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Hispanic Subgroups, Acculturation, and Substance Abuse Treatment Outcomes
Karen G Chartier1, Tom Carmody2, Maleeha Akhtar3
1Virginia Commonwealth University School of Social Work, 1000 Floyd Avenue, PO Box 842027, Richmond, VA 23284, USA; Virginia Commonwealth University School of Medicine, Department of Psychiatry, Richmond, VA, USA.
Journal of Substance Abuse Treatment
|September 13, 2015
Summary
Acculturation impacts substance use treatment outcomes for Hispanic subgroups. Cultural connection and English use may affect retention and abstinence rates.
Area of Science:
- Addiction research
- Health services research
- Cultural psychiatry
Background:
- Hispanic Americans exhibit diverse substance use patterns.
- Acculturation is a key factor influencing health outcomes in minority populations.
- Understanding subgroup differences is crucial for tailored treatment.
Purpose of the Study:
- To examine Hispanic subgroup variations in substance use treatment.
- To investigate the association between acculturation and treatment outcomes.
- To compare motivational enhancement therapy with treatment as usual.
Main Methods:
- Multisite randomized clinical trial.
- Inclusion of Cuban American, Mexican American, and Puerto Rican participants.
- Assessment of treatment retention and abstinence rates.
Main Results:
- Cuban Americans and those more connected to Hispanic culture showed lower retention.
- US-born Hispanics and English speakers had lower abstinence rates (weeks 5-16).
- Puerto Ricans born in the US and Cuban Americans with longer US residency had better early abstinence.
Conclusions:
- Acculturation significantly influences substance use treatment outcomes among Hispanic subgroups.
- Specific acculturation factors correlate with varying treatment retention and abstinence.
- Findings suggest the need for culturally sensitive, individualized treatment approaches.
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