Acculturation and Drug Use Stigma Among Latinos and African Americans: An Examination of a Church-Based Sample

J Immigr Minor Health. 2015 Dec;17(6):1607-14. doi: 10.1007/s10903-015-0161-9.

Abstract

Substance use patterns among Latinos likely reflect changes in attitudes resulting from acculturation, but little is known about Latinos' attitudes regarding drug addiction. We surveyed a church-based sample of Latinos and African Americans (N = 1,235) about attitudes toward drug addiction and socio-demographics. Linear regression models compared Latino subgroups with African-Americans. In adjusted models, Latinos had significantly higher drug addiction stigma scores compared to African Americans across all subgroups (US-born Latinos, β = 0.22, p < .05; foreign-born Latinos with high English proficiency, β = 0.30, p < .05; and foreign-born Latinos with low English proficiency, β = 0.49, p < .001). Additionally, Latinos with low English proficiency had significantly higher mean levels of drug use stigma compared Latinos with high proficiency (both foreign-born and US-born). In this church-affiliated sample, Latinos' drug addiction stigma decreases with acculturation, but remains higher among the most acculturated Latinos compared to African-Americans. These attitudes may pose a barrier to treatment for Latino drug users.

Keywords: Acculturation; African Americans; Church-based sample; Drug addiction stigma; Latinos.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Acculturation*
  • Adolescent
  • Adult
  • Age Factors
  • Attitude
  • Black or African American / psychology*
  • Emigrants and Immigrants / psychology
  • Female
  • HIV Infections / ethnology
  • Hispanic or Latino / psychology*
  • Humans
  • Language
  • Male
  • Middle Aged
  • Pilot Projects
  • Religion
  • Sex Factors
  • Social Stigma*
  • Socioeconomic Factors
  • Substance-Related Disorders / ethnology*
  • Young Adult