What Accounts for Differences in Substance Use Among U.S.-Born and Immigrant Hispanic Adolescents?: Results from a Longitudinal Prospective Cohort Study

• Published in: Journal of adolescent health 2009-08, Vol.45 (2), p.118-125
• Main Authors: Prado, Guillermo, Ph.D, Huang, Shi, Ph.D, Schwartz, Seth J., Ph.D, Maldonado-Molina, Mildred M., Ph.D, Bandiera, Frank C., M.P.H, de la Rosa, Mario, Ph.D, Pantin, Hilda, Ph.D
• Format: Article
• Language: English
• Subjects: Addictive behaviors; Adolescent; Adolescents; Adult and adolescent clinical studies; Biological and medical sciences; Cohort analysis; Connectedness; Emigrants and Immigrants; Environmental Factors; Family; Family Relations; Female; Hispanic; Hispanic Americans; Hispanic people; Humans; Immigrant; Immigrants; Intervention; Interviews as Topic; Longitudinal Studies; Male; Medical sciences; Miscellaneous; Nativity; Pediatrics; Peers; Prospective Studies; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Public Health; Public Schools; Substance Abuse; Substance use; Substance-Related Disorders - etiology; United States
• ISSN: 1054-139X; 1879-1972
• DOI: 10.1016/j.jadohealth.2008.12.011

Abstract Purpose The current study was conducted to ascertain whether the effects of nativity (i.e., U.S. born vs. immigrant) on Hispanic adolescent substance use is mediated by ecological processes such as family functioning, school connectedness, and perceived peer substance use. Methods The effects of family, peer, and school processes on adolescent substance use were examined in a nationally representative sample of 742 (358 male, 384 female) Hispanic youth (mean age = 15.9; SD = 1.8). Results Results from a structural equation model indicated that the higher rates of substance use among U.S.-born Hispanics (compared with foreign-born Hispanics) are partially mediated by perceived peer substance use (as measured by the adolescent). The results also showed that perceived peer substance use and school connectedness mediate the relationship between family processes and substance use, suggesting that family processes may offset some of the deleterious effects of negative peer selection on adolescent substance use. Conclusion These findings imply that public health behavioral interventions to prevent substance use among both U.S.-born and foreign-born Hispanics may need to attend to multiple ecological processes, including family, school, and peers.