Do Parent–Adolescent Discrepancies in Family Functioning Increase the Risk of Hispanic Adolescent HIV Risk Behaviors?

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/107542/1/famp12067.pd

An Application of the Complier Average Causal Effect Analysis to Examine the Effects of a Family Intervention in Reducing Illicit Drug Use among High‐Risk Hispanic Adolescents

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/107494/1/famp12068.pd

eHealth Familias Unidas: Pilot Study of an Internet Adaptation of an Evidence-Based Family Intervention to Reduce Drug Use and Sexual Risk Behaviors Among Hispanic Adolescents

This paper describes the Internet adaptation of an evidenced-based intervention for Hispanic families, eHealth Familias Unidas, and explores whether an Internet-based format is feasible and acceptable to Hispanic families. Core intervention components from the evidence-based intervention, Familias Unidas, were transposed into a video format and edited for content. Additionally, interactive exercises and a soap opera series were incorporated to reinforce intervention content and optimize participant engagement and retention. To understand the feasibility and acceptability of eHealth Familias Unidas, we conducted a pilot study and examined findings from: (1) session completion rates for both e-parent group sessions and family sessions (n = 23 families); and (2) qualitative data collected from Hispanic parents (n = 29) that received the eHealth intervention. Engagement and attendance in the intervention showed that 83% of families engaged in the intervention and that there was an overall session completion rate of 78%. Qualitative interviews were conducted mid and post intervention with a combined total of 29 participants. A general inductive approach was used to derive themes from the collected data. Overall, parents expressed positive feedback in regards to the intervention and stated that there were multiple lessons learned from participating in eHealth Familias Unidas. Findings indicate that an Internet-based family intervention is not only feasible and acceptable for Hispanic families, but also offers a viable option to ameliorate barriers to participation and implementation of preventive interventions

Prevention of Substance Use Disorders in Latino/Latina American Communities

This chapter focuses on substance use in adolescent Latino/LatinaAmericans, with an underlying focus on social determinants of health and how they may exacerbate substance use among this population. We first provide a brief overviewof substance use etiology among Latino/Latina adolescents, the role of discrimination and racism on substance use, how Latino/Latina adolescent subgroups are disproportionately affected by substance use, and why adolescence is a developmentally appropriate time to target substance use. In the second section of this chapter, we discuss strategies to effectively reach Latino adolescents to prevent and/or reduce substance use. In the third section, we discuss specific intervention

Preventing alcohol use among Hispanic adolescents through a family-based intervention: The role of parent alcohol misuse

Early-life alcohol use raises the risk of poor long-term alcohol and other health outcomes. U.S. Hispanics are less likely to access treatment if they develop alcohol abuse or dependence, making preventive interventions critical. is a family-based intervention effective in preventing drug and sexual risk behavior among Hispanic youth. The effects of this intervention specifically on youth alcohol use have been less consistent and may be affected by parental factors. The intervention is primarily delivered to parents to ultimately reduce youth risk behaviors, applying research on protective parenting and family influences, such as parental monitoring and positive communication. This study conducted secondary data analysis of an effectiveness randomized controlled trial of the intervention, examining parent moderators of intervention effects on adolescent alcohol use. A total of 746 Hispanic families with 12-16-year-old adolescents were randomized to intervention or control. Logistic regression analyses confirmed no evidence of intervention effectiveness in reducing 90-day adolescent alcohol use at 30-month follow-up. However, there was evidence that parent misuse moderated intervention effects on adolescent alcohol use. Among youth whose parents reported any episode of alcohol misuse in their lifetime, the intervention was associated with lower odds of youth alcohol use at 30 months compared to youth in the control condition. Potential reasons and intervention implications are reviewed, including how parent alcohol use experiences might raise awareness of youth risks and motivate involvement or protective behaviors. Understanding intervention moderators can help shape, target, and adapt interventions to enhance their effectiveness and reach. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Impacts of Acculturative, Parenting, and Family Stress on US Born and Immigrant Latina/o/x Parent's Mental Health and Substance Use

Latina/o/x face acculturative stressors which are unique to being an immigrant and/or racial/ethnic minority. Furthermore, Latina/o/x parents face an additional layer of stress related to parenting and family challenges. Little is known about how immigrant and non-immigrant parents cope with stress related to parenting and family stress and how these additional stressors impact parental mental health and substance use. The sample for this secondary data analysis included 1197 parents between 18 and 56 years of age. All analyses controlled for age, gender and number of persons living at home; for the immigrant subsample, we controlled for time in the USA and for the non-immigrant sample, we controlled for generational status. Analyses were conducted to examine the relationship between (1) acculturative stress and mental health and substance use and (2) parenting and family stress and mental health and substance use for immigrants and non-immigrants. Results of multivariate regression models revealed that acculturative stress was significantly associated with mental health, alcohol use, cigarette use, and other tobacco product use for both immigrant and non-immigrants. For both immigrants and non-immigrants, parenting stress and family stress were consistently associated with psychological distress. Parenting stress was associated with greater substance use, including cigarette, other tobacco use, and alcohol use. Given the different associations between acculturative, parenting, and family stress with mental health and substance use among immigrant and non-immigrant parents, family-based interventions should address these stressors to prevent poor health outcomes among Latina/o/x parents and their children

The Role of Family Functioning in the Prevention of Depressive Symptoms and Drug Use Among Hispanic Youth

BackgroundThere is an established link between depression and drug use among adolescents. This relationship holds true for Hispanic youth, for whom familial relationships are especially impactful toward health outcomes.PurposeOur purpose was to examine the relationships between family functioning and adolescent and parent depressive symptoms, and the indirect effects of depressive symptoms on the relationship between family functioning and adolescent drug use.MethodsParticipants were 231 Hispanic adolescents (52.9% female, Mage = 13.90 +/- 1.37) and their parents (93.0% female, Mage = 43.24 +/- 6.64) enrolled in an RCT. Data on depressive symptoms, drug use, and family functioning were collected and a latent variable was specified using four indicators of family functioning (positive parenting, monitoring, communication, and involvement). A structural equation model approach was utilized.ResultsYouth family functioning predicted youths' depressive symptoms which predicted their own drug use. Youths' depressive symptoms mediated the relationship between youth family functioning and drug use.DiscussionFindings suggest that adolescents' perceptions of family functioning plays a role in preventing depressive symptoms and drug use among Hispanic youth.Translation to Health Education PracticeTeaching students of the role that family support and depressive symptoms play in the manifestation of drug use may be an effective approach to preventing drug use

The Relationship Between Acculturation, Ecodevelopment, and Substance Use Among Hispanic Adolescents

Using structural equation modeling, we examined the relationship of Hispanicism on recent substance use and whether Americanism moderated the effect in a sample of 1,141 Hispanic adolescents. The Bicultural Involvement Questionnaire (BIQ) was used to determine the degree of individual comfort in both Hispanic (Hispanicism) and American (Americanism) cultures. Hispanicism was associated with greater family functioning ( = 0.36, < .05) and school bonding ( = 0.31, < .01); Americanism moderated the effect of Hispanicism on substance use ( = 0.92, < .01). Findings suggest that Hispanic culture was protective against substance use, however those effects differed depending on level of Americanism