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Web End = J Immigrant Minority Health (2015) 17:16071614 DOI 10.1007/s10903-015-0161-9
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Web End = Acculturation and Drug Use Stigma Among Latinosand African Americans: An Examination of a Church-Based Sample
Karen R. Flrez Kathryn Pitkin Derose Joshua Breslau
Beth Ann Grifn Ann C. Haas David E. Kanouse
Brian D. Stucky Malcolm V. Williams
Published online: 23 January 2015 Springer Science+Business Media New York 2015
Abstract Substance use patterns among Latinos likely reect changes in attitudes resulting from acculturation, but little is known about Latinos attitudes regarding drug addiction. We surveyed a church-based sample of Latinos and African Americans (N = 1,235) about attitudes toward drug addiction and socio-demographics. Linear regression models compared Latino subgroups with African-Americans. In adjusted models, Latinos had signicantly higher drug addiction stigma scores compared to African Americans across all subgroups (US-born Latinos, b = 0.22, p \ .05; foreign-born Latinos with high English prociency, b = 0.30, p \ .05; and foreign-born Latinos with low English prociency, b = 0.49, p \ .001). Additionally, Latinos with low English prociency had signicantly higher mean levels of drug use stigma compared Latinos with high prociency (both foreign-born and US-born). In this church-afliated sample, Latinos drug addiction stigma decreases with acculturation, but remains higher among the most acculturated Latinos compared to African-Americans. These attitudes may pose a barrier to treatment for Latino drug users.
Keywords Drug addiction stigma Acculturation
Church-based sample Latinos African Americans
Introduction
Migration to the United States appears to have a signicant inuence on the substance use patterns of Latino immigrants. Longer residence in the United States (US) is consistently associated with higher risk for substance use and substance use disorders across Latino samples encompassing different ages and countries of origin (e.g., Mexicans) [15]. Indeed, migration appears to be such a powerful predictor of substance use and abuse that it continues to shape migrants substance use behavior even after they return to their country of origin, and even among persons who never migrated but have family members that did. For example, several studies using large representative...