Blackson Timothy C, De La Rosa Mario, Sanchez Mariana, Li Tan
a Biobehavioral and Social Ecology Research , Miami , Florida , USA.
Subst Abus. 2015;36(3):257-63. doi: 10.1080/08897077.2014.932886. Epub 2014 Jun 24.
No studies to date have assessed whether recent young adult (aged 18-34) Latino immigrants' biological parents' histories of substance use problems (BPHSUP) in their country of origin predict their alcohol use problems at pre- and post-immigration to the United States (US).
BPHSUP in their country of origin were assessed via interviews conducted by bilingual Latino researchers with recent Latino immigrants primarily from Cuba and Central and South America recruited through respondent-driven sampling at the time of their immigration to southeastern US. Three waves of data were collected to document Latino immigrants' severity of alcohol use problems at pre-immigration and 2 annual post-immigration follow-up assessments. BPHSUP+/- status was used as a predictor of Latinos' (N = 452; 45.8% female, 54.2% male) Alcohol Use Disorders Identification Test (AUDIT) scores at pre- and post-immigration with age, education, and income as covariates as wells as odds ratios for AUDIT classifications of hazardous use, harmful use, and dependence.
BPHSUP+ status predicted Latino immigrants' higher AUDIT scores pre- and post-immigration by gender (P < .01) compared with Latino immigrants of BPHSUP- status, controlling for age, education, and income. BPHSUP+ status predicted odds ratios of 3.45 and 2.91 for AUDIT alcohol dependence classification for men and women, respectively.
This study documents that BPHSUP+/- status in their country of origin predict their young adult Latino offspring's severity of alcohol use problems pre- and post-immigration. These results may inform (1) community-based health care providers to screen recent young adult Latino immigrants for their BPHSUP+/- status and severity of alcohol use problems to redirect trajectories away from alcohol use disorders toward more normative post-immigration outcomes through culturally relevant prevention services and (2) future research advantages of differential susceptibility theory. Implications for future research and the need for replication studies in other geographic regions of the US are discussed.
迄今为止，尚无研究评估近期年轻成年（18 - 34岁）拉丁裔移民在其原籍国的亲生父母物质使用问题史（BPHSUP）是否能预测他们在移民美国前后的酒精使用问题。
通过双语拉丁裔研究人员对近期主要来自古巴以及中美洲和南美洲的拉丁裔移民进行访谈，评估他们在原籍国的BPHSUP。这些移民是在移民到美国东南部时通过应答驱动抽样招募的。收集了三轮数据，以记录拉丁裔移民在移民前以及移民后每年两次随访评估时酒精使用问题的严重程度。BPHSUP的阳性/阴性状态被用作预测拉丁裔（N = 452；45.8%为女性，54.2%为男性）在移民前后酒精使用障碍识别测试（AUDIT）分数的指标，同时将年龄、教育程度和收入作为协变量，以及AUDIT对危险使用、有害使用和依赖分类的比值比。
与BPHSUP阴性状态的拉丁裔移民相比，在控制年龄、教育程度和收入的情况下，BPHSUP阳性状态按性别预测了拉丁裔移民在移民前后更高的AUDIT分数（P <.01）。BPHSUP阳性状态分别预测男性和女性AUDIT酒精依赖分类的比值比为3.45和2.91。
本研究证明，原籍国的BPHSUP阳性/阴性状态可预测其年轻成年拉丁裔后代在移民前后酒精使用问题的严重程度。这些结果可能会为以下方面提供信息：（1）以社区为基础的医疗保健提供者对近期年轻成年拉丁裔移民进行BPHSUP阳性/阴性状态及酒精使用问题严重程度的筛查，通过具有文化相关性的预防服务，使他们远离酒精使用障碍，走向更规范的移民后结果；（2）差异易感性理论的未来研究优势。讨论了对未来研究的启示以及在美国其他地理区域进行重复研究的必要性。
