Ai Amy L, Lee Jungup, Solis Andrea, Yap Chandler
Florida State University, 2570 University Center Building-C, Tallahassee, FL, 32306, USA.
Int J Behav Med. 2016 Dec;23(6):764-775. doi: 10.1007/s12529-016-9561-z.
Childhood abuse/victimization and subsequent substance abuse are significant behavioral health problems among developed countries. In the United States (U.S.), however, few studies have examined whether this early trauma exacerbates adulthood substance abuse, viewed as a negative coping strategy, among Latino-American men. Furthermore, little is known about how collectivist cultural factors (i.e., ethnic identity, social support, and religious involvement), indicating potentially positive coping resources, were related to substance abuse in this largest minority-male population.
We investigated Latino-American men (N = 1127) in a nationally representative U.S. sample, using logistic regression analysis adjusting known demographic and acculturation correlates.
The results identified considerably elevated rates of childhood physical abuse/victimization (35.7 %) and lifetime substance abuse (17.3 %). Childhood physical (not sexual) abuse/victimization was positively associated with lifetime substance abuse, alongside age, being U.S.-born, and perceived discrimination. Latino-American men with lifetime substance abuse reported more religious coping.
Findings may contribute to the design of culturally competent behavioral care.
儿童期受虐待/成为受害者以及随后的药物滥用是发达国家中严重的行为健康问题。然而，在美国，很少有研究探讨这种早期创伤是否会加剧成年期的药物滥用，而成年期药物滥用被视为一种消极的应对策略，尤其是在拉丁裔美国男性中。此外，对于表明可能具有积极应对资源的集体主义文化因素（即族群认同、社会支持和宗教参与）如何与这一最大的少数族裔男性群体中的药物滥用相关，人们了解甚少。
我们在美国一个具有全国代表性的样本中对1127名拉丁裔美国男性进行了调查，使用逻辑回归分析并对已知的人口统计学和文化适应相关因素进行了调整。
结果显示儿童期身体虐待/成为受害者的发生率（35.7%）和终生药物滥用的发生率（17.3%）显著升高。儿童期身体（而非性）虐待/成为受害者与终生药物滥用呈正相关，同时还与年龄、在美国出生以及感知到的歧视有关。有终生药物滥用问题的拉丁裔美国男性报告采用了更多的宗教应对方式。
研究结果可能有助于设计具有文化适应性的行为护理方案。
