Skip to main content

Advertisement

SpringerLink
Log in

Beyond Primary Prevention of Alcohol Use: A Culturally Specific Secondary Prevention Program for Mexican Heritage Adolescents

  • Published:
Prevention Science Aims and scope Submit manuscript

Abstract

Classroom-based primary prevention programs with adolescents are effective in inhibiting the onset of drug use, but these programs are not designed to directly address the unique needs of adolescents at higher risk of use or already using alcohol and other drugs. This article describes the initial efficacy evaluation of a companion psychosocial small group program which aims at addressing the needs of Mexican heritage students identified by their teachers as being at higher risk for substance use or already experimenting with alcohol and other drugs. The adolescent (7th grade) small group curricula, REAL Groups, is a secondary prevention program which supplements the primary classroom-based substance use prevention program, keepin’ it REAL. Following a mutual aid approach, a total of 109 7th grade students were referred by their teachers and participated in the REAL Groups. The remaining 252 7th grade students who did not participate served as the control group. To account for biased selection into REAL Groups, propensity score matching (PSM) was employed. The estimated average treatment effect for participants’ use of alcohol was calculated at the end of the 8th grade. Results indicate that alcohol use decreased among students who participated in the REAL Groups relative to matched students who did not participate. These findings suggest that REAL Groups may be an effective secondary prevention program for higher-risk Mexican heritage adolescents.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Aneshensel, C. S., Becerra, R. M., Fielder, E. P., & Schuler, R. (1989). Participation of Mexican American female adolescents in a longitudinal panel survey. Public Opinion Quarterly, 53, 548–562. doi:10.1086/269171.

    Article  Google Scholar 

  • Arrington, E. G., & Wilson, M. N. (2000). A re-examination of risk and resilience during adolescence: Incorporating culture and diversity. Journal of Child and Family Studies, 9, 221–230. doi:10.1023/A:1009423106045.

    Article  Google Scholar 

  • Bangert-Drowns, R. L. (1988). The effects of school-based substance abuse education: A meta- analysis. Journal of Drug Education, 18, 243–264.

    Article  PubMed  CAS  Google Scholar 

  • Barnes, G. M., & Welte, J. W. (1986). Patterns and predictors of alcohol use among 7–12th grade students in New York State. Journal of Studies on Alcohol, 47, 53–62.

    PubMed  CAS  Google Scholar 

  • Barrett, E. A., & Turner, R. J. (2006). Family structure and substance use problems in adolescence and early adulthood: Examining explanations for the relationship. Addiction, 101, 109–120. doi:10.1111/j.1360-0443.2005.01296.x.

    Article  PubMed  Google Scholar 

  • Bell, R. M., Ellickson, P. L., & Harrison, E. R. (1993). Do drug prevention effects persist into high school? How project ALERT did with ninth graders. Preventative Medicine, 22, 463–483.

    Article  CAS  Google Scholar 

  • Bernard, M. E. (2004). Emotional resilience in children: Implications for rational-emotive education. Journal of Cognitive and Behavioral Psychotherapies, 4, 39–52.

    Google Scholar 

  • Bogenschneider, K. (1996). An ecological risk/protective theory for building prevention programs, policies, and community capacity to support youth. Family Relations, 45, 127–138.

    Article  Google Scholar 

  • Botvin, G. J. (1990). Substance abuse prevention: Theory, practice and effectiveness. Crime and Justice: A Review of Research, 13, 461–519.

    Article  Google Scholar 

  • Botvin, G. J., & Griffin, K. W. (2007). School-based programs to prevent alcohol, tobacco and other drug use. International Review of Psychiatry, 19, 607–615. doi:10.1080/09540260701797753.

    Article  PubMed  Google Scholar 

  • Brook, J. S., Lukoff, I. F., & Whiteman, M. (1980). Initiation into adolescent marijuana use. The Journal of Genetic Psychology: Research and Theory on Human Development, 137, 133–142.

    CAS  Google Scholar 

  • Brook, J. S., Brook, D. W., Gordon, A. S., Whiteman, M., & Cohen, P. (1990). The psychosocial etiology of adolescent drug use: A family interactional approach. Genetic, Social, and General Psychology Monographs, 116, 111–267.

    PubMed  CAS  Google Scholar 

  • Caliendo, M., & Kopeinig, S. (2005). Some practical guidance for the implementation of propensity score matching. Paper 1588. Institute for the Study of Labor, IZA.

  • Castro, F. G., & Alarcón, E. H. (2002). Integrating cultural variables into drug abuse prevention and treatment with racial/ethnic minorities. Journal of Drug Issues, 32, 783–810.

    Article  Google Scholar 

  • Cleveland, M. J., Feinberg, M. F., Bontempo, D. E., & Greenberg, M. T. (2008). The role of risk and protective factors in substance use across adolescence. Journal of Adolescent Health, 43, 157–164.

    Article  PubMed  Google Scholar 

  • Coatsworth, J. D., Pantin, H., & Szapocznik, J. (2002). Familias Unidas: A family-centered ecodevelopmental intervention to reduce risk for problem behavior among Hispanic adolescents. Clinical Child and Family Psychology Review, 5, 113–132. doi:10.1023/A:1015420503275.

    Article  PubMed  Google Scholar 

  • D’Agostino, R. B. (1998). Tutorial in biostatistics: Propensity score methods for bias reduction in the comparison of a treatment to a non-randomized control group. Statistics in Medicine, 17, 2265–2281.

    Article  PubMed  Google Scholar 

  • Eggert, L. L., Thompson, E. A., Herting, J. R., & Nicholas, L. J. (1994). Prevention research program: Reconnecting at-risk youth. Issues in Mental Health Nursing, 15, 107–135.

    Article  PubMed  CAS  Google Scholar 

  • Ellickson, P. L., Bell, R. N., & McGuigan, K. (1993). Preventing adolescent drug use: Long-term results of a junior high program. American Journal of Public Health, 83, 856–861. doi:10.2105/AJPH.83.6.856.

    Article  PubMed  CAS  Google Scholar 

  • Ellickson, P. L., Tucker, J. S., Klein, D. J., & McGuigan, K. A. (2001). Prospective risk factors for alcohol misuse in late adolescence. Journal of Studies on Alcohol and Drugs, 62, 773–782.

    CAS  Google Scholar 

  • Escobar, J. I. (1998). Immigration and mental health: Why are immigrants better off? Archives of General Psychiatry, 55, 781–782. doi:10.1001/archpsyc.55.9.781.

    Article  PubMed  CAS  Google Scholar 

  • Farrington, D. P., Gallagher, B., Morley, L., Ledger, R. J., & West, D. J. (1985). Cambridge study in delinquent development: Long term follow-up (First annual report to the home office, August 31, 1985). Cambridge, England: Cambridge University.

    Google Scholar 

  • Frisco, M. L., Muller, C., & Frank, K. (2007). Parents’ union dissolution and adolescents’ school performance: Comparing methodological approaches. Journal of Marriage and Family, 69, 721–741. doi:10.1111/j.1741-3737.2007.00402.x.

    Article  PubMed  Google Scholar 

  • Fuchs, D., & Fuchs, L. S. (2006). Introduction to response to intervention: What, why, and how valid is it? Reading Research Quarterly, 41, 93–99. doi:10.1598/RRQ.41.1.4.

    Article  Google Scholar 

  • Gil, A. G., & Vega, W. A. (2001). Latino drug use: Scope, risk factors, and reduction strategies. In C. W. M. Aguirre-Molina & R. E. Zambrana (Eds.), Health issues in the Latino community (pp. 435–458). San Franscisco, CA: Jossey-Bass.

    Google Scholar 

  • 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, 443–458. doi:10.10002/1520-6629(200007)28:4<443::AID-JCOP6>3.0CO;2-A.

    Article  Google Scholar 

  • Gitterman, A., & Schulman, L. (2005). Mutual aid groups, vulnerable and resilient populations, and the life cycle. New York: Columbia University Press.

    Google Scholar 

  • Gosin, M., Marsiglia, F. F., & Hecht, M. L. (2003). keepin’ it REAL: A drug resistance curriculum tailored to the strengths and needs of preadolescents of the southwest. Journal of Drug Education, 33, 119–142. doi:10.2190/DXB9-1V2P-C27J-V69V.

    Article  PubMed  Google Scholar 

  • Gottfredson, D. C., & Wilson, D. B. (2003). Characteristics of effective school-based substance abuse prevention. Prevention Science, 4, 27–38. doi:10.1023/A:1021782710278.

    Article  PubMed  Google Scholar 

  • Grant, B. F., & Dawson, D. A. (1998). Age of onset of drug use and its association with DSM-IV drug abuse and dependence: Results from the National Longitudinal Alcohol Epidemiologic Survey. Journal of Substance Abuse, 10, 163–173.

    Article  PubMed  CAS  Google Scholar 

  • Guo, S., & Fraser, M. W. (2010). Propensity score analysis: Statistical methods and applications. Pyschometrika, 75, 775–777.

    Article  Google Scholar 

  • Guo, S., Barth, R. P., & Gibbons, C. (2006). Propensity score matching strategies for evaluating substance abuse services for child welfare clients. Children and Youth Services Review, 28, 357–383.

    Article  Google Scholar 

  • Hair, E. C., Jager, J., & Garrett, S. B. (2002). Helping teens develop healthy social skills and relationships: What the research shows about navigating adolescents. Washington, DC: Child Trends.

    Google Scholar 

  • Hayatbakhsh, M. R., Mamun, A. A., Najman, J. M., O'Callaghan, M., Bor, W., & Alati, R. (2008). Early childhood predictors of early substance use and substance use disorders: Prospective study. The Australian and New Zealand Journal of Psychiatry, 42, 720–731. doi:10.1080/0004867080220634.

    Article  PubMed  Google Scholar 

  • Hecht, M. L., Marsiglia, F. F., Elek, E., Wagstaff, D. A., Kulis, S., & Dustman, P. (2003). Culturally grounded substance use prevention: An evaluation of the keepin’ it REAL curriculum. Prevention Science, 4, 233–248. doi:10.1023/A:1026016131401.

    Article  PubMed  Google Scholar 

  • Johnson, C., Pentz, M. A., Weber, M. D., Dwyer, J. H., Baer, N., MacKinnon, D. P., et al. (1990). Relative effectiveness of comprehensive community programming for drug abuse prevention with high-risk and low-risk adolescents. Journal of Consulting and Clinical Psychology, 58, 447–456. doi:10.1037/0022-006X.58.4.447.

    Article  PubMed  CAS  Google Scholar 

  • Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2010). Monitoring the Future national results on adolescent drug use: Overview of key findings 2009 (NIH publication No. 10–7583). Bethesda, MD: National Institute on Drug Abuse.

    Google Scholar 

  • Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2011). Monitoring the Future national results on adolescent drug use: Overview of key findings, 2010. Ann Arbor: Institute for Social Research, The University of Michigan.

    Google Scholar 

  • Josephson, E., & Rosen, M. A. (1978). Panel loss in a high school drug study. In D. Kandel (Ed.), Longitudinal research on drug use: Empirical findings and methodological issues (pp. 115–133). Washington, DC: Hemisphere.

    Google Scholar 

  • Kandel, D. B., Dabies, M., Karus, D., & Yamaguchi, K. (1986). The consequences in young adulthood and adolescent drug involvement: An overview. Archives of General Psychiatry, 43, 746–754.

    Article  PubMed  CAS  Google Scholar 

  • Koh, E., & Testa, M. F. (2008). Propensity score matching of children in kinship and nonkinship foster care: Do permanency outcomes still differ? Social Work Research, 32, 105–116.

    Article  Google Scholar 

  • Kulis, S., Marsiglia, F. F., & Nieri, T. (2009). Perceived ethnic discrimination versus acculturation stress: Influences on substance use among Latino youth in the Southwest. Journal of Health and Social Behavior, 50, 443–459. doi:10.1177/002214650905000405.

    Article  PubMed  Google Scholar 

  • La Roche, M. J., & Christopher, M. S. (2009). Changing paradigms from empirically supported treatment to evidence-based practice: A cultural perspective. Professional Psychology: Research and Practice, 40, 396–402. doi:10.1037/a0015240.

    Article  Google Scholar 

  • Lee, J. A. B. (1986). Seeing it whole: Social work with groups within an integrative perspective. Social Work with Groups, 8, 39–50. doi:10.1300/J009v08n04_05.

    Article  Google Scholar 

  • Little, R. J. A., & Rubin, D. B. (2002). Statistical analysis with missing data (2nd ed.). Hoboken NJ: Wiley.

    Google Scholar 

  • Lloyd-Richarson, E., Papandonatos, G., Kazura, A., Shanton, C., & Niaura, R. (2002). Differentiating stages of smoking intensity among adolescents: Stage-specific psychological and social influences. Journal of Consulting and Clinical Psychology, 70, 998–1009. doi:10.1037/0022-006X.70.4.998.

    Article  Google Scholar 

  • Marklein, E., Negriff, S., & Dorn, L. D. (2009). Pubertal timing, friend smoking and substance use in adolescents girls. Prevention Science, 10, 141–150. doi:10.1007/s11121-008-0120-y.

    Article  PubMed  Google Scholar 

  • Marsiglia, F. F., & Kulis, S. (2009). Diversity, oppression, and change: Culturally grounded social work. Chicago, IL: Lyceum Books.

    Google Scholar 

  • 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. doi:10.1081/JA-120038030.

    Article  Google Scholar 

  • Marsiglia, F. F., Kulis, S., Wagstaff, D. A., Elek, E., & Dran, D. (2005). Acculturation status and substance use prevention with Mexican and Mexican American youth. Journal of Social Work Practice in the Addictions, 5, 85–111. doi:10.1300/J160v05n01_05.

    Article  PubMed  Google Scholar 

  • Marsiglia, F. F., Peña, V., Nieri, T., & Nagoshi, J. L. (2010). REAL groups: The design and immediate effects of a prevention intervention for Latino children. Social Work With Groups, 33, 103–121. doi:10.1080/01609510903366202.

    Article  PubMed  Google Scholar 

  • Marsiglia, F. F., Kulis, S., Yabiku, S. T., Nieri, T. A., & Coleman, E. (2011). When to intervene: Elementary school, middle school or both? Effects of keepin’ it REAL on substance use trajectories of Mexican heritage youth. Prevention Science, 12, 48–62. doi:10.1007/s11121-010-0189-y.

    Article  PubMed  Google Scholar 

  • Martinez, C. R. (2006). Effects of differential family acculturation on Latino adolescent substance use. Family Relations, 55, 306–317. doi:10.1111/j.1741-3729.2006.00404.x.

    Article  Google Scholar 

  • Masten, A. S., & Coatsworth, J. D. (1998). The development of competence in favorable and unfavorable environments: Lessons from research on successful children. American Psychologist, 53, 205–220. doi:10.1037/0003-066X.53.2.205.

    Article  PubMed  CAS  Google Scholar 

  • Moffit, T. E. (1993). Adolescent-limited and life-course persistent antisocial behavior: A developmental taxonomy. Psychological Review, 100, 674–701. doi:10.1037/0033-295X.100.4.674.

    Article  Google Scholar 

  • Oakes, J. M., & Johnson, P. J. (2006). Propensity score matching for social epidemiology. In J. M. Oakes & J. S. Kaufman (Eds.), Methods in social epidemiology (pp. 370–392). San Francisco, CA: Jossey-Bass.

    Google Scholar 

  • Pantin, H., Coatsworth, J. D., Feaster, D. J., Newman, F. L., Briones, E., Prado, G., et al. (2003). Familias Unidas: The efficacy of an intervention to promote parental investment in Hispanic immigrant families. Prevention Science, 4, 189–201. doi:10.1023/A:1024601906942.

    Article  PubMed  Google Scholar 

  • Pew Hispanic Center. (2010). Hispanics of Mexican origin in the United States, 2008. Retrieved May 17, 2011, from http://pewhispanic.org/files/factsheets/59.pdf

  • Phinney, J. S., Baumann, K., & Blanton, S. (2001). Life goals and attributions for expected outcomes among adolescents from five ethnic groups. Hispanic Journal of Behavioral Sciences, 23, 363–377. doi:10.1177/0739986301234002.

    Article  Google Scholar 

  • Phinney, J. S., Horenczyk, G., Liebkind, K., & Vedder, P. (2001). Ethnic identity, immigration, and well-being: An interactional perspective. Journal of Social Issues, 57, 493–510. doi:10.1111/0022-4537.00225.

    Article  Google Scholar 

  • Phinney, J. S., Romero, I., Nava, M., & Huang, D. (2001). The role of language, parents, and peers in ethnic identity among adolescents in immigrant families. Journal of Youth and Adolescence, 30, 135–153. doi:10.1023/A:1010389607319.

    Article  Google Scholar 

  • Robertson, E. B., David, L. S., & Rao, S. (2003). Preventing drug use among children and adolescents, A research-based guide for parents, educators, and community leaders (2nd ed.). Bethesda, MD: National Institute on Drug Abuse.

    Google Scholar 

  • Rosnbaum, P. R., & Rubin, D. B. (1983). The central role of the propensity score in observational studies for causal effects. Biometrika, 70, 41–55. doi:10.1093/biomet/70.1.41.

    Article  Google Scholar 

  • Rubin, D. B. (1987). Multiple imputation for nonresponse in surveys. New York: Wiley & Sons.

    Book  Google Scholar 

  • Rubin, D. B. (2001). Using propensity scores to help design observational studies: Application to the tobacco litigation. Health Services and Outcomes Research Methodology, 2, 169–188. doi:10.1023/A:1020363010465.

    Article  Google Scholar 

  • [SAMHSA] Substance Abuse and Mental Health Services Administration. (2003). Science-based prevention programs and principles, 2002. Rockville, MD: U.S. Department of Health and Human Services.

    Google Scholar 

  • Santisteban, D. A., Coatsworth, J. D., Perez-Vidal, A., Mitrani, V., Jean-Gilles, M., & Szapocznik, J. (1997). Brief structural/strategic family therapy with African and Hispanic high-risk youth. Journal of Community Psychology, 25, 453–471.

    Article  Google Scholar 

  • Santisteban, D. A., Perez-Vidal, A., Coatsworth, J. D., Kurtines, W. M., Schwartz, S. J., LaPerriere, A., et al. (2003). Efficacy of brief strategic family therapy in modifying Hispanic adolescent behavior problems and substance use. Journal of Family Psychology, 17, 121–133. doi:10.1037/0893-3200.17.1.121.

    Article  PubMed  Google Scholar 

  • Sartor, C. E., Lynskey, M. T., Heath, A. C., Jacob, T., & True, W. (2007). The role of childhood risk factors in initiation of alcohol use and progression to alcohol dependence. Addiction, 102, 216–225. doi:10.1111/j.1360-0443.2006.01661.x.

    Article  PubMed  Google Scholar 

  • Schinke, S. P., Fang, L., & Cole, K. C. A. (2008). Substance use among early adolescent girls: Risk and protective factors. Journal of Adolescent Health, 43, 191–194.

    Article  PubMed  Google Scholar 

  • Senel, T., Kemal, Y., Aylin, Y., Ozmen, M., Milgun, B., & Pervin, E. (2004). Psychosocial correlates of substance use among adolescents in Mersin, Turkey. Public Health, 118, 588–593. doi:10.1016/j.puhe.2004.02.009.

    Article  Google Scholar 

  • Shadish, W. R., Cook, T. D., & Campbell, D. T. (2002). Experimental and quasi-experimental designs for generalized causal inference. Boston, MA: Houghton Mifflin.

    Google Scholar 

  • Spijkerman, R., Van, D. E., Overbeek, G., & Engels, R. C. M. E. (2007). The impact of peer and parental norms and behavior on adolescent drinking: The role of drinker prototypes. Psychology & Health, 22, 7–29. doi:10.1080/14768320500537688.

    Article  Google Scholar 

  • Stanton-Salazar, R. D. (2001). Manufacturing hope and despair: The school and kin support networks of U.S.-Mexican youth. New York: Teachers College Press.

    Google Scholar 

  • Stanton-Salazar, R. D., & Spina, S. U. (2003). Informal mentors and role models in the lives of urban Mexican-origin adolescents. Anthropology & Education Quarterly, 34, 231–254. doi:10.1525/aeq.2003.34.3.23.

    Article  Google Scholar 

  • Stanton-Salazar, R. D., & Spina, S. U. (2005). Adolescent peer networks as a context for social and emotional support. Youth & Society, 36, 379–417. doi:10.1177/0044118X04267814.

    Article  Google Scholar 

  • StataCorp. (2009). Stata statistical software: Release 10. College Station, TX: StataCorp LP.

    Google Scholar 

  • Steinberg, L., & Morris, A. (2001). Adolescent development. Annual Review of Psychology, 52, 83–110. doi:0066-4308/01/0201-0083$14.00.

    Article  PubMed  CAS  Google Scholar 

  • Stuart, R. B. (1974). Teaching facts about drugs: Pushing or preventing. Journal of Educational Psychology, 66, 189–201. doi:10.1037/h0036275.

    Article  PubMed  CAS  Google Scholar 

  • Timberlake, D. S., Huh, J., & Lakon, C. M. (2009). Use of propensity score matching in evaluating smokeless tobacco as a gateway to smoking. Nicotine & Tobacco Research, 11, 455–462.

    Article  Google Scholar 

  • Tobler, N. S. (1986). Meta-analysis of 143 adolescent drug prevention programs: Quantitative outcome results of program participants compared to a control or comparison group. Journal of Drug Issues, 16, 537–567. doi:10.1093/ntr/ntp008.

    Google Scholar 

  • Urberg, K., Goldstein, M. S., & Toro, P. A. (2005). Supportive relationships as a moderator of the effects of parent and peer drinking on adolescent drinking. Journal of Research on Adolescence, 15, 1–19. doi:10.1111/j.1532-7795.2005.00084.x.

    Article  Google Scholar 

  • Vega, W., & Gil, A. (1999). A model for explaining drug use behavior among Hispanic adolescents. In M. De La Rosa, B. Segal, & R. Lopez (Eds.), Conducting drug abuse research with minority populations: Advances and issues (pp. 57–74). Binghamton, NY: Haworth Press.

    Google Scholar 

  • Walker, H. M., & Shinn, M. R. (2002). Structuring school-based interventions to achieve integrated primary, secondary, and tertiary prevention goals for safe and effective schools. In M. R. Shinn, H. M. Stonner, & H. G. Walker (Eds.), Interventions for academic and behavior problems II: Preventive and remedial approaches (pp. 1–26). Bethesda, MD: NASP Publications.

    Google Scholar 

  • Walker, H. M., Horner, R. H., Sugai, G., Bullis, M., Sprague, J. R., Bricker, D., et al. (1996). Integrated approaches to preventing antisocial behavior patterns among school-age children and youth. Journal of Emotional and Behavioral Disorders, 4, 194–209. doi:10.1177/106342669600400401.

    Article  Google Scholar 

  • Wills, T. A., Mariani, J., & Filer, M. (1996). The role of family and peer relationships in adolescent substance use. In G. R. Pierce, B. R. Sarason, & I. G. Sarason (Eds.), Handbook of social support and the family (pp. 521–549). New York: Plenum.

    Google Scholar 

  • Wilson, D. B., Gottfredson, D. C., & Najaka, S. S. (2001). School-based prevention of problem behaviors: A meta-analysis. Journal of Quantitative Criminology, 17, 247–272. doi:10.1023/A:1011050217296.

    Article  Google Scholar 

  • Zamboanga, B. L., Schwartz, S. J., Ham, L. S., Jarvis, L. H., & Olthuis, J. V. (2009). Do alcohol expectancy outcomes and valuations mediate peer influences and lifetime alcohol use among early adolescents? The Journal of Genetic Psychology, 170, 359–376. doi:10.1080/00221320903218380.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The National Institute on Drug Abuse (R01 DA05629, M.L. Hecht, PI) supported the development of the intervention and data collection. Data analysis and manuscript development activities were conducted with support from the National Center on Minority Health and Health Disparities (P20 MD002316-4, F. F. Marsiglia, PI). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute on Drug Abuse, the National Center on Minority Health and Health Disparities or the National Institutes of Health.

Author information

Authors and Affiliations

  1. Southwest Interdisciplinary Research Center, Arizona State University, 411 North Central Avenue, Suite 720, Phoenix, AZ, 85004, USA

    Flavio F. Marsiglia, Stephanie Ayers, Bonnie Gance-Cleveland, Kathleen Mettler & Jaime Booth

  2. School of Social Work, College of Public Programs, Arizona State University, Phoenix, AZ, USA

    Flavio F. Marsiglia & Jaime Booth

  3. College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA

    Bonnie Gance-Cleveland

  4. Paradise Valley School District, Phoenix, AZ, USA

    Kathleen Mettler

Authors
  1. Flavio F. Marsiglia
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Stephanie Ayers
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Bonnie Gance-Cleveland
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Kathleen Mettler
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jaime Booth
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Flavio F. Marsiglia.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Marsiglia, F.F., Ayers, S., Gance-Cleveland, B. et al. Beyond Primary Prevention of Alcohol Use: A Culturally Specific Secondary Prevention Program for Mexican Heritage Adolescents. Prev Sci 13, 241–251 (2012). https://doi.org/10.1007/s11121-011-0263-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11121-011-0263-0

Keywords

Search

Navigation