Sociocultural determinants of substance misuse among adult Latinas of Caribbean and South and Central American descent: A longitudinal study of a community-based sample

Mario De La Rosa, Hui Huang, Judith S. Brook, Mariana Sanchez, Patria Rojas, Mariano Kanamori, Miguel Ángel Cano, Marcos Martinez

Research output: Contribution to journalArticle

Abstract

Few studies have examined the socio-cultural determinants of alcohol and drug misuse trajectories among adult Latinas. To assess the associations between socio-cultural determinants and alcohol and drug misuse, we used a longitudinal design to follow a sample of adult Latina mother-daughter-dyads (N = 267) for ten years, and collected four waves of data. They were adult Latinas of Caribbean, South and Central American descent. Specifically, this study investigated the effects of the following factors: (1) Individual Determinants (e.g., socioeconomic conditions, mental health, and medical status); (2) Cultural Determinants (e.g., acculturation to US culture); (3) Interpersonal Determinants (e.g., interpersonal support, relationship stress, mother-daughter attachment, intimate partner violence); (4) Community Determinants (e.g., neighborhood related stress); and (5) Institutional Determinants (e.g., religious involvement, involvement with the criminal justice system). Using hierarchical modeling, we found that taking prescribed medication on a regular basis for a physical problem, religious involvement, and mother-daughter attachment were negatively associated with drug misuse, while involvement in criminal activity was positively associated with drug misuse. Regarding alcohol misuse, results showed that age at arrival in the United States, number of years in the United States, and religious involvement were negatively associated with alcohol misuse, while involvement in criminal activity was positively associated with alcohol misuse. Based on our findings, explicit implications are provided for culturally relevant interventions.

Original languageEnglish (US)
Pages (from-to)303-323
Number of pages21
JournalJournal of Ethnicity in Substance Abuse
Volume17
Issue number3
DOIs
StatePublished - Jul 3 2018
Externally publishedYes

Keywords

  • Adult Latina
  • alcohol misuse
  • culturally relevant intervention
  • drug misuse
  • socio-cultural determinant

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health(social science)

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