Cultural Stress and Substance Use Risk among Venezuelan Migrant Youth in the United States.
Cultural Stress and Substance Use Risk among Venezuelan Migrant Youth in the United States.
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美国委内瑞拉移民青年的文化压力和药物使用风险。
DOI：
10.1080/10826084.2020.1795684
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发表时间：
2020
影响因子：
2
通讯作者：
Andrade,Patricia
中科院分区：
文献类型：
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作者：
Salas-Wright,ChristopherP;Schwartz,SethJ;Cohen,Mariana;Maldonado-Molina,MildredM;Vaughn,MichaelG;Sanchez,Mariana;Rodriguez,José;AbiNader,Millan;John,Rachel;Oliveros,Kesia;Andrade,Patricia
自2015年以来，超过400万委内瑞拉人逃离了他们曾经繁荣的国家，引发了不断加剧的难民危机。最近对委内瑞拉父母的研究表明，许多人面临与移民有关的压力，经历行为健康问题，并对子女移民后的福祉表示深切关注。我们研究压力，家庭功能和物质使用风险与文化压力理论透镜之间的关系。方法：调查数据收集于2018年11月至2019年6月之间，来自402名最近抵达的委内瑞拉移民青年，年龄在10-17岁之间。结果包括感知歧视，接待，家庭支持/沟通，和物质使用的意图和规范性信念的负面背景。结果：结构方程模型的结果表明，消极的接受情境与允许的物质使用规范（通过家庭沟通;B= 0.070，p <0.01）和使用意图（通过家庭支持;B= 0.051，p <0.01）相关。歧视并不受家庭功能的影响，而是对药物使用规范产生直接影响（β= 0.20，p < .01）和意图（β= 0.33，p <0.001）。讨论：我们看到明确的证据表明，接受和歧视的负面背景与物质使用风险直接（在歧视的情况下）和间接（在接受的负面背景的情况下）相关。鉴于委内瑞拉移民在移民之前和在美国重新安置过程中面临的多重压力，从业者和政策制定者支持这一快速增长的人口至关重要。
BackgroundSince 2015, more than four million Venezuelans have fled their once prosperous nation, prompting an ever-intensifying refugee crisis. Recent research with Venezuelan parents suggests that many are exposed to elevated migration-related stress, experience behavioral health problems, and express profound concern for their children’s post-migration wellbeing. We examine the relationships between stress, family functioning, and substance use risk with a cultural stress theoretical lens.Methods:Survey data were collected between November 2018 and June 2019 from 402 recently-arrived Venezuelan immigrant youth ages 10–17. Outcomes include perceived discrimination, negative context of reception, family support/communication, and substance use intentions and normative beliefs. Structural equation modeling was used to examine the relationships between variables.Results: Structural equation modeling results indicated that negative context of reception was associated with permissive substance use norms (viafamily communication;B= 0.070,p< .01) and intentions to use (viafamily support;B= 0.051,p< .01). Discrimination was not mediated by family functioning, rather it exerted a direct effect on substance use norms (β= 0.20,p< .01) and intentions (β= 0.33,p< .001).Discussion: We see clear evidence that negative context of reception and discrimination are related to substance use risk, both directly (in the case of discrimination) and indirectly (in the case of negative context of reception). Given the manifold stressors faced by Venezuelan immigrants both prior to migration and in the process of resettling in the US, it is critical that practitioners and policymakers support this rapidly-growing population.