Flórez Karen R, Derose Kathryn Pitkin, Breslau Joshua, Griffin Beth Ann, Haas Ann C, Kanouse David E, Stucky Brian D, Williams Malcolm V
Health Program, RAND Corporation, 1776 Main Street, Santa Monica, CA, 90407-2138, USA.
RAND Corporation, Pittsburgh, PA, USA.
J Immigr Minor Health. 2015 Dec;17(6):1607-14. doi: 10.1007/s10903-015-0161-9.
Substance use patterns among Latinos likely reflect changes in attitudes resulting from acculturation, but little is known about Latinos' attitudes regarding drug addiction. We surveyed a church-based sample of Latinos and African Americans (N = 1,235) about attitudes toward drug addiction and socio-demographics. Linear regression models compared Latino subgroups with African-Americans. In adjusted models, Latinos had significantly higher drug addiction stigma scores compared to African Americans across all subgroups (US-born Latinos, β = 0.22, p < .05; foreign-born Latinos with high English proficiency, β = 0.30, p < .05; and foreign-born Latinos with low English proficiency, β = 0.49, p < .001). Additionally, Latinos with low English proficiency had significantly higher mean levels of drug use stigma compared Latinos with high proficiency (both foreign-born and US-born). In this church-affiliated sample, Latinos' drug addiction stigma decreases with acculturation, but remains higher among the most acculturated Latinos compared to African-Americans. These attitudes may pose a barrier to treatment for Latino drug users.
拉丁裔的物质使用模式可能反映了文化适应导致的态度变化，但对于拉丁裔对药物成瘾的态度却知之甚少。我们对一个以教会为基础的拉丁裔和非裔美国人样本（N = 1235）进行了关于药物成瘾态度和社会人口统计学的调查。线性回归模型将拉丁裔亚组与非裔美国人进行了比较。在调整后的模型中，所有亚组的拉丁裔与非裔美国人相比，药物成瘾污名得分显著更高（美国出生的拉丁裔，β = 0.22，p <.05；英语水平高的外国出生拉丁裔，β = 0.30，p <.05；英语水平低的外国出生拉丁裔，β = 0.49，p <.001）。此外，与英语水平高的拉丁裔（包括外国出生和美国出生）相比，英语水平低的拉丁裔的药物使用污名平均水平显著更高。在这个与教会有关联的样本中，拉丁裔的药物成瘾污名随着文化适应而降低，但与非裔美国人相比，在文化适应程度最高的拉丁裔中仍然更高。这些态度可能会对拉丁裔吸毒者的治疗造成障碍。
