La mancha negra: Substance abuse, violence, and sexual risks among hispanic males

Rosa Maria Gonzalez-Guarda, Johis Ortega, Elias P. Vasquez, Joseph de Santis

Research output: Contribution to journalArticlepeer-review

46 Scopus citations


Hispanics are disproportionately affected by substance abuse, intimate partner violence, and HIV. Although the relationship between these conditions has been documented in the literature, few studies have explored the intersection of these health problems and their culture-related risk factors in an integrative manner. The purpose of this study is to explore the experiences that Hispanic heterosexual males in South Florida have with substance abuse, violence, and risky sexual behaviors. Three focus groups with a total of 25 Hispanic adult men are completed and analyzed using grounded theory. Three core categories emerge from the data. These include la cuna de problemas sociales (the cradle of social problems), ramas de una sola mata (branches from one same tree), and la mancha negra (the black stain). This study suggests that substance abuse, violence, and risky sexual behaviors are linked conditions with common cultural and socioenvironmental risk factors and consequences.

Original languageEnglish (US)
Pages (from-to)128-148
Number of pages21
JournalWestern Journal of Nursing Research
Issue number1
StatePublished - Feb 2010


  • Alcohol consumption
  • Focus groups
  • Grounded theory
  • Illicit or illegal pharmaceuticals
  • Mental health
  • Sexuality
  • Violence

ASJC Scopus subject areas

  • Nursing(all)


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