Acculturation, depression, self-esteem, and substance abuse among Hispanic men.
The demographics of the United States are rapidly changing as a result of immigration from Latin America. Predictions indicate that by the year 2050, one of every four persons in the United States will be of Hispanic ethnicity. If health disparities relating to substance abuse and related mental health conditions among Hispanics are not fully understood and addressed, these will continue to grow along with this population. The purpose of this pilot study was to describe the relationships among acculturation, depression, self-esteem, and substance abuse among a community sample of Hispanic men in South Florida (N = 164, 82 heterosexual men and 82 men who have sex with men). Standardized instruments measuring acculturation, depression, self-esteem, and substance abuse were administered in English or Spanish in a face-to-face interview format. Descriptive statistics and multiple logistic regression were used to illustrate participant characteristics and test relationships among the variables. Despite the fact that the majority of participants were more acculturated to the Hispanic culture than US culture, reported low levels of education and income, were depressed, and used substances, this group of men reported high levels of self-esteem. However, age and depression were the only predictors of substance abuse. Acculturation and self-esteem were not predictors of substance abuse. Clinicians need to be aware of the high rates of depression and substance abuse in this population and screen frequently for signs and symptoms of depression and substance abuse during health care encounters.
University of Texas-El Paso, TX, USA.
Elias Provencio
EP
Vasquez
Rosa M
RM
Gonzalez-Guarda
Joseph P
JP
De Santis
D000069:Acculturation; D000328:Adult; D017677:Age Distribution; D001294:Attitude to Health / Q000208:ethnology*; D003863:Depression / Q000150:complications / Q000175:diagnosis / Q000208:ethnology*; D017831:Diagnosis, Dual (Psychiatry); D004522:Educational Status; D005431:Florida / Q000453:epidemiology; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000193:education / Q000208:ethnology* / Q000706:statistics & numerical data; D006801:Humans; D007182:Income; D016015:Logistic Models; D008297:Male; D008403:Mass Screening; D008571:Men / Q000193:education / Q000523:psychology*; D015404:Nursing Methodology Research; D010865:Pilot Projects; D012307:Risk Factors; D012649:Self Concept; D019529:Sexuality / Q000208:ethnology; D019966:Substance-Related Disorders / Q000150:complications / Q000175:diagnosis / Q000208:ethnology*; D011795:Surveys and Questionnaires
Prev Sci. 2008 Dec;9(4):299-310
18855139
Drug Alcohol Depend. 2000 May 1;59(2):165-72
10891629
Am J Public Health. 2001 Jun;91(6):927-32
11392936
Aging Ment Health. 2006 Mar;10(2):182-6
16517494
J Clin Psychiatry. 2006 Jan;67(1):56-65
16426089
J Assoc Nurses AIDS Care. 2008 Jul-Aug;19(4):252-66
18598901
Issues Ment Health Nurs. 2009 Apr;30(4):227-36
19363727
Alcohol Clin Exp Res. 2008 Feb;32(2):314-21
18162071
Am J Public Health. 1994 Dec;84(12):1918-22
7998630
J Subst Abuse. 2000;11(4):323-36
11147230
Am J Community Psychol. 1998 Jun;26(3):425-38
9726116
Nurs Res. 2005 Mar-Apr;54(2):108-18
15778652
Psychiatry Res. 1980 May;2(2):125-34
6932058
JAMA. 2004 Apr 21;291(15):1887-96
15100209
Am J Public Health. 2007 Jan;97(1):68-75
17138910
J Pers Soc Psychol. 2000 Jul;79(1):49-65
10909877
Am J Public Health. 2003 May;93(5):724-31
12721133
West J Nurs Res. 2010 Feb;32(1):128-48
19915207
J Stud Alcohol Drugs. 2009 Jan;70(1):27-31
19118388
Ann Epidemiol. 2003 Nov;13(10):661-5
14599729
Am J Mens Health. 2008 Dec;2(4):314-21
19477795
Alcohol Clin Exp Res. 2005 Dec;29(12):2144-53
16385184
Am J Ind Med. 2007 Aug;50(8):617-25
17579343
Contemp Drug Probl. 2006 Winter;33:585-609
20376331