Stress and Multiple Substance Use Behaviors Among Hispanic Adolescents
Stress and Multiple Substance Use Behaviors Among Hispanic Adolescents
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DOI：
10.1007/s11121-015-0603-6
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发表时间：
2016-02-01
影响因子：
3.5
通讯作者：
Swank, Paul
中科院分区：
文献类型：
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作者：
Cardoso, Jodi Berger;Goldbach, Jeremy T.;Swank, Paul
与非西班牙裔白人和非裔美国青少年相比，西班牙裔青少年几乎所有主要药物的年使用率都较高。这些结果涉及文化或少数群体压力源，例如与文化适应过程、歧视、移民、贫困和社区暴力相关的压力源。不幸的是，很少有研究探讨这些压力源在同时考虑时如何产生差异或相加效应。当前的研究调查了 11-19 岁西班牙裔青少年样本 (n = 1036) 的压力与多种物质使用行为之间的关系。潜在类别分析根据物质使用行为的组合确定了西班牙裔青少年的亚组。一般线性模型用于检查八个压力领域之间按类别的平均差异。拟合统计显示了六级结构：无物质使用风险、主要是酒精使用、低度多物质使用、高度多物质使用、非法药物使用和主要是大麻使用。八个领域中的四个领域确定了六个阶层的压力差异：家庭经济、文化适应差距、社区和帮派、以及家庭和毒品压力。效应大小显示，无物质使用组和两个多物质使用组之间以及无风险组和酒精使用组之间的压力平均差异最大。这项研究的结果支持使用针对压力的干预措施来影响西班牙裔青少年的多种物质使用行为。
Hispanic adolescents reported a higher annual prevalence of use of nearly all major drugs compared to non-Hispanic White and African American adolescents. Cultural or minority stressors, such as those related to the acculturation process, discrimination, immigration, poverty, and community violence, have been implicated in these outcomes. Unfortunately, few studies have examined how these stressors may have a differential or additive effect when considered simultaneously. The current study examined the relation between stress and multiple substance use behaviors in a sample of Hispanic adolescents (n = 1036), age 11-19 years old. Latent class analysis identified subgroups of Hispanic adolescents based on combinations of substance use behaviors. General linear models were used to examine mean differences by class among the eight domains of stress. Fit statistics revealed a six-class structure: no substance use risk, predominately alcohol use, low polysubstance use, high polysubstance use, illicit drug use, and predominately marijuana use. Differences in stress across the six classes were identified for four of the eight domains: family economic, acculturation gap, community and gang, and family and drug stress. The effect sizes revealed the largest mean differences in stress between the no substance use group and the two polysubstance use groups and between the no risk group and alcohol use group. The findings from this study support the use of interventions that target stress to affect multiple substance use behaviors in Hispanic adolescents.