "much lower overall use prevalence rates than most other ethnic/racial groups" (Austin, 1999, p. 208). This portrayal seems to confirm the stereotype of Asian American youth...

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confidence: 99%

Asian American Identity and Drug Consumption: From Acculturation to Normalization

Moloney

Hunt

Evans

2008

Journal of Ethnicity in Substance Abuse

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“…Los sujetos que no acceden a centros de tratamiento tradicionales generalmente perciben barreras, se consideran distintos de los usuarios habituales y consideran que los centros carecen de la experiencia e información necesarias para satisfacer sus necesidades (De Civita, Dobkin & Robertson, 2000;Ja & Aoki, 1993;Litt, 2002;McLellan & Meyers, 2004;Sturm & Sherbourne, 2001;"Consensus Panel", 1999).…”

Section: Intervenciones De Outreach En Drogasunclassified

Aspectos Clave en el Desempeño Exitoso de Agentes Comunitarios en Intervenciones de Outreach con Jóvenes Consumidores de Drogas

et al. 2014

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Se presentan 2 intervenciones de outreach realizadas con jóvenes consumidores de drogas de Santiago de Chile: una familiar sistémica (IOFS) y una básica de enlace (IOBE). Se discuten los elementos claves involucrados en el desempeño exitoso de 8 agentes comunitarios, logrados por medio de un análisis cualitativo del registro de los procesos de selección, capacitación y supervisión que recibieron. Los agentes reclutaron 138 consumidores de drogas, logrando retener al 93% a los 6 meses de intervención y al 81% al año. Se evalúo la alianza de trabajo establecida entre jóvenes y agentes comunitarios en 3 momentos de la intervención a través del cuestionario de Horvath, comparando ambos tipos de intervención por medio de ANOVA Mixto de Mediciones Repetidas. Los resultados indican que mientras en IOFS la alianza fue sostenida en el tiempo, en IOBE fue decreciendo, pero que es posible desarrollar un trabajo de outreach de calidad con agentes comunitarios profesionalizados y remunerados. El perfil exitoso de agente es adultos jóvenes, con cercanía sociocultural y territorial con la población objetivo, con motivación social-comunitaria y habilidades de vinculación con jóvenes. Palabras clave: outreach, drogas, agentes comunitariosTwo outreach interventions conducted with young drug users in Santiago, Chile are presented: a systemic family outreach intervention (SFOI) and another based on the usual outreach work (OW). The key elements involved in the successful performance of 8 community agents are discussed, as revealed by a qualitative analysis of the records of the selection, training, and ongoing supervision processes that they received. Agents recruited 138 drug users, achieving a retention rate of 93% at 6 months of intervention and 81% after a year of follow up. The working alliance established between young people and community workers was assessed in 3 phases of the intervention through the Horvath questionnaire, comparing both types of intervention by Mixed ANOVA of Repeated Measures. The results indicate that while in SFOI the alliance was sustained over time, in OW it decreased; however, it is possible to develop a quality outreach work with community agents who are professionalized and paid. An agents' successful profile includes being a young adult, with territorial and cultural proximity to the target population, community motivation, and good relational skills with young people. Keywords: outreach, drugs, community agentsEl outreach corresponde a una actividad comunitaria originada a comienzos del siglo XX en países desarrollados del hemisferio norte; no obstante, resulta novedosa en contextos latinoamericanos. Su objetivo fundamental consiste en contactar e intervenir a grupos particulares de difícil acceso por las vías tradicionales, entre ellos, los consumidores de drogas que se encuentran ocultos para los servicios de salud. Un rol clave en esta estrategia juegan los agentes que buscan en terreno a los grupos objetivo. El propósito de este artículo Andrea Jaramillo, Carmen Gloria Hidalgo, Iván Armijo y...

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“…Further, compelling evidence suggests that Asian American heavy drinkers experience a higher rate of negative consequences compared to heavy drinkers of other ethnicities, suggesting that Asian Americans experience significant health disparities and problems due to problematic alcohol use (Ja & Aoki, 1993;Park, Shibusawa, Yoon, & Son, 2010). Given the rise of alcohol problems among certain Asian American groups, the purpose of this study is to extend the literature by identifying risk factors of heavy drinking among a national sample of Asian Americans.Heavy alcohol use has been linked to a myriad of mental health problems including substance use, depression, anxiety, and suicidal thoughts for both men and women (O'Hare, 1995), and contrary to the model minority stereotype (Fong & Tsuang, 2007;Ja & Aoki, 1993) Asian Americans are no exception to these problems (Chae et al, 2008;Jané-Llopis & Matytsina, 2006;Stinson et al, 2006). Alcohol use is associated with higher prescription drug use and illicit drug abuse among Asians Americans (Johnson, VanGeest, & Cho, 1997).…”

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confidence: 99%

“…Findings suggest the need to develop gender-specific drinking interventions for Asian Americans that focus on improving mental health among women and substance treatment among men. (Fong & Tsuang, 2007;Iwamoto, Corbin, & Fromme, 2010;Ja & Aoki, 1993). …”

mentioning

confidence: 99%

“…Aggregating Asian subgroups in national surveys, the lack of sampling among subgroups where heavy drinking or greater than or equal to 14 drinks/week for male and greater than or equal to seven drinks/week for female (NIAAA) is more prevalent (e.g., refugee, college age), and methodological differences in the measurements used to assess alcohol and substance use, obscure important clinical needs and issues related to alcohol use among Asian Americans (Fong & Tsuang, 2007;Ja & Aoki, 1993;Zane & Sasao, 1992 et al, 2004). Further, compelling evidence suggests that Asian American heavy drinkers experience a higher rate of negative consequences compared to heavy drinkers of other ethnicities, suggesting that Asian Americans experience significant health disparities and problems due to problematic alcohol use (Ja & Aoki, 1993;Park, Shibusawa, Yoon, & Son, 2010).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Heavy Drinking, Poor Mental Health, and Substance Use Among Asian Americans in the NLAAS: A Gender-Based Comparison

Cheng¹,

Lee²,

Iwamoto³

2011

PsycEXTRA Dataset

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The severity of heavy drinking among Asian Americans has often been dismissed because of relatively low rates compared to other racial/ethnic groups. However, higher depression and suicide rates among Asian Americans and their association to alcohol use suggest serious detrimental effects of heavy alcohol use among Asian Americans. Gender differences in heavy drinking have been documented among other immigrant based ethnic minorities, little is known of this pattern for Asian Americans. The purpose of the present study was to examine gender differences in heavy drinking, poor mental health, and substance use among a national sample of Asian Americans (N = 581) in the National Latino and Asian American Study (NLAAS). Using National Institute on Alcohol Abuse and Alcoholism (NIAAA) guidelines, heavy drinkers were categorized as those who exceeded the recommended weekly number of drinks (≥14 drinks/week for male and ≥7 drinks/week for female). Accordingly, six comparison groups were created (male non, light, and heavy drinkers, and female non, light, and heavy drinkers). Pearson's chi-square test was conducted to examine percentage distribution for the six groups for mental health disorders (i.e., suicidality, DSM-IV mental health endorsement for past 12-month and lifetime). Logistic regression was followed to determined predictors for heavy drinking behavior for men and for women. Female heavy drinkers reported significantly poorer mental health than non drinkers, light drinkers and male heavy drinkers, as indicated by higher rates of lifetime generalized anxiety, and depressive disorders. In contrast, male heavy drinkers were more likely to have lifetime substance use disorders. Findings suggest the need to develop gender-specific drinking interventions for Asian Americans that focus on improving mental health among women and substance treatment among men. (Fong & Tsuang, 2007;Iwamoto, Corbin, & Fromme, 2010;Ja & Aoki, 1993). KeywordsAggregating Asian subgroups in national surveys, the lack of sampling among subgroups where heavy drinking or greater than or equal to 14 drinks/week for male and greater than or equal to seven drinks/week for female (NIAAA) is more prevalent (e.g., refugee, college age), and methodological differences in the measurements used to assess alcohol and substance use, obscure important clinical needs and issues related to alcohol use among Asian Americans (Fong & Tsuang, 2007;Ja & Aoki, 1993;Zane & Sasao, 1992 et al., 2004). Further, compelling evidence suggests that Asian American heavy drinkers experience a higher rate of negative consequences compared to heavy drinkers of other ethnicities, suggesting that Asian Americans experience significant health disparities and problems due to problematic alcohol use (Ja & Aoki, 1993;Park, Shibusawa, Yoon, & Son, 2010). Given the rise of alcohol problems among certain Asian American groups, the purpose of this study is to extend the literature by identifying risk factors of heavy drinking among a national sample of Asian Americans.Heavy...

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Substance Abuse Treatment: Culture and Barriers in the Asian-American Community

Cited by 82 publications

References 28 publications

Asian American Identity and Drug Consumption: From Acculturation to Normalization

Asian American Identity and Drug Consumption: From Acculturation to Normalization

Aspectos Clave en el Desempeño Exitoso de Agentes Comunitarios en Intervenciones de Outreach con Jóvenes Consumidores de Drogas

Heavy Drinking, Poor Mental Health, and Substance Use Among Asian Americans in the NLAAS: A Gender-Based Comparison

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