Domains of acculturation and their effects on substance use and sexual behavior in recent Hispanic immigrant adolescents.

Domains of acculturation and their effects on substance use and sexual behavior in recent Hispanic immigrant adolescents.
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DOI:
10.1007/s11121-013-0419-1
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发表时间:
2014-06
期刊:
影响因子:
3.5
通讯作者:
Szapocznik, Jose
Szapocznik, Jose
中科院分区:
医学2区
文献类型:
--
作者:
Schwartz, Seth J.;Unger, Jennifer B.;Des Rosiers, Sabrina E.;Lorenzo-Blanco, Elma I.;Zamboanga, Byron L.;Huang, Shi;Baezconde-Garbanati, Lourdes;Villamar, Juan A.;Soto, Daniel W.;Pattarroyo, Monica;Szapocznik, Jose

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本研究通过确定文化适应的多个组成部分对主要来自墨西哥(35%)和古巴(31%)的最近移民的西班牙裔青少年的药物使用和性行为的影响来评估移民悖论。来自迈阿密 (n = 152) 和洛杉矶 (n = 150) 的 302 名青少年(53% 是男孩;平均年龄 14.51 岁)样本提供了西班牙裔和美国文化习俗、价值观和基线认同的数据,并在大约一年后提供了吸烟、饮酒、性活动和无保护性行为的报告。结果显示出强烈的性别差异,其中大多数显着的发现是针对男孩的。支持移民悖论(即,倾向于美国文化预示着健康风险增加),个人主义价值观预测男孩会有更多的口交伴侣和无保护的性行为机会。然而,与移民悖论相反,对于男孩来说,美国的做法和美国的身份认同都预测男孩会减少酗酒,减少口交和阴道/肛交伴侣,以及减少无保护的阴道/肛交。种族认同(对一个人的传统文化的认同)预示着会有更多的性伴侣,但对无保护性行为有负面影响。结果表明需要多维度、多领域的文化适应模型,并表明需要开展更多工作来确定从文化角度为预防计划提供信息的最有效方法。
This study evaluated the immigrant paradox by ascertaining the effects of multiple components of acculturation on substance use and sexual behavior among recently immigrated Hispanic adolescents primarily from Mexico (35%) and Cuba (31%). A sample of 302 adolescents (53% boys; mean age 14.51 years) from Miami (n = 152) and Los Angeles (n = 150) provided data on Hispanic and U.S. cultural practices, values, and identifications at baseline and provided reports of cigarette use, alcohol use, sexual activity, and unprotected sex approximately one year later. Results indicated strong gender differences, with the majority of significant findings emerging for boys. Supporting the immigrant paradox (i.e., that becoming oriented toward U.S. culture is predictive of increased health risks), individualist values predicted greater numbers of oral sex partners and unprotected sex occasions for boys. However, contrary to the immigrant paradox, for boys, both U.S. practices and U.S. identification predicted less heavy drinking, fewer oral and vaginal/anal sex partners, and less unprotected vaginal/anal sex. Ethnic identity (identification with one’s heritage culture) predicted greater numbers of sexual partners but negatively predicted unprotected sex. Results indicate a need for multidimensional, multi-domain models of acculturation and suggest that more work is needed to determine the most effective ways to culturally inform prevention programs.
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