Abstract
The present study examined the links between discrimination-based acculturative stress (DAS), depressive symptoms, and alcohol use among recently immigrated Latina young adults and explored potential within-group Latina ethnic differences. Structural equation modeling was used to assess these relations among 530 Latina young adults (age 18–23) who had immigrated to the USA within approximately 12 months prior to assessment. Women reporting more DAS indicated more depressive symptoms and alcohol use than counterparts reporting less DAS. Women reporting more time in the USA experienced higher levels of DAS. Undocumented participants, and those who had lived in the USA for less time, reported more depressive symptoms than their peers. Findings highlight the need for mental health clinicians to attend to their local sociopolitical climate context for discriminatory practices and integrate cultural factors in mental health and alcohol use interventions targeting Latina young adults who recently immigrated to the USA.
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References
Abraído-Lanza, A. F., Echeverría, S. E., & Flórez, K. R. (2016). Latino immigrants, acculturation, and health: promising new directions in research. The Annual Review of Public Health, 37(1), 219–236. https://doi.org/10.1146/annurev-publhealth-032315-021545.
Anderson, K. F., & Finch, J. K. (2017). The role of racial microaggressions, stress, and acculturation in understanding Latino health outcomes in the USA. Race and Social Problems, 9(3), 218–233. https://doi.org/10.1007/s12552-017-9212-2.
Araújo Dawson, B. (2009). Discrimination, stress, and acculturation among Dominican immigrant women. Hispanic Journal of Behavioral Sciences, 31(1), 96–111. https://doi.org/10.1177/0739986308327502.
Araújo Dawson, B., & Panchanadeswaran, S. (2010). Discrimination and acculturative stress among first-generation Dominicans. Hispanic Journal of Behavioral Sciences, 32(2), 216–231. https://doi.org/10.1177/0739986310364750.
Arbona, C., Olvera, N., Rodríguez, N., Hagan, J., Linares, A., & Wiesner, M. (2010). Acculturative stress among documented and undocumented Latino immigrants in the United States. Hispanic Journal of Behavioral Sciences, 32(3), 362–384. https://doi.org/10.1177/0739986310373210.
Arellano-Morales, L., Roesch, S. C., Gallo, L. C., Emory, K. T., Molina, K. M., Gonzalez, P., Penedo, F. J., Navas-Nacher, E. L., Teng, Y., Deng, Y., Isasi, C. R., Schneiderman, N., & Brondolo, E. (2015). Prevalence and correlates of perceived ethnic discrimination in the Hispanic community health study/study of Latinos sociocultural ancillary study. Journal of Latina/o Psychology, 3(3), 160–176. https://doi.org/10.1037/lat0000040.
Behling, O., Law, K. S. (2000). Translating questionnaires and other research instruments: problems and solutions. (Vol 133). Sage Publications, Inc
Bekteshi, V., & van Hook, M. (2015). Contextual approach to acculturative stress among Latina immigrants in the U.S. Journal of Immigrant and Minority Health, 17(5), 1401–1411. https://doi.org/10.1007/s10903-014-0103-y.
Bekteshi, V., Van Hook, M., Levin, J., Kang, S. W., & Van Tran, T. (2017). Social work with Latino immigrants: Contextual approach to acculturative stress among Cuban, Mexican and Puerto Rican women. British Journal of Social Work, 47, 447–466. https://doi.org/10.1093/bjsw/bcw003.
Berry, J. W. (2005). Acculturation: Living successfully in two cultures. International Journal of Intercultural Relations, 29(6), 697–712. https://doi.org/10.1016/j.ijintrel.2005.07.013.
Bollen, K. A. (1989). Structural equations with latent variables. Wiley.
Cano, M. Á., Sánchez, M., Trepka, M. J., Dillon, F. R., Sheehan, D. M., Rojas, P., Kanamori, M. J., Huang, H., Auf, R., & De La Rosa, M. (2017). Immigration stress and alcohol use severity among recently immigrated Hispanic adults: examining moderating effects of gender, immigration status, and social support. Journal of Clinical Psychology, 73(3), 294–307. https://doi.org/10.1002/jclp.22330.
Cano, M. Á., Rojas, P., Ramírez-Ortiz, D., Sánchez, M., & De La Rosa, M. (2020). Depression and gender roles among Hispanic immigrant women: examining associations of gender egalitarianism, marianismo, and self-silencing. Journal of Health Care for the Poor and Underserved, 31(2), 713–723. https://doi.org/10.1353/hpu.2020.0056.
Castillo, L. G., Perez, F. V., Castillo, R., & Ghoshen, M. R. (2010). Construction and initial validation of the marianismo beliefs scale. Counseling Psychology Quarterly, 23(2), 163–175. https://doi.org/10.1080/09515071003776036.
Cervantes, R. C., & Bui, T. (2017). Redefining the contexts of acculturation related stress among Latino adults. In S. J. Schwartz & J. B. Unger (Eds.), The Oxford handbook of acculturation and health (pp. 135–142). Oxford University Press.
Cervantes, R. C., Fisher, D. G., Padilla, A. M., & Napper, L. E. (2016). The Hispanic stress inventory version 2: improving the assessment of acculturation stress. Psychological Assessment, 28(5), 509–522. https://doi.org/10.1037/pas0000200.
Cervantes, R. C., Gattamorta, K. A., & Berger-Cardoso, J. (2018). Examining difference in immigration stress, acculturative stress and mental health outcomes in six Hispanic/Latino nativity and reginal groups. Journal of Immigrant and Minority Health, 21(1), 14–20. https://doi.org/10.1007/s10903-018-0714-9.
Chartier, K., & Caetano, R. (2010). Ethnicity and health disparities in alcohol research. Alcohol Research & Health, 33(1–2), 152–160.
Cobb, C. L., Xie, D., Meca, A., & Schwartz, S. J. (2016). Acculturation, discrimination, and depression among unauthorized Latinos/as in the United States. Cultural Diversity and Ethnic Minority Psychology, 23(2), 258–268. https://doi.org/10.1037/cdp0000118.
Da Silva, N. D., Dillon, F. R., Verdejo, T. R., Sanchez, M., & De La Rosa, M. (2017). Acculturative stress, psychological distress, and religious coping among Latina young adult immigrants. The Counseling Psychologist, 45(2), 213–236. https://doi.org/10.1177/0011000017692111.
De Oliveira, G., Cianelli, R., Gattamorta, K., Kowalski, N., & Peragallo, N. (2017). Social determinants of depression among Hispanic women. Journal of the American Psychiatric Nurses Association, 23(1), 28–36. https://doi.org/10.1177/1078390316669230.
Derogatis, L. R., & Fitzpatrick, M. (2004). The SCL-90-R, the Brief Symptom Inventory (BSI), and the BSI-18. In M. E. Maruish (Ed.), The use of psychological testing for treatment planning and outcomes assessment: volume 3: instruments for adults (3rd ed., pp. 1–41). Lawrence Erlbaum Associates Publishers.
Driscoll, M. W., & Torres, L. (2013). Acculturative stress and Latino depression: the mediating role of behavioral and cognitive resources. Cultural Diversity and Minority Psychology, 19(4), 373–382. https://doi.org/10.1037/a0032821.
Eckstein, S. (2016). US Cuban immigration policy and its unintended consequences. In M. E. Crahan & S. M. Castro Mariño (Eds.), Cuba-US relations: normalization and its challenges (pp. 129–152). Institute of Latin American Studies.
Ennis, S. R., Ríos-Vargas, M., & Albert, N. G. (2011). The Hispanic population 2010. US Department of Commerce, Economics and Statistics Administration, US Census Bureau.
Ertl, M. M., Dillon, F. R., Martin, J. L., Babino, R., & De La Rosa, M. (2018). Alcohol use exacerbates acculturative stress among recently immigrated, young adult Latinas. Journal of Immigrant and Minority Health, 20(3), 594–602. https://doi.org/10.1007/s10903-017-0586-4.
Flores, E., Tschann, J. M., Dimas, J. M., Pasch, L. A., & de Groat, C. L. (2010). Perceived racial/ethnic discrimination, posttraumatic stress symptoms, and health risk behaviors among Mexican American adolescents. Journal of Counseling Psychology, 57(3), 264–273. https://doi.org/10.1037/a0020026.
Gil, A. G., Wagner, E. F., & Vega, W. A. (2000). Acculturation, familism, and alcohol use among Latino adolescent males: longitudinal relations. Journal of Community Psychology, 28(4), 443–458. https://doi.org/10.1002/1520-6629(200007)28:4<443::aid-jcop6>3.3.co;2-1.
González Wahl, A., & McNulty Eitle, T. (2010). Gender, acculturation and alcohol use among Latina/o adolescents: a multi-ethnic comparison. Journal of Immigrant Minority Health, 12(2), 153–165. https://doi.org/10.1007/s10903-008-9179-6.
Hancock, G. R., & Freeman, M. J. (2001). Power and sample size for the root mean square error of approximation test of not close fit in structural equation modeling. Educational and Psychological Measurement, 61(5), 741–758. https://doi.org/10.1177/00131640121971491.
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118.
Kulis, S., Marsiglia, F. F., & Nagoshi, J. L. (2012). Gender roles and substance use among Mexican American adolescents: a relationship moderated by acculturation? Substance Use & Misuse, 47(3), 214–229. https://doi.org/10.3109/10826084.2011.630438.
Lee, D. L., & Ahn, S. (2012). Discrimination against Latina/os: a meta-analysis of individual-level resources and outcomes. The Counseling Psychologist, 40(1), 28–65. https://doi.org/10.1177/0011000011403326.
Lee, C. S., González Castro, F., Nicholls, M. E., O’Connor, B., Marosi, S., & Colby, S. M. (2019). Gender differences in drinking behavior among Latino/a heavy drinkers. The International Journal on Drug Policy, 64, 79–86. https://doi.org/10.1016/j.drugpo.2018.12.003.
Martinez, C. R., McClure, H. H., Eddy, J. M., & Wilson, D. M. (2011). Time in US residency and the social, behavioral, and emotional adjustment of Latino immigrant families. Hispanic Journal of Behavioral Sciences, 33(3), 323–349. https://doi.org/10.1177/0739986311411281.
Mays, V. M., Jones, A. L., Delany-Brumsey, A., Coles, C., & Cochran, S. D. (2017). Perceived discrimination in health care and mental health/substance abuse treatment among Blacks, Latinos, and Whites. Medical Care, 55(2), 173–181. https://doi.org/10.1097/mlr.0000000000000638.
Mena, F. J., Padilla, A. M., & Maldonado, M. (1987). Acculturative stress and specific coping strategies among immigrant and later generation college students. Hispanic Journal of Behavioral Sciences, 9(2), 207–225. https://doi.org/10.1177/07399863870092006.
Muthén, L. K., & Muthén, B. O. (2017). Mplus user’s guide (8th ed.). Muthén & Muthén.
National Institute on Alcohol Abuse and Alcoholism. (2013). Alcohol and the Hispanic community [Fact sheet]. Retrieved from https://pubs.niaaa.nih.gov/publications/HispanicFact/HispanicFact.htm
National Institute on Alcohol Abuse and Alcoholism. (2017). Drinking levels defined [Factsheet]. Retrieved from https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/moderate-binge-drinking
O’Keefe, V. M., Wingate, L. R., Cole, A. B., Hollingsworth, D. W., & Tucker, R. P. (2014). Seemingly harmless racial communications are not so harmless: racial microaggressions lead to suicidal ideation by way of depression symptoms. Suicide and Life-threatening Behavior, 45(5), 567–576. https://doi.org/10.1111/sltb.12150.
Otiniano Verissimo, A. D., Gee, G. C., Iguchi, M. Y., Ford, C. L., & Friedman, S. R. (2013). Discrimination, drugs, and alcohol among Latina/os in Brooklyn, New York: differences by gender. International Journal of Drug Policy, 24(4), 367–373. https://doi.org/10.1016/j.drugpo.2013.01.010.
Otiniano Verissimo, A. D., Grella, C. E., Amaro, H., & Gee, G. C. (2014). Discrimination and substance use disorders among Latinos: the role of gender, nativity, and ethnicity. American Journal of Public Health, 104(8), 1421–1428. https://doi.org/10.2105/ajph.2014.302011.
Pérez, D. J., Fortuna, L., & Alégría, M. (2008). Prevalence and correlates of everyday discrimination among U.S. Latinos. Journal of Community Psychology, 36(4), 421–433. https://doi.org/10.1002/jcop.20221.
Perrotte, J. K., & Zamboanga, B. L. (2019). Traditional gender roles and alcohol use among Latinas/os: a review of the literature. Journal of Ethnicity in Substance Abuse, 1–18. https://doi.org/10.1080/15332640.2019.1579142.
Pinedo, M., Zemore, S., & Rogers, S. (2018). Understanding barriers to specialty substance abuse treatment among Latinos. Journal of Substance Abuse Treatment, 94, 1–8. https://doi.org/10.1016/j.jsat.2018.08.004.
Ramisetty-Mikler, S., Caetano, R., & Rodriguez, L. A. (2010). The Hispanic Americans baseline alcohol survey (HABLAS): alcohol consumption and sociodemographic predictors across Hispanic national groups. Journal of Substance Use, 15(6), 402–416. https://doi.org/10.3109/14659891003706357.
Rodriguez, N., Myers, H. F., Mira, C. B., Flores, T., & Garcia-Hernandez, L. (2002). Development of the multidimensional acculturative stress inventory for adults of Mexican origin. Psychological Assessment, 14(4), 451–461. https://doi.org/10.1037/1040-3590.14.4.451.
Salganik, M. J., & Heckathorn, D. D. (2004). Sampling and estimation in hidden populations using respondent-driven sampling. Sociological Methodology, 34(1), 193–240. https://doi.org/10.1111/j.0081-1750.2004.00152.x.
Santiago-Rivera, A. L., Arredondo, P., & Gallardo-Cooper, M. (2002). Counseling Latinos and la familia: a practical guide counseling Latinos and la familia: a practical guide. Sage Publication, Inc..
Schwartz, S. J., Unger, J. B., Zamboanga, B. L., & Szapocznik, J. (2010). Rethinking the concept of acculturation: implications for theory and research. American Psychologist, 65(4), 237–251. https://doi.org/10.1037/a0019330.
Silverstein, P. A. (2005). Immigrant racialization and the new savage slot: race, migration, and immigration in the new Europe. Annual Review of Anthropology, 34(1), 363–384. https://doi.org/10.1146/annurev.anthro.34.081804.120338.
Sobell, L. C., & Sobell, M. B. (1992). Timeline follow-back: A technique for assessing self-reported alcohol consumption. In R. Z. Litten & J. P. Allen (Eds.), Measuring alcohol consumption: psychosocial and biological methods (pp. 41–72). Humana Press.
Steinka-Fry, K. T., Tanner-Smith, E. E., Dakof, G. A., & Henderson, C. (2017). Culturally sensitive substance use treatment for racial/ethnic minority youth: A meta-analytic review. Journal of Substance Abuse Treatment, 75, 22–37. https://doi.org/10.1016/j.jsat.2017.01.006.
Sternberg, R. M., & Lee, K. A. (2013). Depressive symptoms of midlife Latinas: effect of immigration and sociodemographic factors. International Journal of Women’s Health, 5, 301–308. https://doi.org/10.2147/ijwh.s43132.
Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A. M. B., Nadal, K. L., & Esquilin, M. (2007). Racial microaggressions in everyday life: Implications for clinical practice. American Psychologist, 62(4), 271–286. https://doi.org/10.1037/0003-066x.62.4.271.
Tomarken, A. J., & Waller, N. G. (2005). Structural equation modeling: strengths, limitations, and misconceptions. Annual Review of Clinical Psychology, 1(1), 31–65. https://doi.org/10.1146/annurev.clinpsy.1.102803.144239.
Torres, L. (2009). Attributions to discrimination and depression among Latino/as: the mediating role of competence. American Journal of Orthopsychiatry, 79(1), 118–124. https://doi.org/10.1037/a0014930.
Torres, L. (2010). Predicting levels of Latino depression: acculturation, acculturative stress, and coping. Cultural Diversity and Ethnic Minority Psychology, 16(2), 256–263. https://doi.org/10.1037/a0017357.
Valdivieso-Mora, E., Peet, C. L., Garnier-Villarreal, M., Salazar-Villanea, M., & Johnson, D. K. (2016). A systematic review of the relationship between familism and mental health outcomes in Latino population. Frontiers in Psychology, 7, 1–13. https://doi.org/10.3389/fpsyg.2016.01632.
Viruell-Fuentes, E. A. (2007). Beyond acculturation: immigration, discrimination, and health research among Mexicans in the United States. Social Science & Medicine, 65(7), 1524–1535. https://doi.org/10.1016/j.socscimed.2007.05.010.
Viruell-Fuentes, E. A., Miranda, P. Y., & Abdulrahim, S. (2012). More than culture: structural racism, intersectionality theory, and immigrant health. Social Science & Medicine, 75(12), 2099–2106. https://doi.org/10.1016/j.socscimed.2011.12.037.
Woods-Jaeger, B., Cho, B., & Briggs, E. C. (2020). Training psychologists to address social determinants of mental health. Training and Education in Professional Psychology, 1–11. https://doi.org/10.1037/tep0000307.
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This study was supported by a grant from the National Institute on Minority Health and Health Disparities, award number P20MD002288.
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Cabrera Tineo, Y.A., Dillon, F.R., Ertl, M.M. et al. Discrimination-Based Acculturative Stress, Depression, and Alcohol Use Among Latina Emerging Adults During Initial Months in the USA. Int J Ment Health Addiction 20, 553–568 (2022). https://doi.org/10.1007/s11469-020-00386-x
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DOI: https://doi.org/10.1007/s11469-020-00386-x