López-Tamayo Roberto, Jason Leonard A
Department of Psychiatry, University of Illinois at Chicago, USA.
Center for Community Research, DePaul University, Chicago, USA.
Community Psychol Glob Perspect. 2021;7(2):81-102. doi: 10.1285/i24212113v7i2p81.
Disparities in access and utilization of substance abuse treatment (SAT) among Latinxs, accentuated by this population's rapid growth, create a public health issue. Although substance abuse literature has given more consideration to environmental factors and social support concerning treatment outcomes, current substance abuse models fail to address important contextual and cultural aspects for Latinxs in recovery, including acculturation. The proposed study aims to test out a multidimensional acculturation model on a sample of 131 Latinxs (M= 36.3; SD±10.4, 117 males, 49% immigrants) who recently completed SAT. Specifically, the proposed study employed a conditional process model using the PROCESS Macro for SPSS to examine the association between behavioral acculturation and substance use behavior in the past six months on nativity status at different levels of attitudinal acculturation. Results yielded that, after controlling for age and substance use, higher endorsement of U.S. mainstream cultural practices was associated with a higher frequency of days using alcohol among Latinx immigrants, specifically those reporting high and very high affiliation to the U.S. mainstream culture. Also, a negative association between U.S. mainland-born Latinx and frequency of days using illicit drugs in the past six months was observed, but only among those who endorse very high affiliation of U.S. mainstream culture.
拉丁裔人群中药物滥用治疗（SAT）的可及性和利用率存在差异，且这一人群的快速增长加剧了这种差异，从而引发了一个公共卫生问题。尽管药物滥用文献更多地考虑了与治疗结果相关的环境因素和社会支持，但当前的药物滥用模型未能解决拉丁裔康复过程中的重要背景和文化因素，包括文化适应。拟议的研究旨在对131名最近完成药物滥用治疗的拉丁裔（M = 36.3；标准差±10.4，117名男性，49%为移民）样本测试一种多维文化适应模型。具体而言，拟议的研究采用了一种条件过程模型，使用SPSS的PROCESS宏来检验行为文化适应与过去六个月内药物使用行为之间在不同态度文化适应水平上对出生状态的关联。结果显示，在控制了年龄和药物使用情况后，对美国主流文化习俗的认可度较高与拉丁裔移民中饮酒天数的增加有关，特别是那些报告与美国主流文化有高度和非常高度归属感的人。此外，观察到在美国本土出生的拉丁裔与过去六个月内使用非法药物的天数频率之间存在负相关，但仅在那些认可与美国主流文化有非常高度归属感的人当中。
