Prevention Science

, Volume 15, Issue 3, pp 385–396 | Cite as

Domains of Acculturation and Their Effects on Substance Use and Sexual Behavior in Recent Hispanic Immigrant Adolescents

  • Seth J. Schwartz
  • Jennifer B. Unger
  • Sabrina E. Des Rosiers
  • Elma I. Lorenzo-Blanco
  • Byron L. Zamboanga
  • Shi Huang
  • Lourdes Baezconde-Garbanati
  • Juan A. Villamar
  • Daniel W. Soto
  • Monica Pattarroyo
  • José Szapocznik


This study evaluated the immigrant paradox by ascertaining the effects of multiple components of acculturation on substance use and sexual behavior among recently immigrated Hispanic adolescents primarily from Mexico (35 %) and Cuba (31 %). A sample of 302 adolescents (53 % boys; mean age 14.51 years) from Miami (n = 152) and Los Angeles (n = 150) provided data on Hispanic and US cultural practices, values, and identifications at baseline and provided reports of cigarette use, alcohol use, sexual activity, and unprotected sex approximately 1 year later. Results indicated strong gender differences, with the majority of significant findings emerging for boys. Supporting the immigrant paradox (i.e., that becoming oriented toward US culture is predictive of increased health risks), individualist values predicted greater numbers of oral sex partners and unprotected sex occasions for boys. However, contrary to the immigrant paradox, for boys, both US practices and US identification predicted less heavy drinking, fewer oral and vaginal/anal sex partners, and less unprotected vaginal/anal sex. Ethnic identity (identification with one’s heritage culture) predicted greater numbers of sexual partners but negatively predicted unprotected sex. Results indicate a need for multidimensional, multi-domain models of acculturation and suggest that more work is needed to determine the most effective ways to culturally inform prevention programs.


Acculturation Hispanic Immigrant Adolescent Alcohol use Drug use Sexual behavior Unprotected sex 


  1. Abraído-Lanza, A. F., Armbrister, A. N., Flórez, K. R., & Aguirre, A. N. (2006). Toward a theory-driven model of acculturation in public health research. American Journal of Public Health, 96, 1342–1346.PubMedCentralCrossRefPubMedGoogle Scholar
  2. Agresti, A. (2007). An introduction to categorical data analysis. New York: Wiley.Google Scholar
  3. Aguirre-Molina, M., Borrell, L. N., & Vega, W. A. (Eds.). (2010). Health issues in Latino males: A social structural approach. Piscataway: Rutgers University Press.Google Scholar
  4. Allen, M. L., Elliott, M. N., Fuligni, A. J., Morales, L. S., Hambarsoomian, K., & Schuster, M. A. (2008). The relationship between Spanish language use and substance use behaviors among Latino youth: A social network approach. Journal of Adolescent Health, 43, 372–379.CrossRefPubMedGoogle Scholar
  5. Arciniega, G. M., Anderson, T. C., Tovar-Blank, Z. G., & Tracey, T. J. G. (2008). Toward a fuller conceptualization of machismo: Development of traditional machismo and caballerismo scale. Journal of Counseling Psychology, 55, 19–33.CrossRefGoogle Scholar
  6. Castillo, L. G., & Caver, K. (2009). Expanding the concept of acculturation in Mexican American rehabilitation psychology research and practice. Rehabilitation Psychology, 54, 351–362.CrossRefPubMedGoogle Scholar
  7. Centers for Disease Control and Prevention, 2011. HIV among Latinos. Retrieved March 6, 2013 from
  8. Cheung, B. Y., Chudek, M., & Heine, S. J. (2011). Evidence for a sensitive period for acculturation: Younger immigrants report acculturating at a faster rate. Psychological Science, 22, 147–152.CrossRefPubMedGoogle Scholar
  9. Cooley, P. C., Rogers, S. M., Turner, C. F., Al–Tayyib, A. A., Willis, G., & Ganapathi, L. (2001). Using touch screen audio–CASI to obtain data on sensitive topics. Computers in Human Behavior, 17, 285–293.PubMedCentralCrossRefPubMedGoogle Scholar
  10. Ennis, S. R., Rios-Vargas, M., & Albert, N. G. (2011). The Hispanic population, 2010 (Census brief C2010BR-4). Washington: U.S. Census Bureau.Google Scholar
  11. Franzini, L., Ribble, J. C., & Keddie, A. M. (2001). Understanding the Hispanic paradox. Ethnicity & Disease, 11, 496–518.Google Scholar
  12. Fuligni, A. J. (2001). A comparative longitudinal approach to acculturation among children from immigrant families. Harvard Educational Review, 71, 566–578.CrossRefGoogle Scholar
  13. Gfroerer, J. C., & Tan, L. L. (2003). Substance use among foreign-born youths in the United States: Does the length of residence matter? American Journal of Public Health, 93, 1892–1895.PubMedCentralCrossRefPubMedGoogle Scholar
  14. González Wahl, A., & McNulty Eitle, T. (2010). Gender, acculturation, and alcohol use among Latina/o adolescents: A multi-ethnic comparison. Journal of Immigrant and Minority Health, 12, 153–165.CrossRefGoogle Scholar
  15. Gordon-Larsen, P., Harris, K. M., Ward, D. S., & Popkin, B. M. (2003). Acculturation and overweight-related behaviors among Hispanic immigrants to the US: The National Longitudinal Study of Adolescent Health. Social Science & Medicine, 57, 2023–2034.CrossRefGoogle Scholar
  16. Guilamo-Ramos, V., Jaccard, J., Peña, J., & Goldberg, V. (2005). Acculturation-related variables, sexual initiation, and subsequent sexual Behavior among Puerto Rican, Mexican, and Cuban Youth. Health Psychology, 24, 88–95.PubMedCentralCrossRefPubMedGoogle Scholar
  17. Guilamo-Ramos, V., Bouris, A., Jaccard, J., Lesesne, C. A., Gonzalez, B., & Kalogerogiannis, K. (2009). Family mediators of acculturation and adolescent sexual behavior in Latino youth. Journal of Primary Prevention, 30, 395–419.CrossRefPubMedGoogle Scholar
  18. Guo, X., Suarez-Morales, L., Schwartz, S. J., & Szapocznik, J. (2009). Some evidence for multidimensional biculturalism: Confirmatory factor analysis and measurement invariance analysis on the Bicultural Involvement Questionnaire-Short Version. Psychological Assessment, 21, 22–31.CrossRefPubMedGoogle Scholar
  19. Hayes-Bautista, D. (2004). La Nueva California: Latinos in the Golden State. Berkeley: University of California Press.Google Scholar
  20. Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2011). Monitoring the future national survey results on drug use, 1975–2010: Volume I, Secondary school students. Ann Arbor: University of Michigan, Institute for Social Research.Google Scholar
  21. Kauerman, G., & Carroll, R. J. (2001). A note on the efficiency of sandwich covariance matrix estimation. Journal of the American Statistical Association, 96, 1387–1396.CrossRefGoogle Scholar
  22. Knight, G. P., Vargas-Chanes, D., Losoya, S. H., Cota-Robles, S., Chassin, L., & Lee, J. M. (2009). Acculturation and enculturation trajectories among Mexican American adolescent offenders. Journal of Research on Adolescence, 19, 625–653.PubMedCentralCrossRefPubMedGoogle Scholar
  23. Lindberg, L. D., Jones, R., & Santelli, J. S. (2008). Noncoital sexual activities among adolescents. Journal of Adolescent Health, 43, 231–238.CrossRefPubMedGoogle Scholar
  24. Lopez-Class, M., Castro, F. G., & Ramirez, A. G. (2011). Conceptions of acculturation: A review and statement of critical issues. Social Science & Medicine, 72, 1555–1562.CrossRefGoogle Scholar
  25. Lorenzo-Blanco, E. I., Unger, J. B., Ritt-Olson, A., Soto, D. W., & Baezconde-Garbanati, L. (2011). Acculturation, gender, depression, and cigarette smoking among U.S. Hispanic youth: The mediating role of perceived discrimination. Journal of Youth and Adolescence, 40, 1519–1533.PubMedCentralCrossRefPubMedGoogle Scholar
  26. Marsiglia, F. F., Kulis, S., Hecht, M. L., & Sills, S. (2004). Ethnicity and ethnic identity as predictors of drug norms and drug use among pre-adolescents in the Southwest. Substance Use & Misuse, 39, 1061–1094.CrossRefGoogle Scholar
  27. Muthén, L. K., & Muthén, B. O. (2010). Mplus user’s guide, version 5. Los Angeles: Author.Google Scholar
  28. Portes, A., & Rumbaut, R. G. (2006). Immigrant America: A portrait (3rd ed.). Berkeley: University of California Press.Google Scholar
  29. Prado, G., Szapocznik, J., Maldonado-Molina, M. M., Schwartz, S. J., & Pantin, H. (2008). Drug abuse prevalence, etiology, prevention, and treatment in Hispanic adolescents: A cultural perspective. Journal of Drug Issues, 38, 5–36.Google Scholar
  30. Prado, G., Huang, S., Schwartz, S. J., Maldonado-Molina, M., Bandiera, F. C., de la Rosa, M., et al. (2009a). What accounts for differences in substance use among U.S. born and immigrant Hispanic adolescents? Results from a longitudinal prospective cohort study. Journal of Adolescent Health, 45, 118–125.PubMedCentralCrossRefPubMedGoogle Scholar
  31. Prado, G., Szapocznik, J., Maldonado-Molina, M. M., Schwartz, S. J., & Pantin, H. (2009b). Drug abuse prevalence, etiology, prevention, and treatment in Hispanic adolescents: A cultural perspective. Journal of Drug Issues, 38, 5–36.CrossRefGoogle Scholar
  32. Ramirez, J., Crano, W., Quist, R., Burgoon, M., Alvaro, E., & Grandpre, J. (2004). Acculturation, familism, parental monitoring, and knowledge as predictors of marijuana and inhalant use in adolescents. Psychology of Addictive Behaviors, 18, 3–11.Google Scholar
  33. Roberts, R. E., Phinney, J. S., Masse, L. C., Chen, Y. R., Roberts, C. R., & Romero, A. J. (1999). The structure of ethnic identity of young adolescents from diverse ethnocultural groups. Journal of Early Adolescence, 19, 301–322.CrossRefGoogle Scholar
  34. Rumbaut, R. G. (2008). Reaping what you sow: Immigration, youth, and reactive ethnicity. Applied Developmental Science, 12, 108–111.Google Scholar
  35. Sam, D. L., & Berry, J. W. (2010). Acculturation: When individuals and groups of different cultural backgrounds meet. Perspectives on Psychological Science, 5, 472–481.CrossRefPubMedGoogle Scholar
  36. Schildkraut, D. (2011). National identity in the United States. In S. J. Schwartz, K. Luyckx, & V. L. Vignoles (Eds.), Handbook of identity theory and research (pp. 845–866). New York: Springer.CrossRefGoogle Scholar
  37. 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, 237–251.PubMedCentralCrossRefPubMedGoogle Scholar
  38. Schwartz, S. J., Weisskirch, R., Zamboanga, B. L., Castillo, L. G., Ham, L., Huynh, Q., et al. (2011). Dimensions of acculturation: Associations with health risk behaviors among college students from immigrant families. Journal of Counseling Psychology, 58, 27–41.CrossRefPubMedGoogle Scholar
  39. Schwartz, S. J., Park, I. J. K., Huynh, Q.-L., Zamboanga, B. L., Umaña-Taylor, A. J., Lee, R. M., Rodriguez, L., Kim, S. Y., Whitbourne, S. K., Castillo, L. G., Weisskirch, R. S., Vazsonyi, A. T., Williams, M. K., & Agocha, V. B. (2012a). The American Identity Measure: Development and validation across ethnic subgroup and immigrant generation. Identity: An International Journal of Theory and Research, 12, 93–128.Google Scholar
  40. Schwartz, S. J., Unger, J. B., Des Rosiers, S. E., Huang, S., Baezconde-Garbanati, L., Lorenzo-Blanco, E., Villamar, J. A., Soto, D. W., Pattarroyo, M., & Szapocznik, J. (2012b). Substance use and sexual behavior among recent Hispanic immigrant adolescents: Effects of parent-adolescent differential acculturation and communication. Drug and Alcohol Dependence, 125S, S26–S34.Google Scholar
  41. Schwartz, S. J., Waterman, A. S., Umaña-Taylor, A. J., Lee, R. M., Kim, S. Y., Vazsonyi, A. T., et al. (2013a). Acculturation and well-being among college students from immigrant families. Journal of Clinical Psychology, 69, 298–318.CrossRefPubMedGoogle Scholar
  42. Schwartz, S. J., Des Rosiers, S. E., Huang, S., Zamboanga, B. L., Unger, J. B., Knight, G. P., Pantin, H. & Szapocznik, J. (2013b). Developmental trajectories of acculturation in Hispanic adolescents: Associations with family functioning and adolescent risk behavior. Child Development. doi:10.1111/cdev.12047.
  43. Smith, R. C. (2006). Mexican New York: Transnational lives of new immigrants. Berkeley: University of California Press.Google Scholar
  44. Smith, T. B., & Silva, L. (2011). Ethnic identity and personal well-being of people of color: A meta-analysis. Journal of Counseling Psychology, 58, 42–60.CrossRefPubMedGoogle Scholar
  45. Smokowski, P. R., & Bacallao, M. L. (2011). Becoming bicultural: Risk, resilience, and Latino youth. New York: New York University Press.Google Scholar
  46. Steiner, N. (2009). International migration and citizenship today. New York: Routledge.Google Scholar
  47. Stepick, A., Grenier, G., Castro, M., & Dunn, M. (2003). This land is our land: Immigrants and power in Miami. Berkeley: University of California Press.Google Scholar
  48. Syed, M., Walker, L. H. M., Lee, R. M., Armenta, B. E., Huynh, Q.-L., Schwartz, S. J., et al. (2013). A two-factor model of ethnic identity exploration: Implications for identity coherence and well-being. Cultural Diversity and Ethnic Minority Psychology, 19, 143–154.CrossRefPubMedGoogle Scholar
  49. Szapocznik, J., Scopetta, M., Aranalde, M. D., & Kurtines, W. M. (1978). Cuban value structure: Treatment implications. Journal of Consulting and Clinical Psychology, 46, 961–970.CrossRefPubMedGoogle Scholar
  50. Szapocznik, J., Santisteban, D., Rio, A., Perez-Vidal, A., Kurtines, W. M., & Hervis, O. E. (1986). Bicultural effectiveness training (BET): An intervention modality for families experiencing intergenerational/intercultural conflict. Hispanic Journal of Behavioral Sciences, 6, 303–330.CrossRefGoogle Scholar
  51. Thomson, M. D., & Hoffman-Goetz, L. (2009). Defining and measuring acculturation: A systematic review of public health studies with Hispanic populations in the United States. Social Science & Medicine, 69, 983–991.CrossRefGoogle Scholar
  52. Triandis, H. C. (1995). Individualism and collectivism. Boulder: Westview.Google Scholar
  53. Triandis, H. C., & Gelfand, M. J. (1998). Converging measurement of horizontal and vertical individualism and collectivism. Journal of Personality and Social Psychology, 74, 118–128.CrossRefGoogle Scholar
  54. U.S. Census Bureau. (2012). Money income of families—median income by race and Hispanic origin in current and constant (2009) dollars, 1990–2009. Retrieved August 1, 2012 from
  55. Unger, J. B., & Schwartz, S. J. (2012). Measuring cultural influences: Quantitative approaches. Preventive Medicine, 55, 353–355.PubMedCentralCrossRefPubMedGoogle Scholar
  56. Vega, W. A., Rodriguez, M. A., & Gruskin, E. (2009). Health disparities in the Latino population. Epidemiologic Reviews, 31, 99–112.CrossRefPubMedGoogle Scholar
  57. Zane, N., & Mak, W. (2003). Major approaches to the measurement of acculturation among ethnic minority populations: A content analysis and an alternative empirical strategy. In K. M. Chun, P. B. Organista, & G. Marín (Eds.), Acculturation: Advances in theory, measurement, and applied research (pp. 39–60). Washington: American Psychological Association.CrossRefGoogle Scholar

Copyright information

© Society for Prevention Research 2013

Authors and Affiliations

  • Seth J. Schwartz
    • 1
  • Jennifer B. Unger
    • 2
  • Sabrina E. Des Rosiers
    • 3
  • Elma I. Lorenzo-Blanco
    • 4
  • Byron L. Zamboanga
    • 5
  • Shi Huang
    • 1
  • Lourdes Baezconde-Garbanati
    • 2
  • Juan A. Villamar
    • 6
  • Daniel W. Soto
    • 2
  • Monica Pattarroyo
    • 2
  • José Szapocznik
    • 1
  1. 1.University of MiamiMiamiUSA
  2. 2.University of Southern CaliforniaLos AngelesUSA
  3. 3.Barry UniversityMiami ShoresUSA
  4. 4.University of South CarolinaColumbiaUSA
  5. 5.Smith CollegeNorthamptonUSA
  6. 6.Northwestern UniversityChicagoUSA

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