The Hispanic Americans baseline alcohol survey (HABLAS): The association between acculturation, birthplace and alcohol consumption across Hispanic national groups
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Acculturation to U.S. society has been associated with an increase in drinking and binge drinking among Hispanics. This paper examines the association between acculturation and three drinking-related outcomes: average number of drinks consumed, binge drinking, and drinking 12 drinks or more in a single day in four major Hispanic national groups. The 2006 Hispanic Americans Baseline Alcohol Survey used a multistage cluster sample design to interview 5224 adult Hispanics (18+ years) in five selected U.S. metropolitan areas: Miami, New York, Philadelphia, Houston, and Los Angeles. The four national groups interviewed were: Puerto Ricans, Cuban Americans, Mexican Americans, and South/Central Americans. The survey response rate was 76%. Data on drinking behavior were collected and the analyses include bivariate and multivariate regression techniques. Multivariate analysis did not show an association between acculturation and volume of drinking, binge drinking, or drinking 12 or more drinks in a single day among men. Acculturation stress, however, was associated with drinking 12 or more in a day among men. Among women, high acculturation was associated with a higher volume of drinking, and it also interacted with national group to increase the likelihood of binge drinking. Acculturation does not have a homogeneous effect on drinking across gender and Hispanic national groups. The results confirm that acculturation has a more consistent association with increased drinking and binge drinking among women than among men. The effect of acculturation is therefore gender-specific. This heterogeneity across Hispanic national groups must be considered in future research, treatment, and prevention efforts.
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Racial/ethnic group membership is not a homogenous variable; there are substantive within-group differences in substance use patterns that are missed in examinations of race/ethnicity.
“In addition, racial/ethnic group membership is not a homogenous variable. There are substantive, often under-discussed within-group differences in substance use patterns that are missed in examinations of race/ethnicity.”
From Assessment of culture and environment in the Adolescent Brain and Cognitive Development Study: Rationale, description of measures, and early data (2018) · cites this paper as Vaeth et al., 2012
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“Similarly, high acculturation has been shown to increase drinking behavior amongHispanicwomen [26].”
BackgroundHealth disparities in racial/ethnic and sexual minority boys and men
(2018) · PsycEXTRA Dataset · doi:10.1037/e506772018-001 · Cited by 14 · see citing works
Farokhnia, M., Harris, J. C., Speed, S. N., Leggio, L., & Johnson, R. M. (2023) · Drug and Alcohol Dependence Reports · doi:10.1016/j.dadr.2023.100214 · Cited by 13 · see citing works
“Research indicates acculturation among Latino youth is marked by increased drinking, binge drinking, drinking problems, and alcohol use disorder (Almeida et al., 2012; Karriker-Jaffe and Zemore, 2009; Vaeth et al., 2012; Zemore, 2005, 2007).”
BackgroundPaulus, D. J., Gallagher, M. W., Rogers, A. H., Viana, A. G., Garza, M. J., Valdivieso, J., Ochoa‐Perez, M., Lemaire, C. M., Bakhshaie, J., & Zvolensky, M. J. (2017) · American Journal on Addictions · doi:10.1111/ajad.12574 · Cited by 12 · see citing works
Process for developing a culturally informed brief motivational intervention
Field, C. A., Ramirez, S. O., Juárez-Carrillo, P. M., & Castro, Y. (2019) · Addictive Behaviors · doi:10.1016/j.addbeh.2019.03.002 · Cited by 12 · see citing works
Acculturation and drinking behavior among Latinxs: a narrative review
Ruíz, M., Johnson, A. E., & Campbell, L. C. (2022) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2022.2080144 · Cited by 11 · see citing works
“In other words, the cultural norms theory assumes that alcohol consumption increases as Latinas internalize the new drinking norms of America because they approach the drinking levels of American women (Vaeth et al., 2012).”
BackgroundWilkerson, J. M., Paola, A. D., McCurdy, S., & Schick, V. (2020) · Addictive Behaviors · doi:10.1016/j.addbeh.2020.106327 · Cited by 11 · see citing works
Alcohol use trajectories of adult Latinx immigrants during their first decade in the United States
Rosa, M. R. D. L., Sánchez, M., Wang, W., Cano, M. Á., & Rojas, P. (2020) · Addictive Behaviors · doi:10.1016/j.addbeh.2020.106352 · Cited by 11 · see citing works
Reyes, M. E., Weiss, N. H., Swan, S. C., & Sullivan, T. P. (2020) · Journal of Interpersonal Violence · doi:10.1177/0886260520967134 · Cited by 11 · see citing works
“This process can produce intense psychosocial strain on an individual, which could then lead to increased drinking as a coping mechanism (Caetano et al., 2007; Gonzalez-Guarda et al., 2011b; Vaeth et al., 2012).”
BackgroundInfluentialTorres, J. M., Ro, A. E., & Sudhinaraset, M. (2019) · Emerald Group Publishing Limited eBooks · doi:10.1108/s1057-629020190000019002 · Cited by 10 · see citing works
Bandiera, F. C., Pérez‐Stable, E. J., Atem, F., Caetano, R., Vidot, D. C., Gellman, M. D., Navas-Nacher, E. L., Cai, J., Talavera, G. A., Schneiderman, N., et al. (2019) · Addictive Behaviors · doi:10.1016/j.addbeh.2019.106087 · Cited by 9 · see citing works
May, P. A., Hasken, J. M., Manning, M. A., Robinson, L. K., Abdul-Rahman, O. A., Adam, M. P., Jewett, T., Elliott, A. J., Kalberg, W. O., Buckley, D. G., et al. (2022) · American Journal of Medical Genetics Part A · doi:10.1002/ajmg.a.62738 · Cited by 9 · see citing works
“…for FASD cases overall, which fits well with the drinking literature that indicates that recent immigrant Hispanic females to the U.S. tend to drink less and drink less problematically than women of other ethnic groups in the general population (Caetano et al., 2012; Vaeth et al., 2012).”
BackgroundChen, H., Wu, A. H., Wang, S., Bookstein, A., Marchand, L. L., Wilkens, L. R., Haiman, C. A., Cheng, I. C., Monroe, K. R., & Setiawan, V. W. (2022) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djac078 · Cited by 9 · see citing works
Being Arab and American: Understanding Ethnocentric Tendencies for Arab American Consumers
Ganideh, S. F. A. (2017) · Journal of Global Marketing · doi:10.1080/08911762.2016.1263886 · Cited by 9 · see citing works
Fox, R. S., Carnethon, M. R., Gallo, L. C., Wiley, J. F., Isasi, C. R., Daviglus, M. L., Cai, J., Thomas, S., Giachello, A. L. M., González, P., et al. (2019) · International Journal of Behavioral Medicine · doi:10.1007/s12529-019-09782-7 · Cited by 9 · see citing works
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“Relevant to this study, Latina/o subgroups have been shown to vary on a number of outcomes including depressive symptoms (Crockett et al. 2005), substance use, (Amaro et al. 1990), and alcohol use (Daniel-Ulloa et al. 2014; Marín and Posner 1995; Vaeth, Caetano, and Rodriguez 2012).”
MethodHernández, M., von Sternberg, K. L., Castro, Y., & Velasquez, M. M. (2019) · Substance Use & Misuse · doi:10.1080/10826084.2019.1625399 · Cited by 7 · see citing works
“Specifically, informed by research (Amaro et al., 1990; Bakhireva et al., 2009; Caetano, 1987; Lee et al., 2016; Vaeth et al., 2012; Vega et al., 1998; Zemore, 2005), we hypothesized that: (a) higher levels of acculturation would be related to greater number of alcoholic drinks consumed, greater…”
BackgroundMethodCook, W. K., Mulia, N., & Li, L. (2020) · Substance Use & Misuse · doi:10.1080/10826084.2020.1732423 · Cited by 7 · see citing works
Paulus, D. J., Viana, A. G., Ditre, J. W., Bakhshaie, J., Garza, M. J., Cardoso, J. B., Valdivieso, J., Ochoa‐Perez, M., Lemaire, C. M., & Zvolensky, M. J. (2017) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2017.1336185 · Cited by 7 · see citing works
Characteristics of Mexican and Mexican American Adolescents in Treatment for “Cheese” Heroin Use
Walker, R., Maxwell, J. C., Adinoff, B. H., Carmody, T. J., Coton, C. E., & Tirado, C. F. (2014) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2014.883582 · Cited by 6 · see citing works
Trajectories of Drug Abuse and Addiction Development Among FSU Immigrant Drug Users in Israel
Yakhnich, L., & Michael, K. (2016) · Journal of Cross-Cultural Psychology · doi:10.1177/0022022116660764 · Cited by 6 · see citing works
Men of Mexican ethnicity, alcohol use, and help-seeking: “I can quit on my own.”
Robles, E. H., Castro, Y., Najera, S. N., Cardoso, J., Gonzales, R., Mallonee, J., Segovia, J., Salazar-Hinojosa, L., Vargas, C. D., & Field, C. A. (2024) · Journal of Substance Use and Addiction Treatment · doi:10.1016/j.josat.2024.209359 · Cited by 5 · see citing works
Westrick, A. C., Sánchez, M., Wang, W., Cano, M. Á., Rojas, P., & Rosa, M. R. D. L. (2021) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2021.1952126 · Cited by 5 · see citing works
“Differences in drinking patterns have been found to vastly differ by national origin (Vaeth et al., 2012).”
BackgroundEscobar-Agreda, S., Taype-Rondán, Á., & Miranda, J. J. (2020) · Journal of Migration and Health · doi:10.1016/j.jmh.2020.100015 · Cited by 4 · see citing works
Hernández, M., von Sternberg, K. L., Castro, Y., & Velasquez, M. M. (2021) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2021.1952127 · Cited by 4 · see citing works
“For example, although Latinas have lower levels of alcohol use disorders compared to White and Black women, more acculturated Latinas are more likely to consume alcohol and consume at higher levels (Vaeth et al., 2012).”
BackgroundCaetano, R., Vaeth, P. A. C., Gruenewald, P. J., Ponicki, W. R., & Kaplan, Z. B. (2023) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-023-01517-5 · Cited by 4 · see citing works
“[9–11], with birthplace [11, 12], and social disadvantage [13–15], but not drinking contexts.”
Barrita, A. M., Abreu, R. L., Carbajal, I., Parmenter, J. G., & Watson, R. J. (2026) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2026.2661582 · Cited by 3 · see citing works
“For instance, U.S.-born Latine individuals are more likely to struggle with alcohol abuse and dependence, suggesting that embracing drinking norms is a key part of adapting to U.S. culture (Vaeth, Caetano, and Rodriguez 2012).”
Romano, E. O., & Sánchez, M. (2023) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.14993 · Cited by 3 · see citing works
Lee, C. S., Nalven, T., Hai, A. H., Pinedo, M., López, V., Morris, M., Delva, J., & Cano, M. Á. (2023) · Journal of Substance Use and Addiction Treatment · doi:10.1016/j.josat.2023.209263 · Cited by 3 · see citing works
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“Further, acculturation had a more consistent association with increased drinking and binge drinking among women than among men (Vaeth et al. 2012) .”
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“Nativity is another commonly used demographic indicator of acculturation (Otiniano Verissimo et al., 2014; Pérez et al., 2008; Vaeth et al., 2012), with U.S.-born Latino/Hispanic individuals being more likely to adopt the practices of the U.S. culture relative to Latino/Hispanic immigrants…”
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“Acculturation was associated with increased alcohol consumption for women, but not men (Vaeth et al., 2012).”
- Authors
- Vaeth, P. A. C., Caetano, R., & Rodriguez, L. A.
- Affiliations
- University of Texas Health Science Center at Dallas (US)
- Corresponding author
- Vaeth, Patrice A.C.
- ORCID
- Vaeth, Patrice A.C.
- Venue
- Addictive Behaviors
- Publisher
- Elsevier BV
- Published
- 2012-09
- Volume
- 37
- Issue
- 9
- Pages
- 1029-1037
- ISSN
- 0306-4603 (ISSN-L)
- PMC
- PMC3795416
- OpenAlex
- W2086425966
- Cited by
- 78
- References
- 54
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 7 · 2022: 4 · 2021: 5 · 2020: 8 · 2019: 12 · 2018: 2 · 2017: 6 · 2016: 9 · 2015: 6 · 2014: 8 · 2013: 6 · 2012: 1
- FWCI
- 5.01
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01AA013642)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- acculturation, Hispanic Americans, alcohol consumption, binge drinking, acculturative stress, birthplace, Puerto Ricans, Cuban Americans, Mexican Americans, gender differences
- MeSH terms
- Acculturation, Adult, Aged, Alcohol Drinking, Ethanol, Central America, Cuba, Female, Hispanic or Latino, Humans, Male, Middle Aged, North America, Puerto Rico, Residence Characteristics, Socioeconomic Factors, South America, Stress, Psychological, United States, Multivariate Analysis, Cluster Analysis, Age Distribution
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