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近期移民的西班牙裔成年人的移民压力与酒精使用严重程度:探究性别、移民身份和社会支持的调节作用

Immigration Stress and Alcohol Use Severity Among Recently Immigrated Hispanic Adults: Examining Moderating Effects of Gender, Immigration Status, and Social Support.

作者信息

Cano Miguel Ángel, Sánchez Mariana, Trepka Mary Jo, Dillon Frank R, Sheehan Diana M, Rojas Patria, Kanamori Mariano J, Huang Hui, Auf Rehab, De La Rosa Mario

机构信息

Florida International University, Department of Epidemiology.

Florida International University, Center for Research on U.S. Latino HIV/AIDS and Drug Abuse.

出版信息

J Clin Psychol. 2017 Mar;73(3):294-307. doi: 10.1002/jclp.22330. Epub 2016 May 26.

Abstract

OBJECTIVE

Identifying and understanding determinants of alcohol use behavior among Hispanic immigrants is an increasingly significant public health concern. Although prior research has examined associations of cultural stressors with alcohol use among Hispanics, few studies have tested these associations among recent adult immigrants. As such, this study aimed to examine (a) the association of immigration stress on alcohol use severity among recently immigrated Hispanic adults (≤ 1 year in the United States) and (b) the moderating effects of gender, immigration status, and social support.

METHOD

A hierarchical multiple regression and moderation analyses were conducted on a sample of 527 participants in South Florida.

RESULTS

Results indicated that, after controlling for demographic variables, preimmigration drinking behavior, and dimensions of social support, the association of higher immigration stress with higher alcohol use severity was statistically significant. Moderation analyses indicated that immigration stress had a statistically significant association with alcohol use severity among men, but not women. Also, dimensions of social support consistently reduced the deleterious effect of immigration stress on alcohol use severity.

CONCLUSION

This study adds to the scarce literature on cultural stressors and alcohol use among recent Hispanic immigrants. Findings suggest that it may be important to design gender-specific interventions and that increasing levels of social support may offset the effects of immigration stress on alcohol use.

摘要

目的

识别并理解西班牙裔移民饮酒行为的决定因素是一个日益重要的公共卫生问题。尽管先前的研究已经考察了文化压力源与西班牙裔饮酒行为之间的关联,但很少有研究在成年新移民中检验这些关联。因此,本研究旨在考察:(a)移民压力与近期移民的西班牙裔成年人(在美国≤1年)饮酒严重程度之间的关联;(b)性别、移民身份和社会支持的调节作用。

方法

对南佛罗里达州527名参与者的样本进行分层多元回归和调节分析。

结果

结果表明,在控制了人口统计学变量、移民前饮酒行为和社会支持维度后,较高的移民压力与较高的饮酒严重程度之间的关联具有统计学意义。调节分析表明,移民压力与男性饮酒严重程度之间存在统计学意义上的关联,但与女性无关。此外,社会支持维度始终能减轻移民压力对饮酒严重程度的有害影响。

结论

本研究补充了关于近期西班牙裔移民文化压力源和饮酒行为的稀缺文献。研究结果表明,设计针对性别的干预措施可能很重要,并且提高社会支持水平可能会抵消移民压力对饮酒行为的影响。

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