title: Drinking and driving among immigrant and US-born Hispanic young adults: results from a longitudinal and nationally representative study.
abstract: OBJECTIVE
  To evaluate the risk factors associated with the initiation of driving under the influence (DUI) among Hispanics in a longitudinal and nationally-representative sample of adolescents and young adults. Specifically, this study tests the effect of demographic variables, individual-level risk factors, and eco-processes (e.g., peer drug use, parental involvement) during adolescence on DUI among Hispanic young adults.
  
  
  METHODS
  Data were derived from 1734 Hispanic adolescents surveyed for the National Longitudinal Study of Adolescent Health (Add Health). Survey logistic regression procedures were used to examine the effects of nativity status on DUI initiation, to evaluate the independent effect of each risk factor (demographic, individual-level, and eco-processes), and to identify whether and to what extent these factors are associated with the initiation of DUI.
  
  
  RESULTS
  The overall prevalence of DUI initiation was 18.3%. Differences were observed in the rates of DUI initiation by nativity status: first-generation immigrants reported the lowest rates of DUI initiation (15.4%) when compared with second-generation US-born Hispanic youth (17.4%) and third-generation and beyond US-born Hispanic youth (21.5%). US-born Hispanic youth were also more likely to report higher frequency of alcohol use (t=3.46, p=0.001) and marijuana use (t=2.34, p=0.021) compared to immigrant adolescents. After adjusting for a number of risk factors, men (OR=2.86), marijuana users (OR=1.98), and those who reported feeling safe in their neighborhoods (OR=2.02) were at an increased risk DUI initiation.
  
  
  CONCLUSIONS
  Findings provide support for the "immigrant paradox": immigrant youth reported lower rates of DUI initiation and other high-risk behaviors when compared with US-born Hispanic youth.
authors.affiliation: University of Florida, Department of Health Outcomes and Policy, Gainesville, FL 32610-0177, USA. maldonado@ichp.ufl.edu
authors.forename: Mildred M
authors.initials: MM
authors.lastname: Maldonado-Molina
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Reingle
authors.forename: Wesley G
authors.initials: WG
authors.lastname: Jennings
authors.forename: Guillermo
authors.initials: G
authors.lastname: Prado
mesh_terms: D000293:Adolescent; D000428:Alcohol Drinking / Q000453:epidemiology*; D001334:Automobile Driving / Q000706:statistics & numerical data*; D002489:Central America / Q000208:ethnology; D003462:Cuba / Q000208:ethnology; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005195:Family Relations; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D017058:Mexican Americans / Q000706:statistics & numerical data; D015995:Prevalence; D011647:Puerto Rico / Q000208:ethnology; D012307:Risk Factors; D012309:Risk-Taking; D012931:Social Environment; D019966:Substance-Related Disorders / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D055815:Young Adult