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家庭主义和文化适应作为调节因素在拉丁裔成年男性家庭冲突与药物滥用之间关联中的作用

The Role of Familismo and Acculturation as Moderators of the Association Between Family Conflict and Substance Abuse on Latino Adult Males.

作者信息

Lopez-Tamayo Roberto, Seda Alexa, Jason Leonard A

机构信息

DePaul University.

出版信息

Public Health (Fairfax). 2016 Aug;1(2):48-56. doi: 10.17140/PHOJ-1-110. Epub 2016 Jul 28.

Abstract

The significant research gap on Latino adults who completed substance abuse treatment (SAT) impacts the provision of substance use prevention and treatment for this population. Given the need for culturally-appropriate SAT for Latinos, research that examines the role of cultural constructs and acculturation in relation to substance use behavior is warranted. The purpose of the present study is to test, based on the social control theory, a multiple moderation model using the PROCESS macro to examine the moderating effect of Familismo on the association between history of family conflict and years of substance abuse on Latino males who completed SAT at different levels of acculturation (i.e., cultural orientation). Generational status (i.e., immigrant, U. S. born) and age are used as covariates. A total of 117 Latino male participants (M= 37, 54% non-U.S. born with a mean length of stay of 19 years in the U.S.) who completed SAT from facilities located in the metropolitan area of Chicago completed self-report measures. Results from the multiple moderation analysis showa significant three-way interaction (family conflict × Familismo × acculturation), indicating that participants with Latino and bicultural orientation who endorse average to high levels of Familismo have fewer years of substance abuse compared to those with U.S. mainstream culture orientation and low Familismo. Findings illustrate the need for SAT that assesses for family conflict and integrates cultural aspects to reduce substance use behavior on Latino males.

摘要

针对完成药物滥用治疗(SAT)的拉丁裔成年人的重大研究空白,影响了针对该人群的药物使用预防和治疗工作。鉴于拉丁裔需要符合其文化特点的SAT,有必要开展研究,考察文化建构和文化适应与药物使用行为之间的关系。本研究的目的是基于社会控制理论,使用PROCESS宏检验一个多重调节模型,以考察家庭主义(Familismo)对家庭冲突史与药物滥用年限之间关联的调节作用,该研究对象为在不同文化适应水平(即文化取向)下完成SAT的拉丁裔男性。世代身份(即移民、美国出生)和年龄用作协变量。共有117名来自芝加哥大都市区机构且完成SAT的拉丁裔男性参与者(M = 37,54% 非美国出生,在美国平均居住时长为19年)完成了自我报告测量。多重调节分析结果显示出显著的三向交互作用(家庭冲突×家庭主义×文化适应),表明与具有美国主流文化取向且家庭主义水平低的参与者相比,认同平均至高家庭主义水平的拉丁裔和双文化取向参与者的药物滥用年限更少。研究结果表明,需要开展评估家庭冲突并整合文化因素的SAT,以减少拉丁裔男性的药物使用行为。

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