Journal of Immigrant and Minority Health

, Volume 21, Issue 1, pp 4–13 | Cite as

Stress and Resilience: Key Correlates of Mental Health and Substance Use in the Hispanic Community Health Study of Latino Youth

  • Krista M. PerreiraEmail author
  • Ashley N. Marchante
  • Seth J. Schwartz
  • Carmen R. Isasi
  • Mercedes R. Carnethon
  • Heather L. Corliss
  • Robert C. Kaplan
  • Daniel A. Santisteban
  • Denise C. Vidot
  • Linda Van Horn
  • Alan M. Delamater
Original Paper


This study examined associations of immigrant generation, acculturation, and sources of stress and resilience with four outcomes—depression symptoms, anxiety symptoms, alcohol susceptibility, and smoking susceptibility. We used data from 1466 youth (ages 8–16) enrolled in the Hispanic Community Health Study of Latino Youth (SOL Youth), a probability sample of Hispanic/Latino youth living in Chicago (IL), Miami (FL), Bronx (NY), and San Diego (CA). We found no evidence of an immigrant paradox. Greater children’s acculturative stress was associated with depression/anxiety symptoms; greater parent’s acculturative stress was associated with smoking susceptibility. Family functioning and children’s ethnic identity were associated with fewer depression/anxiety symptoms and lower alcohol/smoking susceptibility. Although acculturation-related stressors increase youths’ risks for poor mental health and substance use, the development of positive ethnic identities and close, well-functioning family support systems can help protect Latino/Hispanic children from the negative behavioral and health-related consequences of stress.


Latino/Hispanic adolescent immigrant acculturation Mental health and substance use Depression/anxiety and smoking/alcohol Immigrant paradox 



Funding was provided by National Heart, Lung, and Blood Institute (Grant Nos. R01HL102130, N01-HC65233, N01-HC65234, N01-HC65237, N01-HC65235 and N01-HC65236) and National Institute of Child Health and Human Development (Grant No. P2C HD50924).

Compliance with Ethical Standards

Conflict of interest

The authors declare no conflicts of interest.

Informed Consent

Informed consent was obtained from all individual participants included in this study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Krista M. Perreira
    • 1
    • 10
    Email author
  • Ashley N. Marchante
    • 2
  • Seth J. Schwartz
    • 3
  • Carmen R. Isasi
    • 4
  • Mercedes R. Carnethon
    • 5
  • Heather L. Corliss
    • 6
  • Robert C. Kaplan
    • 4
  • Daniel A. Santisteban
    • 7
  • Denise C. Vidot
    • 8
  • Linda Van Horn
    • 5
  • Alan M. Delamater
    • 9
  1. 1.Department of Social MedicineUniversity of North Carolina at Chapel HillChapel HillUSA
  2. 2.Department of PsychologyUniversity of MiamiCoral GablesUSA
  3. 3.Department of Public Health SciencesUniversity of MiamiMiamiUSA
  4. 4.Department of Epidemiology and Population HealthAlbert Einstein College of MedicineBronxUSA
  5. 5.Department of Preventive MedicineNorthwestern UniversityChicagoUSA
  6. 6.Graduate School of Public HealthSan Diego State UniversitySan DiegoUSA
  7. 7.Department of Educational and Psychological StudiesUniversity of MiamiCoral GablesUSA
  8. 8.School of Nursing and Health StudiesCoral GablesUSA
  9. 9.Department of PediatricsUniversity of MiamiCoral GablesUSA
  10. 10.Carolina Population CenterChapel HillUSA

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