Racial/Ethnic Differences in Prevalence and Correlates of Blunt Smoking among Adolescents

Blunt use is pervasive among adolescents. The study uses cross-sectional data from the 2014 National Survey on Drug Use and Health to examine sociodemographic, health, and other substance use correlates of current and lifetime blunt use among 12,036 African American, White, and Hispanic/Latino adolescents. Findings revealed that 5.3% of African American, 4.3% of Hispanic/Latino, and 3.8% of White adolescents reported past-30-day blunt use. Age and substance use other than marijuana were consistent correlates of current and lifetime blunt use across all racial/ethnic groups. However, other illicit drug use and alcohol use were differentially associated with lifetime and past-30-day blunt use by race/ethnicity. Gender, family income, lifetime depression, and overall health status were not associated with lifetime or past-30-day blunt use. The link between other substance use and blunt use varies by race/ethnicity among adolescents. Future blunt use prevention and treatment interventions should consider racial/ethnic differences in the association between other substance use and blunt use among African American, White, and Hispanic/Latino adolescents.     

Characterizing Blunt Use Among Twitter Users: Racial/Ethnic Differences in Use Patterns and Characteristics

Background: Young adult Twitter users are exposed to and often participate in tweets that promote risky behaviors, such as blunt use. Blunts are hollowed out cigars or cigarillos that are filled with marijuana. Objectives: The current study was designed to determine the use patterns and characteristics of African American, Hispanic and White young adult Twitter users who reported past month blunt use. Methods: Young adults (N = 753, 74% male) who reported past month blunt use were recruited via Twitter to participate in a brief anonymous online survey about their blunt use. Results: Findings revealed that African American young adults initiated blunt smoking at an earlier age (14.8 years), reported more days of blunt smoking in the past month (23.2 days) and smoked more blunts in the past month (27.2 blunts) than their Hispanic (16.5 years, 19.7 days, and 15.4 blunts) and White (18.1 years, 15.8 days, and 22.2 blunts) counterparts, p <.01. African American young adults were more likely than their White counterparts to report physical craving as an obstacle to quitting blunt smoking. Several racial/ethnic differences were also found on attitudes about blunt use and reasons for initiating and continuing to smoke blunts. Conclusions: Findings suggest that blunt use patterns and attitudes about blunt use vary by race/ethnicity. Understanding racial/ethnic differences in blunt use patterns and characteristics offers opportunities to tailor future interventions and enhance outcomes among African American, Hispanic and White young adults.     

Cigarette Smoking Status Among Latino/Hispanic Middle and High School Students in the United States

Although Latino/Hispanic adolescent substance use is a growing research area in the United States, there is little research examining the prevalence and factors associated with adolescent cigarette smoking status in this population. A nationally representative sample of 5,929 middle and high Latino/Hispanic students in the 2009 US National Youth Tobacco Survey was selected to assess the prevalence and various risk and protective factors associated with cigarette smoking status. Results revealed one in five (20%) were experimental smokers, nearly one in eleven (8.5%) were occasional smokers, and 4% were regular smokers. Multinomial logistic regression analyses showed that, controlling for demographics, family members' smoking, refusal to smoke, school absence, and exposure to tobacco marketing were associated with experimental smoking; awareness of harmful effects of secondhand smoking, refusal to smoke, exposure to tobacco advertising, and receptivity to tobacco marketing were associated with occasional smoking; and refusal to smoke, school absence, and receptivity to tobacco marketing were associated with regular smoking. This study highlights the need to integrate various risk and proactive factors associated with different smoking status into practices and policies for Latino/Hispanic adolescent smokers.     

The Story of CURA,a Hispanic/Latino Drug Therapeutic Community

Abstract

There is a serious substance abuse problem in the Hispanic/Latino population in the United States especially in such urban areas as Newark and Jersey City, New Jersey. Since heroin is one of the primary drugs of choice, there is also a high rate of HIV transmission through the sharing of contaminated drug paraphernalia. In addition to drug abuse, there are high rates of crime, unemployment, and early high school dropout. Cultural barriers and poverty interfere with access to appropriate healthcare and drug treatment programs. The predominant residential modality for treating addictions from Chile to China is the therapeutic community. The therapeutic community is a milieu type of therapy that utilizes peer counselors (frequently “graduates” of the program), group pressure, and rational authority figures in a functional “family” setting. Transgressions and irrational thinking are frequently met with abrasive challenges. In an effort to respond to cultural needs, CURA, a Hispanic/Latino program, focuses on “respeto,” “dignidad,” and “con-fianza.” In order to assess the success rate of this orientation, an archival study was conducted using data from CURA's residential programs in 1998 and 1999. The retention rates for both clients (50-80 percent) and staff (over 90 percent) are very impressive, far above traditional “graduation” rates (20 percent) for similarly located traditional therapeutic communities.     

Enrollment in Hispanic Serving Institutions as a Moderator of the Relationship Between Drinking Norms and Quantity of Alcohol Use Among Hispanic College Students

Background: Hispanic college students represent a growing proportion of the college population. Studies have found that an individual's perception of the drinking of others is linked to one's own personal use and that college students frequently overestimate the drinking of their peers. The current study builds on previous college student drinking literature by examining the influence that attending a Hispanic-serving institution (HSI) has on the personal alcohol use and perception of peers’ drinking norms among Hispanic college students. Methods: This secondary data analysis utilized data from the American College Health Association's National College Health Assessment. Participants were self-identified Hispanics between the ages of 18 and 25 (N = 4336). Results: Results indicated that there was a significant interaction between attending an HSI and the perception of the number of drinks of a typical student. Specifically, the perception of others’ drinking was more strongly linked to personal drinking for students in non-Hispanic serving institutions. Conclusions: The protective effect of attending a Hispanic-serving institution may be related to a more culturally affirming college environment.     

Substance Abuse and Dependence Among Low Income African Americans: Using Data from the National Survey on Drug Use & Health to Demystify Assumptions

ABSTRACT

The media has portrayed African Americans as drug users and criminals. The purpose of this study is to test the assumption that low-income African Americans use more alcohol, nicotine, marijuana, and illicit drugs than other racial groups using data from the 2005 National Survey on Drug Use and Health to compare drug abuse and dependence across low income racial groups (N = 20,172). Most respondents were white, female, and older than 26 years of age. The majority completed high school and reported annual family incomes between $10,000 and $19,000. Few participants reported receiving public assistance. Drug abuse and dependence rates varied across drug type and across race. Drug dependence and abuse were measured using the Nicotine Dependence Syndrome Scale and criteria from the Diagnostic and Statistical Manual of Mental Disorders. Hierarchical regression was conducted to examine the level of association between racial background and drug abuse and dependence after controlling for age and gender. Results reveal that the assumption of high drug and alcohol use and abuse rates among low-income African Americans should be, at best, reexamined. This study has significant implications for both policy and social work practice because it breaks down normalized and biased assumptions of low-income African American drug use.     

Problematic Substance Use Among Hispanic Adolescents and Young Adults: Implications for Prevention Efforts

Using data collected between 2005 and 2012 from a longitudinal study of acculturation patterns and substance use among Hispanic youth in Southern California (N = 2722), we fit multivariate logistic regression models to estimate the association of type and frequency of drug use, friend and parent drug use, cultural orientation (measured by the ARSMA-II), and psychological distress (CES-D score) in 10th grade with problematic substance use (measured with the RAPI) in (i) 11th grade and (ii) young adulthood. We conclude that future intervention efforts with Hispanic adolescents and young adults should target polysubstance and problem users and emphasize inter-individual, structural, and cultural processes as they relate to problematic substance use.     

General Strain Theory,Depression, and Substance Use: Results From a Nationally Representative,Longitudinal Sample of White,African-American,and Hispanic Adolescents and Young Adults

Based on the interpretations of Agnew's general strain theory (GST), White, African-American, and Hispanic adolescents and young adults were examined longitudinally to identify the intersection between strain and depression that could produce a long-term effect on substance use. Results from full sample and group-based path models indicate that some support was found for the general tenets of GST. African-Americans were significantly different from Whites and Hispanics in regard to experiencing certain types of strain; however, the results were not always in the anticipated direction. Possible theoretical reasons for the findings and directions for future research are discussed.     

The Role of Parenting in Drug Use Among Black,Latino and White Adolescents

Abstract

This study investigates the role of parenting in adolescent drug use for black, white and Latino adolescents. Parenting has been consistently identified as a crucial factor in drug use by adolescents. This study uses data from the National Longitudinal Study of Adolescent Health. Results show that parenting has a significant effect on drug use for these adolescents. The relationship between parenting and drug use is more strongly negative for the Latino adolescents, than for black and white adolescents. This indicates that greater parental warmth and family acceptance exert a stronger impact in reducing drug use for Latino adolescents than is the case for the black and white adolescents.     

Alcohol Use Severity Among Hispanic Emerging Adults in Higher Education: Understanding the Effect of Cultural Congruity

Background: Identifying and understanding determinants of alcohol use behavior among Hispanic college students is an increasingly important public health issue, particularly during emerging adulthood. Studies examining ethnocultural determinants of alcohol use behavior among Hispanic college students have focused on direct associations with cultural orientation (e.g., acculturation and enculturation); yet there is a need for research that accounts for the complex interplay of other culturally relevant sociocultural factors. Objectives: This study examined associations of behavioral acculturation, behavioral enculturation, and cultural congruity (perception of cultural fit between the values of the academic environment and the student's personal values) with alcohol use severity (AUS); and tested if gender moderated those associations. Methods: A hierarchical linear regression and moderation analysis were conducted on a sample of 167 Hispanic emerging adults (ages 18–25) enrolled in college. Results: All predictor variables entered in the regression model accounted for 20.9% of the variance in AUS. After controlling for demographic variables and depressive symptoms, behavioral acculturation and enculturation did not have a statistically significant association with AUS. Further, gender did not moderate either of these associations. Conversely, greater cultural congruity was associated with lower reports of AUS. A moderation analysis suggested that cultural congruity predicted lower reports of AUS among men, but not among women. Conclusions: This was the first known study to examine the association of cultural congruity with alcohol use. Findings highlight the value of examining contextual factors of culture and moving beyond reductive measures of cultural orientation.     

The Roles of Spirituality in the Relationship Between Traumatic Life Events,Mental Health,and Drug Use Among African American Women from One Southern State

This study examines the role of spirituality as a moderator of the relationship between traumatic life experiences, mental health, and drug use in a sample of African American women. It was hypothesized that there would be an inverse relationship overall between spirituality and mental health and drug use among this sample of African American women. Secondly, was expected that spirituality would moderate the relationship between traumatic life events and mental health and drug use. African American women (n = 206) were recruited from the community and from probation officers in three urban areas of a southern state, and face-to-face interviews were completed. Findings indicated that there was a main effect for spirituality (as measured by existential well-being on the Spiritual Well-Being Scale) and traumatic life events, mental health, and alcohol use. In addition, spirituality was a significant moderator of the relationship between traumatic life events and cocaine use. Discussion and implications for African American women are included.     

Gender Differences in Stressful Life Events,Social Support,Perceived Stress,and Alcohol Use Among Older Adults: Results From a National Survey

Stressful life events, perceived stress, and social support relationships with consumption, at-risk drinking, and alcohol use disorder (AUD) were studied in a population-based sample of current drinkers age 60+ in the National Epidemiologic Survey of Alcohol and Related Conditions (Wave 2; 2004–2005; n = 4,360). Stressful life events were associated with AUD among men and women, and crime victimization among men only. However, greater perceived stress was associated with lower consumption among women and greater odds of AUD in men, highlighting differences in the relationship between stress and alcohol use by gender that may be the result of the stress alcohol link.     

School Factors and Alcohol Use: The Moderating Effect of Nativity in a National Sample of Latino Adolescents

Background: School is an important developmental context for adolescents and may be related to adolescent alcohol use. Less is known as to whether the relationships between school factors and alcohol use differ between Latino youth born outside of the United States versus those born in the United States. Objective: The aim of this study is to test nativity as a moderator of the relationship between school factors and alcohol use among Latino adolescents. Methods: This study used data from Waves I and II of the National Longitudinal Study of Adolescent Health (Add Health) to test nativity as a moderator of the relationship between school factors and alcohol use in a subsample of Latino adolescents. Results: Results found that during adolescence, nativity moderates the relationship between school connectedness and Wave I alcohol use. For those born outside of the United States, school connectedness was not related to alcohol use. Significant main effects emerged for grades in school and truancy. Better grades were associated with less alcohol use, while truancy was associated with greater alcohol use. The longitudinal relationships between school factors and Wave II alcohol use were not statistically significant. Conclusions: School connectedness is a contemporaneous risk factor for alcohol use among those born in the United States. Prevention efforts that address school contextual factors may be important for all Latino students to reduce engagement in alcohol use and optimize well-being.     

The Relationship Between the Accumulated Number of Role Transitions and Hard Drug Use among Hispanic Emerging Adults

Abstract

Emerging adults (ages 18 to 25) who experience multiple role transitions in a short period of time may engage in hard drug use as a maladaptive coping strategy to avoid negative emotions from stress. Given the collectivistic values Hispanics encounter growing up, they may experience additional role transitions due to their group-oriented cultural paradigm. This study examined whether those who experience many role transitions are at greater risk for hard drug use compared to those who experience few transitions among Hispanic emerging adults. Participants completed surveys indicating their hard drug use in emerging adulthood, role transitions in the past year of emerging adulthood, age, gender, and hard drug use in high school. Simulation analyses indicated that an increase in the number of role transitions, from 0 to 13, was associated with a 14% (95% CI, 4 to 29) higher probability of hard drug use. Specific role transitions were found to be associated with hard drug use, such as starting to date or experiencing a breakup. Intervention/prevention programs may benefit from acknowledging individual reactions to transitions in emerging adulthood, as these processes may be catalysts for personal growth where identities are consolidated and decisions regarding hard drug use are formed.     

Gender Differences in Alcohol and Drug Use Among Hispanic Adults: The Influence of Family Processes and Acculturation

We examines the influence of family processes and acculturation for gender differences in alcohol and drug use among a sample representative of the Hispanic population in Miami-Dade County, Florida (N = 734). We found that (a) increases in age at marriage and acculturation were associated with greater substance use, (b) the associations between age at marriage, acculturation, and substance use were found to be greater for Hispanic women than men, and (c) with each additional child born, Hispanic women are increasingly less likely to use substances than Hispanic men. Data reveal that family processes and acculturation jointly impact substance use.     

Correlates of Substance Use Abstinence and Non-Abstinence Among High School Seniors: Results From the 2014 Monitoring the Future Survey

Several risk and protective factors are influential in predicting who uses or abstains from illicit substances during the high school years. The 2014 national cohort data from the Monitoring the Future survey shows the demographics, psychosocial factors, and attitudes regarding substance use that predict abstention by twelfth-graders (versus those who report any lifetime use of any illicit drugs). Being older, having a higher rate of sensation-seeking behaviors, perceiving drugs as easy to obtain, and participation of some social activities were associated with a lower rate of abstention. In contrast, being optimistic, involvement in school activities, perceiving drug and alcohol use as high risk, believing their peers disapprove of substance use, and personally disapproving of substance use were associated with greater abstention from lifetime substance use. A similar model including negative attitudes and experiences (nonuse-related) with marijuana was associated with a greater likelihood to abstain from substances. We examine possible explanations and prevention implications of these findings and discuss the role of abstention in post-high school substance use risks.     

Associations Between Body Weight Status and Substance Use Among African American Women in Baltimore,Maryland: The CHAT Study

Background: Studies on associations between body weight status and specific substance use have provided conflicting findings. Objectives: This paper investigated the association between substance use and body weight status among African American women. Methods: We analyzed the data from 328 African American women who were enrolled in a HIV prevention intervention in Baltimore, MD, USA, in order to investigate the association between substance use and their body weight status. Participants' anthropometry was measured by trained research staff. Substance use information was collected via self-administered and interviewer-administered questionnaires. Results: About 33.4% were classified as normal/underweight, 24.2% overweight, and 42.4% obese. Compared to overweight (38.5%) and obese (29.2%) participants, the normal/underweight women had significantly higher prevalence of drug use (52.8%) (χ²= 14.11, p < 0.05). BMI was significantly negatively associated with current heroin use (t = ?2.21, p < 0.05). The risk of being overweight and obesity was lower among active marijuana (z = ?2.05, p < 0.05) and heroin users (z = ?1.91, p < 0.10) than among non-marijuana/non-heroin users. Heroin smokers had lower body weight (t = ?3.02, p < 0.05) and BMI (t = ?2.47, p < 0.05) than non-heroin smokers. The decrease in BMI appeared to be greater among more frequent (≥once/day) heroin users (t = ?2.39, p <0.05) as compared to the less frequent heroin users (<once/day) (t = ?1.71, p < 0.10), but this difference was not statistically significant. Conclusions: The results are comparable to existing findings. Active marijuana and heroin users were less likely to be overweight and obese compared to their counterparts. The impact of substance use on body weight status differed by the frequency and route of administration.     

Prevalence of Alcoholic Liver Disease Among Korean Adults: Results From the Fourth Korea National Health and Nutrition Examination Survey, 2009

Background/Aim: Alcohol consumption continues to be a common cause of acute and chronic liver disease. Methods: Data from a representative sample of 7,893 adults in the Korean National Health and Nutrition Examination Survey 2009 were analyzed. Alcoholic liver disease (ALD) was defined through heavy alcohol consumption (≥40 g/day for men or ≥20 g/day for women) and through elevated liver tests. Results: Approximately 6.7% (95% confidence interval [CI], 6.0–7.4) was at heavy alcohol consumption. Of these “heavy alcohol consumers,” one quarter also had ALD. The prevalence of ALD was 1.7% (95% CI, 1.3–2.1). Conclusion: ALD is still a burden in the Korean population.