Department of Psychology.
Department of Psychology, Smith College.
Psychol Addict Behav. 2018 Mar;32(2):173-186. doi: 10.1037/adb0000340. Epub 2018 Jan 22.
Acculturation has been considered a key sociocultural factor that helps explain Asian American's mental health outcomes, including alcohol use. Yet, findings on the degree to which acculturation is directly linked to alcohol use have been mixed. The present meta-analysis reviewed original studies published since 1979, and tested the association between acculturation and alcohol use outcomes among Asian Americans across age groups. Analyses also examined the extent to which participant and methodological variables moderated this relation. A systematic literature review yielded 31 published research reports that were eligible for the meta-analysis. Across 39 independent study samples (N = 28,028), analysis with random-effects model estimated a small and statistically significant mean weighted correlation between acculturation and alcohol use (r = .06, p < .05). Acculturation appeared to be more robustly associated with alcohol consumption and intensity of hazardous alcohol use, but not drinking-related problems. Most studies examined acculturation as a unidimensional construct. Within study samples that conceptualized acculturation as a bidimensional construct, alcohol use was positively associated with acculturation (orientation to the mainstream host culture) but negatively associated with enculturation (orientation to the Asian heritage culture). Statistically significant between-study variability (Q[38] = 876.62, p < .001, I2 = 95.67%) was accounted for by gender, age, and geographical location. Limitations to the scope of this meta-analysis regarding the observational nature of study effect sizes, sample-level analyses, and focus on self-report survey data, as well as future research directions are discussed. (PsycINFO Database Record
文化适应一直被认为是一个关键的社会文化因素，可以帮助解释亚裔美国人的心理健康结果，包括饮酒。然而，关于文化适应与饮酒之间的直接关联程度的研究结果却参差不齐。本元分析回顾了自 1979 年以来发表的原始研究，并测试了文化适应与亚裔美国人各年龄段饮酒结果之间的关联。分析还研究了参与者和方法变量在多大程度上调节了这种关系。系统文献综述产生了 31 篇符合元分析条件的已发表研究报告。在 39 个独立的研究样本中（N=28028），使用随机效应模型的分析估计了文化适应与饮酒之间的小而显著的平均加权相关系数（r=0.06，p<.05）。文化适应似乎与饮酒和危险饮酒强度更密切相关，但与饮酒相关问题的关系不密切。大多数研究将文化适应视为一个单一维度的结构。在将文化适应概念化为双维度结构的研究样本中，饮酒与文化适应（向主流东道文化的取向）呈正相关，与文化融入（向亚洲传统文化的取向）呈负相关。研究之间的统计学显著差异（Q[38]=876.62，p<.001，I2=95.67%）由性别、年龄和地理位置来解释。本元分析的范围有限，涉及研究效应量的观察性质、样本水平分析以及对自我报告调查数据的关注，以及未来的研究方向。
