Department of Social Work, University of Texas at San Antonio, 501 W. César E. Chávez Blvd., San Antonio, TX, 78207, USA.
Soc Psychiatry Psychiatr Epidemiol. 2020 Oct;55(10):1345-1354. doi: 10.1007/s00127-020-01837-5. Epub 2020 Feb 13.
Acculturation-related measures, often based on language, have traditionally been identified as predictors of drinking outcomes for US Hispanics. However, a sole focus on acculturation may obscure the role of societal factors such as discrimination. The present study evaluated ethnic discrimination as a mediator in the relationship between English use/proficiency and alcohol use disorder in US Hispanic immigrants.
The study examined data from the 2222 self-identified Hispanic immigrant adults in the National Epidemiologic Survey on Alcohol and Related Conditions-III who reported alcohol use within the past year. The study utilized multivariable binomial logistic regression analyses to test relationships between English use/proficiency and perceived ethnic discrimination; English use/proficiency and DSM-5 alcohol use disorder; ethnic discrimination and DSM-5 alcohol use disorder. Statistical mediation examined ethnic discrimination as a mediator in the relationship between English use/proficiency and alcohol use disorder.
Perceived ethnic discrimination was significantly associated with alcohol use disorder in men (adjusted odds ratio [AOR] 1.99; 95% CI [confidence interval], 1.40-2.83), yet not women (AOR 1.32; 95% CI, 0.71-2.44), in a regression model that also included English use/proficiency. Perceived ethnic discrimination also acted as a partial mediator between English use/proficiency and DSM-5 alcohol use disorder for male, yet not female, Hispanic immigrants.
Findings show some support for the notion that experiences of ethnic discrimination, which may accompany the process of acculturation, partially explain deteriorating drinking outcomes in Hispanic immigrant men adapting to life in the US.
传统上，与文化适应相关的措施（通常基于语言）被确定为预测美国西班牙裔饮酒结果的因素。然而，仅仅关注文化适应可能会掩盖社会因素（如歧视）的作用。本研究评估了种族歧视在美国西班牙裔移民中，在英语使用/熟练程度与酒精使用障碍之间的关系中作为中介的作用。
该研究检查了全国酒精流行病学调查与相关条件-III 中 2222 名自我认同的西班牙裔移民成年人的数据，这些成年人在过去一年中报告了饮酒情况。该研究利用多变量二项逻辑回归分析来测试英语使用/熟练程度与感知种族歧视之间的关系；英语使用/熟练程度与 DSM-5 酒精使用障碍之间的关系；种族歧视与 DSM-5 酒精使用障碍之间的关系。统计中介检验了种族歧视作为英语使用/熟练程度与酒精使用障碍之间关系的中介。
在一个包含英语使用/熟练程度的回归模型中，感知种族歧视与男性（调整后的优势比 [AOR] 1.99；95%置信区间 [CI]，1.40-2.83）的酒精使用障碍显著相关，但与女性（AOR 1.32；95%CI，0.71-2.44）无关。感知种族歧视还在英语使用/熟练程度与男性西班牙裔移民的 DSM-5 酒精使用障碍之间充当了部分中介。
研究结果表明，种族歧视的经历可能伴随着文化适应的过程，在一定程度上解释了适应美国生活的西班牙裔移民男性饮酒结果恶化的现象，这为某种观点提供了一些支持。
