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Cultural context and substance abuse in Hispanic adolescents
Authors:Andres J. Pumariega M.D.  Jeffrey W. Swanson Ph.D.  Charles E. Holzer Ph.D.  Arthur O. Linskey Ph.D.  Ruben Quintero-Salinas M.Psy.
Affiliation:(1) Division of Child and Adolescent Psychiatry, University of South Carolina School of Medicine, Columbia, South Carolina;(2) Department of Psychiatry, Duke University, North Carolina;(3) Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina;(4) University of Texas Medical Branch at Galveston, Galveston, Texas;(5) University of Texas-Pan American Edinburg, Edinburg, Texas;(6) Departmento de Salud Mental, Facultad de Medicina, Universidad Autonoma de Tamaulipas, Matamoros, Estado de Tamaulipas, Mexico;(7) William S. Hall Psychiatric Institute, 1800 Colonial Drive, PO Box 202, 29202 Columbia, South Carolina
Abstract:Much emphasis has been placed on the significant substance abuse problem being faced by Hispanic as well as other minority youth in the United States. However, little research has focused on the relative importance of culturally determined factors in the development of substance abuse in Hispanic youths. In this study, we propose an approach to measuring cultural factors through the activity orientations that youths endorse. We studied over 4000 Mexican-American and Mexican youths living along the U.S.-Mexico border with respect to their recent drug use, problem drug use, depressive symptomatology, and their activity orientation. While culturally related activity orientation does significantly increase risk for substance abuse, we found that symptoms of distress/depression and sociodemographic factors exerted a stronger effect on these youths.
Keywords:substance abuse  Mexican-American youth  cultural factors  sociodemographic factors  depressive symptomatology
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