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Psychosocial Factors
Associated With
Recent Alcohol Use
Among Hispanic Youth
Abstract
A total of 946 Hispanic students in 7th to 12th grade in Greater Cincinnati
schools (N = 133) completed a survey assessing factors associated with
recent alcohol use. Results indicated that 24.5% used alcohol in the past
month. Males were more likely than females to recently use alcohol. A
series of odds ratios revealed that frequent church attendance, making
good grades, and having parents/teachers frequently talk and set/enforce
rules regarding alcohol use were associated with decreased recent alcohol
use. Frequent participation in risky behaviors was directly related to recent
alcohol use. Ongoing parent, teacher, and school communication and the
consistent setting and enforcement of rules should be encouraged. Findings
may be beneficial to prevention specialists developing programs targeting
Hispanic youth. Future studies should seek to identify specific activities
within the family, school, and community that help deter alcohol use among
this population.
Keywords
Hispanic, adolescent, alcohol, protective factor, parent
Corresponding Author:
Keith A. King, Health Promotion and Education Program, University of Cincinnati,
ML 0068, 526 TC, Cincinnati, OH 45221-0068, USA
Email: keith.king@uc.edu
471
Introduction
Alcohol use and abuse is a significant public health problem among Hispanic
youth (Substance Abuse and Mental Health Services Administration, 2006).
Data from the most recent Youth Risk Behavior Survey (Centers for Disease
Control and Prevention, 2008) revealed that 77.9% of Hispanic youth reported
having consumed alcohol in their lifetime, compared with 76.1% of White
and 69.1% of African American youth. Regarding current use of alcohol,
nearly half (47.6%) of the Hispanic youth reported using alcohol in the 30 days
prior to the survey, compared with 47.3% of White and 34.5% of African
American youth. In addition, 28.3% of Hispanic males and 25.3% of Hispanic
females reported current episodic heavy drinking. Greater than one in four
(28.0%) Hispanic youth reported drinking alcohol before the age of 13 years.
Data from Monitoring the Future survey indicated that Hispanic youth
are more likely than White youth to initiate early alcohol use (Johnston
et al., 2008). Early age of initiation has been correlated to increased
involvement in violence, delinquency, suicide, and later alcohol abuse (Hingson,
Heeren, & Winter, 2006; McGue, Iacono, Legrand, Malone, & Elkins, 2001;
Swahn & Bossarte, 2007; Wu et al., 2004). Youth who begin drinking before
14 years of age are four times more likely to develop alcohol abuse and
dependence than individuals who begin drinking at 21 years of age (Grant &
Dawson, 1997).
Risk factors for youth alcohol use are numerous and exist on multiple
levels. Among Hispanic youth, low self-esteem, aggressive behaviors, and
high rates of delinquency are individual factors identified that contribute to
alcohol use (Bossarte & Swahn, 2008; Hawkins, Catalano, & Miller, 1992).
Youth are at higher risk for alcohol use if their parents use alcohol (Wickrama,
Conger, Wallace, & Elder, 1999) and if there are low levels of parental monitoring and parental involvement (Coatsworth, Pantin, & Szapocznik, 2002).
Regarding the impact of peers, associating with peers who use alcohol tends
to increase youth alcohol use (Pettit, Bates, Dodge, & Meece, 1999).
Regarding protective factors, family connectedness is a leading protective
factor against youth alcohol use (Resnick et al., 1997). This is especially true
among Hispanic youth wherein the family and perceived family closeness
are essential (Sale et al., 2005). High levels of parental supervision and
parental support are strongly associated with decreases in alcohol consumption among Hispanic youth (Bossarte & Swahn, 2008; Brook, Whiteman,
Gordon, Nomura, & Brook, 1985; Griffin, Botvin, Scheier, Diaz, & Miller,
2000). Parental disapproval of alcohol use and negative attitudes toward
underage drinking are additional family-based protective factors (Ellickson &
Hays, 1991). Among Hispanic youth, parental respect also plays an important
472
role in reducing alcohol initiation (Gil, Wagner, & Vega, 2000). Regarding
peers, perceiving few peers as alcohol users and having peers who disapprove of alcohol use tend to protect Hispanic youth from alcohol consumption (Bossarte & Swahn, 2008; DAmico & McCarthy, 2006; Hawkins et al.,
1997). Within the school, positive attitudes toward school, involvement in
school activities, and high levels of connectedness to school are correlated
with decreased alcohol use (Hawkins et al., 1997).
A primary aim of this study was to investigate the relationship between
recent alcohol use and Hispanic student involvement in prosocial behaviors
and risky behaviors. Although previous studies have identified risk and protective factors for alcohol use among general populations (Hawkins et al.,
1992), gaps in the research exist concerning Hispanic youth. Although
Hispanic youth are at risk for early onset of alcohol use, little is known
regarding specific risk and resiliency factors among this population (Torres,
Stone, & Meyler, 2007).
The present study sought to address these gaps and subsequently provide
prevention specialists with culturally specific information that could be used
in tailoring programs targeting Hispanic youth. The study purpose was to
examine recent alcohol use and potential risk and protective factors among
Hispanic youth in 7th through 12th grades. The following research questions were examined:
Research Question 1: What percentage of Hispanic students are
involved in recent alcohol use?
Research Question 2: Does recent alcohol use among Hispanic students differ based on gender, grade, and job status?
Research Question 3: Does frequency of participation in pro-social
behaviors decrease the odds for recent alcohol use?
Research Question 4: Does frequency of participation in risky behaviors increase the odds for recent alcohol use?
Research Question 5: Does frequency of friends involvement in substance use increase the odds for recent alcohol use?
Research Question 6: Do specific parent, teacher, and school factors
affect recent alcohol use?
Method
Participants
Participants of this study were 7th through 12th grade students (N = 946) in
133 public and private schools in the Greater Cincinnati area. Schools were
473
recruited by the Coalition for a Drug Free Greater Cincinnati. School and
student participation was voluntary. If parents did not wish to have their child
participate, then the child was excluded from the survey. All responses were
anonymous and confidential. Regarding ethnicity, all students in this study
self-identified themselves as Hispanic. No additional questions regarding
Hispanic status and country of origin were asked (i.e., Mexican, Puerto
Rican, Central American, South American, etc.).
Procedures
Students were administered the surveys in their classrooms after being
informed of the study purpose, voluntary nature of the survey, confidentiality
of responses, and importance of providing honest answers. Every student in
school on the day of survey administration was given a survey to complete.
Students were instructed to skip items that they did not wish to answer. Survey
administrators remained at the front of the room and refrained from looking at
students surveys while they completed them, so as to avoid any student suspicion. Once surveys were completed, students placed them in an envelope.
Teachers subsequently turned in the envelope of completed surveys to the
office staff to be sent out for data entry and analysis.
Instrument
The Pride Survey for Grades 6 to 12 was administered to students. The
following survey sections were used: (a) personal/family information,
(b) student information (involvement in prosocial behaviors and risky behaviors), (c) frequency of alcohol use, and (d) age at first alcohol use (age of
initiation). Stability reliability of the survey was established by distributing the survey on two occasions to a sample of students (N = 631) 1 week
apart and yielded the following Pearson correlation coefficient ranges:
.814 to .851 (Frequency of alcohol use), .802 to .842 (Age at first alcohol
use), and .578 to .825 (Student Information; Metze, 2000). Adams (1994)
validated this survey by comparing PRIDE results with those of the Monitoring the Future survey and found alcohol use rates to be similar with
PRIDE estimates. Craig and Emshoff (1987) found the survey to be valid
and reliable with percentage of agreements more than 80% on most variables.
This survey was written in English and previously pilot-tested among students
and a panel of experts to ensure readability among students. Recommended revisions and wording changes were incorporated into the final
survey instrument.
474
Percentage
439
414
51.5
48.5
157
154
167
166
139
139
17.0
16.7
18.1
18.0
15.1
15.1
545
143
25
111
22
81
58.8
15.4
2.7
12.0
2.4
8.7
36
233
610
4.1
26.5
69.4
Data Analysis
Data were entered and analyzed using the SPSS statistical software package.
Frequency distributions, means, standard deviations, and ranges were used to
describe the demographic and background characteristics of students. Chisquare analyses were performed to determine whether recent alcohol use
differed significantly based on nonparametric demographic variables. Odds
ratios were computed to answer research questions three through six. The
alpha level of significance was set at .05.
Results
A total of 946 Hispanic students in participating Greater Cincinnati schools
(N = 133) completed the survey (77.4% overall response rate). Of these students, 51.5% were male and 48.5% were female (Table 1). The sample was
475
equally distributed across grades. Most students (58.8%) reported living with
their mother and father. Regarding job status, two thirds of students (69.4%)
were unemployed.
476
52.416
141.131
163.711
155.018
362.468
55 (53.4)
66 (71.0)
67 (75.3)
68 (74.7)
107 (87.0)
162 (60.0)
116 (77.9)
48 (46.6)
27 (29.0)
22 (24.7)
23 (25.3)
16 (13.0)
108 (40.0)
33 (22.1)
318.955
283.723
50.366
2.536
1.340
1.207
17.398
120 (20.8)
82 (27.3)
53 (22.6)
42 (22.1)
77 (19.3)
c2
458 (79.2)
218 (72.7)
181 (77.4)
148 (77.9)
322 (80.7)
<.001
<.001
0.100, 0.290
0.938, 1.848
0.563, 1.160
0.544, 1.187
0.337, 0.679
95% CI
.170
1.317
.808
.804
.478
OR
<.001
<.001
<.001
<.001
<.001
<.001
.111
.247
.272
<.001
Note. OD = odds ratio; CI = confidence interval. ODs for recent alcohol use comparing students involved in prosocial and risky behaviors often/a lot
versus never/seldom.
Prosocial behaviors
Make good grades (often/a lot)
Take part in school sports teams (often/a lot)
Take part in school activities and clubs (often/a lot)
Take part in community activities (often/a lot)
Attend church, synagogue, etc. (often/a lot)
Risky behaviors
Get into trouble at school (often/a lot)
Skipped school in the past year (often/a lot)
Been in trouble with the police (often/a lot)
Take part in gang activities (often/a lot)
Have you had five or more glasses of alcohol
within a few hours (often/a lot)
In the past 3 months, have you been at a party
where alcohol was available (often/a lot)
In the past 3 months, have you been at a party
where marijuana was available (often/a lot)
Involvement in Behaviors
Table 2. Recent Alcohol Use and Involvement in Prosocial Behaviors and Risky Behaviors
477
Discussion
The present study found that 24.5% of Hispanic students reported using alcohol in the past month with an average age of alcohol initiation of 12.6 years.
Hispanic students tend to be disproportionately affected by recent alcohol use
with a younger age of initiation than non-Hispanic White students (Johnston,
OMalley, Bachman, & Schulenberg, 2008). Early alcohol initiation is of
serious concern since adolescent brains are vulnerable to alcohol effects and
dependency (Chambers, Taylor, & Potenza, 2003; Grant & Dawson, 1997).
Thus, it is critical to deliver effective prevention messages early.
Males in this study were significantly more likely than females to have
recently used alcohol. Many Hispanic youth feel that it is culturally appropriate for males to drink alcohol while females are expected to fulfill traditional
female roles and refrain from alcohol use (Caetano & Kaskutas, 1995; Casas,
Wagenheim, Banchero, & Mendoza-Romero, 1994; Raffaelli & Ontai, 2004;
Torres Stone & Meyler, 2007; Vega, Alderete, Kolody, & Aguilar-Gaxiola,
2000). Such information should be used in prevention programs.
Employed students in this study were more likely than unemployed students
to have used alcohol in the past month. Previous research among general populations has shown youth employment to be correlated with increased alcohol
use (McMorris & Uggen, 2000). Being employed may compromise close family relationships (Paternoster, Bushway, Brame, & Apel, 2003), increase stress,
and provide disposable income, which may contribute to increased alcohol use.
Additional studies are needed to further explore this issue.
Frequent involvement in prosocial behaviors, such as attending a religious institution and making good grades, was associated with decreased
478
26.487
24.386
112 (17.9)
77 (22.1)
55 (17.6)
139 (21.3)
514 (82.1)
272 (77.9)
257 (82.4)
513 (78.7)
9.125
52.112
62.013
66 (14.8)
381 (85.2)
289.523
249.992
224.783
c2
156 (61.2)
137 (62.0)
123 (63.4)
Used in Past
Month, n (%)
99 (38.8)
84 (38.0)
71 (36.6)
0.386
0.385
<.001
<.001
0.269
<.001
0.594
0.246
<.001
.003
47.160
21.538
15.592
OR
<.001
<.001
<.001
0.261, 0.567
0.267, 0.558
0.423, 0.834
0.186, 0.389
0.171, 0.353
26.167, 84.996
13.844, 33.507
10.413, 23.345
95% CI
Note. OD = odds ratio; CI = confidence interval; AOD = alcohol and other drug. ODs for recent alcohol use comparing friends, parents, teachers,
and school factors often/a lot versus never/seldom.
Involvement in Behaviors
Table 3. Recent Alcohol Use, Friends Involvement in Substance Use, and Parent, Teacher, and School Factors
479
480
Conclusions
This study provides additional insight into the risk and protective factors
associated with recent alcohol use among Hispanic youth. Involvement in
specific prosocial behaviors such as church attendance and making good
481
Funding
The author(s) received no financial support for the research and/or authorship of this
article.
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Bios
Keith A. King is a professor of health promotion and education at the University of
Cincinnati. He also serves as the director of Family Based Prevention in Cincinnati.
485
His research and teaching emphases include adolescent health promotion and violence, suicide, and substance abuse prevention. He regularly collaborates with local,
regional, and national organizations aimed toward positive youth development. He is
dedicated toward assisting adolescents in developing positive connections as a means
to increase their overall engagement in healthy behaviors.
Rebecca A. Vidourek is an assistant professor of health promotion and education at
the University of Cincinnati. Her research and teaching emphases include adolescent
health promotion, school health education, and violence prevention. She remains
committed to helping schools, parents, and communities in building protective factors
in youth.