Acculturation and Drug Use Stigma Among Latinos and African Americans: An Examination of a Church-Based Sample.
Acculturation and Drug Use Stigma Among Latinos and African Americans: An Examination of a Church-Based Sample.
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DOI：
10.1007/s10903-015-0161-9
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发表时间：
2015-12
影响因子：
1.9
通讯作者：
Williams MV
中科院分区：
文献类型：
--
作者：
Flórez KR;Derose KP;Breslau J;Griffin BA;Haas AC;Kanouse DE;Stucky BD;Williams MV
拉丁裔的物质使用模式可能反映了因文化适应而导致的态度变化，但人们对拉丁裔对药物成瘾的态度知之甚少。我们调查了以教会为基础的拉美裔和非裔美国人(N=1235)对吸毒成瘾的态度和社会人口统计学。线性回归模型比较了拉美裔亚群和非裔美国人。在调整后的模型中，在所有亚组中，拉丁裔比非裔美国人有显著更高的毒瘾污名得分(在美国出生的拉丁裔，β=0.22，p<；0.05；在外国出生的英语熟练程度高的拉丁裔，β=0.30，p<；0.05；以及在外国出生的英语熟练程度低的拉丁裔，β=0.49，p<；.001)。此外，与英语水平较高的拉美裔人(无论是在外国出生的还是在美国出生的)相比，英语水平较低的拉丁裔人的吸毒污名平均水平要高得多。在这个教会附属的样本中，拉美裔人的毒瘾污名随着文化的适应而减少，但与非裔美国人相比，文化适应程度最高的拉美裔人的污名仍然更高。这些态度可能会对拉美裔吸毒者的治疗构成障碍。
Substance use patterns among Latinos likely reflect changes in attitudes resulting from acculturation, but little is known about Latinos’ attitudes regarding drug addiction. We surveyed a church-based sample of Latinos and African Americans (N=1,235) about attitudes toward drug addiction and socio-demographics. Linear regression models compared Latino subgroups with African-Americans. In adjusted models, Latinos had significantly higher drug addiction stigma scores compared to African Americans across all subgroups (U.S.-born Latinos, β = 0.22, p<.05; foreign-born Latinos with high English proficiency, β = 0.30, p<.05; and foreign-born Latinos with low English proficiency, β =0.49, p<.001). Additionally, Latinos with low English proficiency had significantly higher mean levels of drug use stigma compared Latinos with high proficiency (both foreign-born and U.S.-born). In this church-affiliated sample, Latinos’ drug addiction stigma decreases with acculturation, but remains higher among the most acculturated Latinos compared to African-Americans. These attitudes may pose a barrier to treatment for Latino drug users.