The Impact of Acculturation and Acculturative Stress on Alcohol Use Across Asian Immigrant Subgroups

Park, So Youn; Anastas, Jeane W.; Shibusawa, Tazuko; Nguyen, Duy

doi:10.3109/10826084.2013.855232

Cited by 44 publications

(54 citation statements)

References 26 publications

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“…These rates were substantially greater than those observed among the “Separated” (1%), “Partial Bilingual/Bicultural” (8%), and “Full Bilingual/Bicultural” (11%) classes. This pattern of findings is in accordance with previous research pointing to a link between the loss of one’s language of origin and increased risk for substance use disorders (Park, Anastas, Shibusawa, & Nguyen, 2014; Salas-Wright et al, 2014; Unger et al, 2000). …”

Section: Discussionsupporting

confidence: 92%

Acculturative heterogeneity among Asian/Pacific Islanders in the United States: Associations with DSM mental and substance use disorders.

Salas-Wright¹,

Lee²,

Vaughn³

et al. 2015

American Journal of Orthopsychiatry

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Extant studies on the links between acculturation and mental and substance use disorders among Asian/Pacific Islanders have been based on the assumption that acculturation is a homogeneous construct. However, emerging evidence suggests that the various components of acculturation do not manifest independently, but rather cluster in ways that reflect distinct profiles. We employ data on Asian/Pacific Islanders from the National Epidemiologic Survey on Alcohol and Related Conditions (n = 968). Latent profile analysis is used to identify acculturation subgroups on the basis of indicator variables related to cultural identification, language ability and preference, and social engagement. Subsequently, the distribution of outcome variables in the domains of DSM disorders (lifetime history of clinical, personality, and substance use disorders) is examined across latent subgroups. We identified a five class solution: Class 1: “Separated” (12.91%), Class 2: “Partial Bilingual/Bicultural” (30.06%), Class 3: “English Dominant/Asian Oriented” (12.29%), Class 4:”Full Bilingual/Bicultural” (19.42%) and Class 5: “Assimilated” (25.31%). The highest rates of clinical disorders were observed among members of the two classes characterized by a strong preference for the use of the English language (Classes 3 and 5). The highest prevalence of nicotine (12%) and illicit drug use (15%) disorders was observed among members of the “Assimilated” class. Consistent with prior research, findings suggest that risk of morbidity is greater among more acculturated individuals; however, findings also suggest that an important level of nuance can be observed with respect to acculturative subtypes identified on the basis of cultural identification, language ability and preference, and social engagement.

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Section: Discussionsupporting

confidence: 92%

Acculturative heterogeneity among Asian/Pacific Islanders in the United States: Associations with DSM mental and substance use disorders.

Salas-Wright¹,

Lee²,

Vaughn³

et al. 2015

American Journal of Orthopsychiatry

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“…These migration-related stresses may increase the likelihood for migrants to engage in health-risk behaviors as a way of coping, including tobacco smoking, alcohol use and abuse, and illicit drug use, and sexual risk behavior (Park, Anastas, Shibusawa, & Nguyen, 2014; Yu et al, 2014). Engaging in risk sex plays a key role in HIV transmission.…”

Section: Introductionmentioning

confidence: 99%

Migration Stress, Poor Mental Health, and Engagement in Sex with High-Risk Partners: a Mediation Modeling Analysis of Data from Rural-to-Urban Migrants in China

Chen

Yan

et al. 2016

Sex Res Soc Policy

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Background There is a growing need for better understanding of mechanisms underpinning the relationship between migration stress and HIV risk behaviors for the development of HIV prevention and control policy. Methods Survey data from a random sample of 1,293 Chinese rural-to-urban migrants were analyzed. Stress was assessed using the Domestic Migration Stress Questionnaire (DMSQ), mental health status was assessed using the Brief Symptoms Inventory (BSI), and having sex with high risk partners was assessed as if ever have had sex with high risk partners (e.g., sex workers, intravenous injection drug users, blood donors, persons infected with HIV, persons with sexually transmitted infection, and same gender partners) in the past year. The proposed relationship was tested using mediation modeling method. Results Among the sample, 5.5% reported having had sex with high-risk partners in the past year. Mediation analysis indicated that the relationship between DMSQ scores and having sex with high-risk partners was mediated by BSI (coefficient =0.41, 95% CI [0.21, 0.65]), including its components of somatization (0.32 [0.15, 0.53]), obsessive-compulsive disorder (0.31 [0.07, 0.55]), depression (0.45 [0.23, 0.72]), anxiety (0.41 [0.23, 0.63]), and hostility (0.35 [0.17, 0.56]). Furthermore, the effect was more pronounced in males than in females. Conclusion The study findings provide new data advancing our understanding of the mechanism of engagement in risky sex, underscoring the need for the HIV prevention policies in China to pay more attention to mental health of the rural-to-urban migrant population.

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“…These same conceptual frameworks are also utilized to explain the increase in alcohol consumption among Asian Americans. (Park et al, 2014; Iwamoto et al, 2016). …”

Section: Methodsmentioning

confidence: 99%

“…A number of such studies use small convenience samples (largely among college students), rather than randomly selected general population samples. In general, acculturation has been shown to be associated with greater alcohol use among Asian immigrants (Park et al, 2014). Moreover, foreign-born Asians are less likely to drink in the past month, engage in binge and heavy drinking, and have a lower prevalence of AUD than U.S.-born Asians (Lee et al, 2013; Lo et al, 2014; Breslau and Chang, 2006).…”

Section: Methodsmentioning

confidence: 99%

Drinking, Alcohol Use Disorder, and Treatment Access and Utilization Among U.S. Racial/Ethnic Groups

Vaeth

Wang-Schweig

Caetano

2016

Alcoholism Clin & Exp Res

210

123

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Data from approximately 140 articles and reports published since 2000 on drinking, alcohol use disorder (AUD), correlates of drinking and AUD, and treatment needs, access and utilization were critically examined and summarized. Epidemiological evidence demonstrates alcohol-related disparities across U.S. racial/ethnic groups. American Indians/Alaska Natives generally drink more and are disproportionately affected by alcohol problems, having some of the highest rates for AUD. In contrast, Asian Americans are less affected. Differences across Whites, Blacks and Hispanics are more nuanced. The diversity in drinking and problem rates that is observed across groups also exists within groups, particularly among Hispanics, Asian Americans, and American Indians/Alaska Natives. Research findings also suggests that acculturation to the U.S. and nativity affect drinking. Recent studies on ethnic drinking cultures uncover the possible influence that native countries’ cultural norms around consumption still have on immigrants’ alcohol use. The reasons for racial/ethnic disparities in drinking and AUD are complex and are associated with historically-rooted patterns of racial discrimination and persistent socioeconomic disadvantage. This disadvantage is present at both individual and environmental levels. Finally, these data indicate that admission to alcohol treatment is also complex and is dependent on the presence and severity of alcohol problems but also on a variety of other factors. These include individuals’ sociodemographic characteristics, the availability of appropriate services, factors that may trigger coercion into treatment by family, friends, employers and the legal system, and the overall organization of the treatment system. More research is needed to understand facilitators and barriers to treatment to improve access to services and support. Additional directions for future research are discussed.

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The Impact of Acculturation and Acculturative Stress on Alcohol Use Across Asian Immigrant Subgroups

Cited by 44 publications

References 26 publications

Acculturative heterogeneity among Asian/Pacific Islanders in the United States: Associations with DSM mental and substance use disorders.

Acculturative heterogeneity among Asian/Pacific Islanders in the United States: Associations with DSM mental and substance use disorders.

Migration Stress, Poor Mental Health, and Engagement in Sex with High-Risk Partners: a Mediation Modeling Analysis of Data from Rural-to-Urban Migrants in China

Drinking, Alcohol Use Disorder, and Treatment Access and Utilization Among U.S. Racial/Ethnic Groups

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