Protective effects of ethnic enclaves: Testing pathways to alcohol use and use disorders in Mexican American young adults

Author:

Tam Christina C.1ORCID,Li Libo1,Kosai Sam2,Duhart Clarke Sarah E.2,Ehlers Cindy L.3,Karriker‐Jaffe Katherine J.2

Affiliation:

1. Alcohol Research Group Public Health Institute Emeryville California USA

2. Health Practice Area RTI International Berkeley California USA

3. Department of Neuroscience Scripps Research Institute San Diego California USA

Abstract

AbstractEthnic enclave residence is associated with decreased risk for drinking and related problems, but less is known about the mechanisms that explain this association. Informed by theories of social control, we used a multilevel framework to examine whether negative attitudes toward drinking mediated associations between ethnic enclave residence (i.e., neighborhood linguistic isolation) and alcohol outcomes among Mexican American young adults (N = 628) in Southern California. Model 1 assessed mediation effects in the pathways from linguistic isolation to current drinking and alcohol use disorder (AUD). Model 2 adjusted for parental drinking attitudes and neighborhood alcohol availability. There were differential associations by gender in direct effects of linguistic isolation and negative drinking attitudes on both drinking and AUD. Among women only, linguistic isolation was related to greater abstinence and decreased AUD after accounting for social control proxies of parent attitudes and alcohol availability. Young adults' own drinking attitudes did not mediate relationships between linguistic isolation and alcohol outcomes. This study offers evidence on the importance of disaggregating Hispanic national groups by gender to uncover social mechanisms within ethnic enclave settings for tailored supports in reducing risk of drinking and alcohol‐related harms.

Publisher

Wiley

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