title: Hispanic Subgroups, Acculturation, and Substance Abuse Treatment Outcomes.
abstract: This study explored Hispanic subgroup differences in substance use treatment outcomes, and the relationship of acculturation characteristics to these outcomes. Data were from a multisite randomized clinical trial of motivational enhancement therapy versus treatment as usual in a sample of Spanish-speaking substance abusers. Participants were Cuban American (n=34), Mexican American (n=209), Puerto Rican (n=78), and other Hispanic American (n=54). Results suggested that Cuban Americans and individuals with more connection to Hispanic culture had lower treatment retention. Hispanics born in the U.S and those who spoke English at home had a lower percentage of days abstinent during weeks 5-16, although Puerto Ricans born in the U.S. and Cuban Americans living more years in the U.S. had a higher percentage of days abstinent in weeks 1-4 and 5-16, respectively. Results may inform future hypothesis-driven studies in larger Hispanic treatment seeking samples of the relationship between acculturation and treatment outcome.
authors.affiliation: Virginia Commonwealth University School of Social Work, 1000 Floyd Avenue, PO Box 842027, Richmond, VA 23284, USA; Virginia Commonwealth University School of Medicine, Department of Psychiatry, Richmond, VA, USA. Electronic address: kgchartier@vcu.edu.
authors.forename: Karen G
authors.initials: KG
authors.lastname: Chartier
authors.affiliation: University of Texas Southwestern Medical Center at Dallas, Department of Psychiatry, 5323 Harry Hines Blvd., Dallas, TX, 75390-9066, USA. Electronic address: Thomas.Carmody@utsouthwestern.edu.
authors.forename: Tom
authors.initials: T
authors.lastname: Carmody
authors.affiliation: University of Texas Medical School at Houston, Department of Family & Community Medicine, 6431 Fannin St., Suite JJL. 324, Houston, TX 77030, USA. Electronic address: Maleeha.N.Akhtar@uth.tmc.edu.
authors.forename: Maleeha
authors.initials: M
authors.lastname: Akhtar
authors.affiliation: Virginia Commonwealth University School of Social Work, 1000 Floyd Avenue, PO Box 842027, Richmond, VA 23284, USA; Longwood University, College of Education and Human Services, 201 High Street, Farmville, VA 23909, USA. Electronic address: stebbinsmb@vcu.edu.
authors.forename: Mary B
authors.initials: MB
authors.lastname: Stebbins
authors.affiliation: University of North Texas Health Science Center, School of Public Health, Department of Behavioral and Community Health, 3500 Camp Bowie Blvd., Fort Worth, TX,76107, USA. Electronic address: scott.walters@unthsc.edu.
authors.forename: Scott T
authors.initials: ST
authors.lastname: Walters
authors.affiliation: University of Texas Southwestern Medical Center at Dallas, Department of Psychiatry, 5323 Harry Hines Blvd., Dallas, TX, 75390-9066, USA.
authors.forename: Diane
authors.initials: D
authors.lastname: Warden
mesh_terms: D000069:Acculturation; D000328:Adult; D003462:Cuba / Q000208:ethnology; D005260:Female; D005500:Follow-Up Studies; D006630:Hispanic or Latino / Q000208:ethnology*; D006801:Humans; D008297:Male; D008800:Mexico / Q000208:ethnology; D008875:Middle Aged; D009042:Motivation; D010349:Patient Compliance / Q000208:ethnology*; D011613:Psychotherapy / Q000379:methods*; D011647:Puerto Rico / Q000208:ethnology; D019966:Substance-Related Disorders / Q000208:ethnology* / Q000628:therapy*; D016896:Treatment Outcome; D014481:United States / Q000208:ethnology
keywords: Abstinence; Acculturation factors; Hispanic subgroups; Retention; Treatment outcomes