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Understanding alcohol use among U.S. Cambodians: how useful is the concept of cultural norms?
Anna Pagano1, Juliet P Lee, Talaya Sin
11Institute for Health Policy Studies, UC San Francisco School of Medicine, San Francisco, California, USA.
Abstract:
Observed differences in substance use are frequently attributed to cultural norms, which in turn are often interpreted as fixed properties of ethnically defined groups. During a community-based participatory research study (2009-2011), U.S. Cambodian women identified community-specific drinking behaviors and beliefs. To test how widely other U.S. Cambodians shared their views, we formulated them into a series of normative statements and surveyed local community members (N = 172). We identified few consensualized norms, which suggests that (A) norms may not be reducible to normative statements; and/or (B) norms may not be shared by all group members; and (C) if neither A nor B holds, then the attribution of observed drinking patterns to cultural norms lacks internal validity. Study's limitations were noted.
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