Behavioral Risk Profiles of Homeschooled Adolescents in the United States: A Nationally Representative Examination of Substance Use Related Outcomes

Background: The homeschool population continues to grow in size and now accounts for 3.4% of all students in the United States. Objective: Given the heterogeneous nature of the population, this study examines the relationship between different types of homeschoolers and a number of substance use related outcomes. Methods: To conduct this study, we used pooled data (2002–2013) from the National Survey on Drug Use and Health (NSDUH). Respondents aged 12–17 who reported they had been homeschooled at any time during the previous 12 months were classified as homeschoolers (N = 1,321). Latent profile analysis (LPA) was conducted to identify latent subgroups of homeschoolers and multinomial regression was executed to assess the relationship between the subgroups and perceived substance use risk, availability, and past 12-month use. Results: The LPA yielded four subgroups, which were summarized as (1) highly religious and engaged, (2) limited parental monitoring, (3) high parental warmth and support, and (4) secular permissive. Of these, the highly religious and engaged subgroup was the least likely to report using substances. Conclusion: The results underscore the variation that exists among homeschoolers and the importance of examining the relationship between different types of homeschoolers and outcomes of interest.     

Abstention from Drug Use and Delinquency Increasing among Youth in the United States, 2002–2014

Background: Trends in abstaining from substance use and delinquency among adolescent's ages 12–17 in the United States was examined. Methods: Data was derived from the National Survey on Drug Use and Health (NSDUH) involving non-Hispanic white, African American, and Hispanic respondents (n = 98,620) and spanning the years 2002–2014. Logistic regression was used to examine significance of trend year and correlates of low-risk and high-risk behavioral groups relative to abstaining. Results: Overall, the prevalence of abstaining was 47.56% between 2002 and 2014. Prevalence increased significantly among all adolescents from 44.85% in 2002 to 53.58% in 2014. Relative to abstainers nonabstaining youth were more likely to be male, and report lower household income, poorer grades, depression, and lower levels of parental affirmation and control. Conclusions: Findings indicate that there is a corresponding increase in abstaining mirroring the recent decreases found in adolescent drug use found in national surveys.     

Health risk behavior and cultural stress among Venezuelan youth: a person centered approach

Background

In recent years, more than 5 million Venezuelans have left their once prosperous country, with several hundred thousand settling in the United States (US). At present, our understanding of the health risk behavior profiles of Venezuelan émigré youth, and their links with cultural stress, remains limited.

Objectives

Drawing from a sample of recently-immigrated Venezuelan youth in the US, we aim to identify subtypes of youth according to their involvement in health risk behaviors (i.e., substance use, sexual risk behavior, violence) and assess the associations between class membership and key constructs related to cultural stress theory (i.e., negative context of reception, family communication/support).

Method

Latent profile analysis and multinomial regression were performed using data from a community-based convenience sample of 402 recently-arrived Venezuelan immigrant youth (ages 10–17; 56% male).

Results

We identified five subtype classes: (1) “Abstainer” (36%), (2) “Alcohol Only” (24%), (3) “Alcohol/Tobacco” (24%), (4) “Aggression” (8%), and (5) “Multidimensional Risk” (8%). Compared to Class #1, youth in Classes #3 and #5 reported significantly higher levels of negative context of reception and lower levels of family functioning while controlling for demographic factors. Youth in Class #5 reported the lowest levels of family economic hardship and the longest duration in the US.

Conclusion

It is vital that we support both Venezuelan youth who abstain from risk behavior and, at the same time, develop and implement programs that target the needs of those who are at elevated risk for serious consequences related to substance use, sexual risk behavior, and violence.

     

Alcohol abstinence and binge drinking: the intersections of language and gender among Hispanic adults in a national sample, 2002–2018

Purpose

Prior research examining alcohol use using national data has often overlooked vital heterogeneity among Hispanics, especially that related to language dominance and gender. We examine the prevalence of alcohol abstinence and—given prior research suggesting that many Spanish dominant Hispanics do not drink—examine rates of binge drinking among past-year alcohol users with a focus on the intersections of language and gender among Hispanics, while drawing comparisons with non-Hispanic (NH) White and NH Black adults.

Methods

Drawing from the National Survey on Drug Use and Health—a nationally representative survey between 2002 and 2018—we examine the year-by-year prevalence of alcohol abstinence and binge drinking among adults ages 18 and older in the United States.

Results

A disproportionate number of Spanish-dominant Hispanics abstain from alcohol use (54%), with particularly high levels of alcohol abstinence observed among Spanish dominant women (men: 39%, women: 67%). The prevalence of alcohol abstinence among English-dominant Hispanic men (24%) and women (32%) is far lower, approximating that of NH Whites (men: 23%, women: 32%). Importantly, however, among Spanish-dominant drinkers, the prevalence of binge drinking (men: 52%, women: 33%) is comparable to or greater than NH Whites (men: 42%, women: 32%). Binge drinking levels among English-dominant Hispanic men (50%) and women (37%) are greater than among their NH White counterparts.

Conclusion

Findings paint a complex picture; consistent with prior research, we see that many Hispanics abstain from alcohol, but we also see new evidence underscoring that—among Hispanic drinkers—the prevalence of binge drinking is disconcertingly elevated.

     

Preliminary findings on the links between violence,crime, and HIV risk among young adults with substance use disorders in El Salvador

The links between substance use and violence, crime, and HIV risk behavior have been well-documented among individuals in developed nations. However, it remains uncertain how, and to what degree, such behaviors are related in the severe socio-environmental context of marginalized communities in developing nations like El Salvador. Using data from a sample of young adult men (n?=?177; ages 18–26) residing in marginalized communities in San Salvador, El Salvador (June–November 2011), we conducted Chi-square tests of association and two group mean comparison tests to examine the bivariate associations between substance use disorders (SUDs) and violence, crime, and HIV risk behavior. Results indicate that individuals meeting criteria for SUDs are approximately two to three times more likely than those not meeting criteria to report recent involvement in all violent and criminal outcomes examined in this study. Particularly robust effects were identified in terms of carrying a hidden weapon (χ^2?=?26.98, p?<?0.001, φ?=?0.390) and attacking someone with a weapon or with the idea of seriously hurting/killing them (χ^2?=?17.80, p?<?0.001, φ?=?0.317). Overall, findings suggest that SUDs are strongly associated with violence, crime, and HIV risk behavior within El Salvador’s marginalized communities.     

The importance of acculturation orientation in understanding the impact of pre- and post-migration stressors on behavioral health: Evidence from a crisis migrant sample

Objective

We examine the interplay of acculturation orientation, cultural stress, and hurricane trauma exposure with behavioral health among Puerto Rican crisis migrants who relocated to the US mainland after Hurricane Maria.

Method

Participants were 319 adult (M_age = 39 years; 71% female; 90% arriving in 2017−2018) Hurricane Maria survivors surveyed on the US mainland. Latent profile analysis was used to model acculturation subtypes. In turn, ordinary least squares regression was executed to examine the associations of cultural stress and hurricane trauma exposure with behavioral health while stratifying by acculturation subtype.

Results

Five acculturation orientation subtypes were modeled, three of which—Separated (24%), Marginalized (13%), and Full Bicultural (14%)—align closely with prior theorizing. We also identified Partially Bicultural (21%) and Moderate (28%) subtypes. Stratifying by acculturation subtype, with behavioral health (depression/anxiety symptoms) specified as the dependent variable, hurricane trauma and cultural stress accounted for only 4% of explained variance in the Moderate class, a somewhat greater percentage in the Partial Bicultural (12%) and Separated (15%) classes, and substantially greater amounts of variance in the Marginalized (25%) and Full Bicultural (56%) classes.

Conclusion

Findings underscore the importance of accounting for acculturation in understanding the relationship between stress and behavioral health among climate migrants.