Protective effects of ethnic enclaves: Testing pathways to alcohol use and use disorders in Mexican American young adults

被引:1
|
作者
Tam, Christina C. [1 ]
Li, Libo [1 ]
Kosai, Sam [2 ]
Clarke, Sarah E. Duhart [2 ]
Ehlers, Cindy L. [3 ]
Karriker-Jaffe, Katherine J. [2 ]
机构
[1] Publ Hlth Inst, Alcohol Res Grp, 6001 Shellmound St,Suite 450, Emeryville, CA 94608 USA
[2] RTI Int, Hlth Practice Area, Berkeley, CA USA
[3] Scripps Res Inst, Dept Neurosci, San Diego, CA 92037 USA
基金
美国国家卫生研究院;
关键词
alcohol availability; alcohol consumption; alcohol use disorder; drinking norms; ethnic enclaves; Mexican American young adults; BINGE DRINKING; UNITED-STATES; ACCULTURATION STRESS; NEIGHBORHOOD CONTEXT; HEAVY DRINKING; SUBSTANCE USE; ASSOCIATIONS; HISTORY; DEPENDENCE; RISK;
D O I
10.1002/ajcp.12756
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Ethnic enclave residence is associated with decreased risk for drinking and related problems, but less is known about the mechanisms that explain this association. Informed by theories of social control, we used a multilevel framework to examine whether negative attitudes toward drinking mediated associations between ethnic enclave residence (i.e., neighborhood linguistic isolation) and alcohol outcomes among Mexican American young adults (N = 628) in Southern California. Model 1 assessed mediation effects in the pathways from linguistic isolation to current drinking and alcohol use disorder (AUD). Model 2 adjusted for parental drinking attitudes and neighborhood alcohol availability. There were differential associations by gender in direct effects of linguistic isolation and negative drinking attitudes on both drinking and AUD. Among women only, linguistic isolation was related to greater abstinence and decreased AUD after accounting for social control proxies of parent attitudes and alcohol availability. Young adults' own drinking attitudes did not mediate relationships between linguistic isolation and alcohol outcomes. This study offers evidence on the importance of disaggregating Hispanic national groups by gender to uncover social mechanisms within ethnic enclave settings for tailored supports in reducing risk of drinking and alcohol-related harms. To date, empirical explanations of protective effects of ethnic enclave residence have been scant. There were differential associations of linguistic isolation on drinking and alcohol use disorder by gender. Negative drinking attitudes did not explain enclave effects with decreased alcohol related risk. Results emphasize the need for disaggregating ethnicity subgroups by gender to tailor support.
引用
收藏
页码:22 / 32
页数:11
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