![Sample our Health and Social Care journals, sign in here to start your FREE access for 14 days]({"type":"image" , "src" : "/sda/5938/TOC-Subject-Sample-2021-Health-Social-Care.jpg"})
Abstract
Filipino American drinkers (N = 1,443) in Honolulu and San Francisco were selected from the 1998–1999 Filipino American Community Epidemiological Survey to examine the association between perceived discrimination and heavy drinking behavior by immigration status. Results indicate that living in San Francisco, lower religious participation, and higher perceived discrimination were associated with increased odds for heavy drinking among US-born individuals, whereas being male was a risk factor among foreign-born individuals. Thus, perceived discrimination and immigration status should be considered when designing prevention and intervention strategies to address heavy drinking behavior in this population.
RÉSUMÉ
La forte consommation d'alcool, la discrimination percue et le statut d'immigration parmi les Americains d'origine philippine.
Des buveurs philippino-américains (N = 1,443) à Honolulu et San Francisco ont été sélectionnés à partir du Sondage Épidémiologique de la Communauté Philipino-Americaine de 1998–1999, afin d'examiner l'association entre discrimination perçue et forte consommation d'alcool, selon leur statut migratoire. Les résultats indiquent que le fait de vivre à San Francisco, une moindre participation religieuse ainsi que la perception d'une forte discrimination sont associés à une plus forte probabilité de forte consommation d'alcool chez les individus nés aux États-Unis, alors qu’être de sexe masculin est un facteur de risque chez les individus nés à l’étranger. Aussi, le degré de perception de la discrimination et le statut migratoire doivent être pris en compte lors de l’élaboration de stratégies de prévention et d'intervention relatives aux problèmes de forte consommation d'alcool dans cette population.
RESUMEN
Alto consumo de alcohol, discriminación percibida, y estadoimmigratorio entre Filipinos Americanos
Filipino Americano bebedores (N = 1,443) en Honolulu y San Francisco fueron seleccionados de la Encuesta Epidemiológica de la Comunidad Filipino Americano de 1998–1999 para examinar la asociación entre discriminación percibida y alto consumo de alcohol por estatus immigratorio. Los resultados indican que vivir en San Francisco, baja participación en actividades religiosas, y alta percepción de discriminación fueron asociados con un incremento en consumo entre personas nacidas en los EE.UU., mientras que ser varón fue un factor de riesgo entre las personas nacidas en el extranjero. Por lo tanto, discriminación percibida y estado immigratorio deberían ser considerados en el diseño de estrategias preventivas e intervencionista para lidiar con el alto consumo de alcohol de este grupo.
THE AUTHORS
Isok Kim is currently a doctoral candidate in the Joint Ph.D. Program in Social Work and Social Science (Psychology) at the University of Michigan School of Social Work. Broadly, his research interests encompass studying mental illness and substance abuse among ethnic minorities from the stress and coping perspective and empowerment practice orientation. His doctoral dissertation examines the role of critical ethnic awareness, along with emotional support and general coping styles, as an important aspect of coping with racial discrimination among Asian Americans.
Michael S. Spencer, Ph.D., is the Associate Dean of Educational Programs at the University of Michigan School of Social Work. His research examines disparities in physical and mental health and service use of populations of color, as well as interventions for reducing disparities. Dr. Spencer is the Principal Investigator of the REACH Detroit Family Intervention, an NIH-funded, community-based, participatory research (CBPR) project that aims at reducing disparities in type 2 diabetes through the use of community health workers among Latino and African American residents in Detroit. He also investigates the association between discrimination and physical and mental health, as well as service use among African Americans and Asian Americans.
Notes
2 The reader is referred to Hills's criteria for causation which was developed in order to help assist researchers and clinicians determine if risk factors were causes of a particular disease or outcomes, or merely associated (Hill, Citation1965). Editor's note.
3 The reader is reminded that the concept of a “risk factor” is often noted in the literature, without an adequate delineation in its dimensions (linear, nonlinear), its “demands,” the critical necessary conditions (endogenously as well as exogenous ones; micro to macro levels) which are necessary for it to operate (begin, continue, become anchored and integrate, change as de facto realities change, cease, etc.) or not to and whether its underpinnings are theory-driven, empirically based, individual and/or systemic stake holder- bound, based upon “principles of faith” or what. This is necessary to clarify if the term is not to remain as yet another shibboleth in a field of many stereotypes. Editor's note.