Abstract
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.
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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.
Agresti, A. (2007). An introduction to categorical data analysis. New York: Wiley.
Aguirre-Molina, M., Borrell, L. N., & Vega, W. A. (Eds.). (2010). Health issues in Latino males: A social structural approach. Piscataway: Rutgers University Press.
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.
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.
Castillo, L. G., & Caver, K. (2009). Expanding the concept of acculturation in Mexican American rehabilitation psychology research and practice. Rehabilitation Psychology, 54, 351–362.
Centers for Disease Control and Prevention, 2011. HIV among Latinos. Retrieved March 6, 2013 from http://www.cdc.gov/hiv/latinos/index.htm
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.
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.
Ennis, S. R., Rios-Vargas, M., & Albert, N. G. (2011). The Hispanic population, 2010 (Census brief C2010BR-4). Washington: U.S. Census Bureau.
Franzini, L., Ribble, J. C., & Keddie, A. M. (2001). Understanding the Hispanic paradox. Ethnicity & Disease, 11, 496–518.
Fuligni, A. J. (2001). A comparative longitudinal approach to acculturation among children from immigrant families. Harvard Educational Review, 71, 566–578.
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.
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.
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.
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.
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.
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.
Hayes-Bautista, D. (2004). La Nueva California: Latinos in the Golden State. Berkeley: University of California Press.
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.
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.
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.
Lindberg, L. D., Jones, R., & Santelli, J. S. (2008). Noncoital sexual activities among adolescents. Journal of Adolescent Health, 43, 231–238.
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.
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.
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.
Muthén, L. K., & Muthén, B. O. (2010). Mplus user’s guide, version 5. Los Angeles: Author.
Portes, A., & Rumbaut, R. G. (2006). Immigrant America: A portrait (3rd ed.). Berkeley: University of California Press.
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.
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.
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.
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.
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.
Rumbaut, R. G. (2008). Reaping what you sow: Immigration, youth, and reactive ethnicity. Applied Developmental Science, 12, 108–111.
Sam, D. L., & Berry, J. W. (2010). Acculturation: When individuals and groups of different cultural backgrounds meet. Perspectives on Psychological Science, 5, 472–481.
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.
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.
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.
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.
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.
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.
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.
Smith, R. C. (2006). Mexican New York: Transnational lives of new immigrants. Berkeley: University of California Press.
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.
Smokowski, P. R., & Bacallao, M. L. (2011). Becoming bicultural: Risk, resilience, and Latino youth. New York: New York University Press.
Steiner, N. (2009). International migration and citizenship today. New York: Routledge.
Stepick, A., Grenier, G., Castro, M., & Dunn, M. (2003). This land is our land: Immigrants and power in Miami. Berkeley: University of California Press.
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.
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.
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.
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.
Triandis, H. C. (1995). Individualism and collectivism. Boulder: Westview.
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.
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 http://www.census.gov/compendia/statab/cats/income_expenditures_poverty_wealth.html
Unger, J. B., & Schwartz, S. J. (2012). Measuring cultural influences: Quantitative approaches. Preventive Medicine, 55, 353–355.
Vega, W. A., Rodriguez, M. A., & Gruskin, E. (2009). Health disparities in the Latino population. Epidemiologic Reviews, 31, 99–112.
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.
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The study on which this article is based was supported by Grant DA025694, co-funded by the National Institute on Drug Abuse and the National Institute on Alcoholism and Alcohol Abuse. We thank Dr. Judy Arroyo for her helpful feedback on an earlier draft of this article. Please address correspondence to Seth J. Schwartz, Ph.D., Department of Epidemiology and Public Health, Leonard M. Miller School of Medicine, University of Miami, 1425 N.W. 10th Avenue, Room 321, Miami, FL 33136 (email SSchwartz@med.miami.edu). All authors contributed substantially to the study and to this article. Seth J. Schwartz and Jennifer B. Unger served as co-principal investigators, oversaw the conduct of the study, and participated in manuscript preparation; Sabrina E. Des Rosiers scored and cleaned the data and participated in manuscript preparation; Elma I. Lorenzo-Blanco and Byron L. Zamboanga participated in manuscript preparation; Shi Huang conducted the data analyses; Juan A. Villamar, Daniel W. Soto, and Monica Pattarroyo managed the data collection efforts; and Lourdes Baezconde-Garbanati and José Szapocznik served as senior cultural advisors and participated in manuscript preparation.
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Schwartz, S.J., Unger, J.B., Des Rosiers, S.E. et al. Domains of Acculturation and Their Effects on Substance Use and Sexual Behavior in Recent Hispanic Immigrant Adolescents. Prev Sci 15, 385–396 (2014). https://doi.org/10.1007/s11121-013-0419-1
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DOI: https://doi.org/10.1007/s11121-013-0419-1