Interrelationships of Economic Stressors, Mental Health Problems, Substance Use, and Intimate Partner Violence among Hispanic Emergency Department Patients: The Role of Language-Based Acculturation

We analyzed the interrelationships of economic stressors, mental health problems, substance use, and intimate partner violence (IPV) among a sample of Hispanic emergency department patients and probed if Spanish language preference, which may represent low acculturation and/or immigrant status, had...

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Autores principales: Carol B. Cunradi, Raul Caetano, William R. Ponicki, Harrison J. Alter
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/5ed8d7f4c28243c2b6ca734b1741a78e
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spelling oai:doaj.org-article:5ed8d7f4c28243c2b6ca734b1741a78e2021-11-25T17:52:16ZInterrelationships of Economic Stressors, Mental Health Problems, Substance Use, and Intimate Partner Violence among Hispanic Emergency Department Patients: The Role of Language-Based Acculturation10.3390/ijerph1822122301660-46011661-7827https://doaj.org/article/5ed8d7f4c28243c2b6ca734b1741a78e2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12230https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601We analyzed the interrelationships of economic stressors, mental health problems, substance use, and intimate partner violence (IPV) among a sample of Hispanic emergency department patients and probed if Spanish language preference, which may represent low acculturation and/or immigrant status, had a protective effect, in accordance with the Hispanic health paradox. Study participants (<i>n</i> = 520; 50% female; 71% Spanish speakers) provided cross-sectional survey data. Gender-stratified logistic regression models were estimated for mental health problems (PTSD, anxiety, depression), substance use (risky drinking, cannabis, illicit drug use), and IPV. Results showed that economic stressors were linked with mental health problems among men and women. Among men, PTSD was associated with greater odds of cannabis and illicit drug use. Men who used cannabis and illicit drugs were more likely to report IPV. Male Spanish speakers had lower odds of anxiety and cannabis use than English speakers. Female Spanish speakers had lower odds of substance use and IPV than English speakers. The protective effect of Spanish language preference on some mental health, substance use, and IPV outcomes was more pronounced among women. Future research should identify the mechanisms that underlie the protective effect of Spanish language preference and explore factors that contribute to the observed gender differences.Carol B. CunradiRaul CaetanoWilliam R. PonickiHarrison J. AlterMDPI AGarticleHispanic health paradoxlanguage-based acculturationemergency departmentmental healthsubstance useeconomic stressorsMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12230, p 12230 (2021)
institution DOAJ
collection DOAJ
language EN
topic Hispanic health paradox
language-based acculturation
emergency department
mental health
substance use
economic stressors
Medicine
R
spellingShingle Hispanic health paradox
language-based acculturation
emergency department
mental health
substance use
economic stressors
Medicine
R
Carol B. Cunradi
Raul Caetano
William R. Ponicki
Harrison J. Alter
Interrelationships of Economic Stressors, Mental Health Problems, Substance Use, and Intimate Partner Violence among Hispanic Emergency Department Patients: The Role of Language-Based Acculturation
description We analyzed the interrelationships of economic stressors, mental health problems, substance use, and intimate partner violence (IPV) among a sample of Hispanic emergency department patients and probed if Spanish language preference, which may represent low acculturation and/or immigrant status, had a protective effect, in accordance with the Hispanic health paradox. Study participants (<i>n</i> = 520; 50% female; 71% Spanish speakers) provided cross-sectional survey data. Gender-stratified logistic regression models were estimated for mental health problems (PTSD, anxiety, depression), substance use (risky drinking, cannabis, illicit drug use), and IPV. Results showed that economic stressors were linked with mental health problems among men and women. Among men, PTSD was associated with greater odds of cannabis and illicit drug use. Men who used cannabis and illicit drugs were more likely to report IPV. Male Spanish speakers had lower odds of anxiety and cannabis use than English speakers. Female Spanish speakers had lower odds of substance use and IPV than English speakers. The protective effect of Spanish language preference on some mental health, substance use, and IPV outcomes was more pronounced among women. Future research should identify the mechanisms that underlie the protective effect of Spanish language preference and explore factors that contribute to the observed gender differences.
format article
author Carol B. Cunradi
Raul Caetano
William R. Ponicki
Harrison J. Alter
author_facet Carol B. Cunradi
Raul Caetano
William R. Ponicki
Harrison J. Alter
author_sort Carol B. Cunradi
title Interrelationships of Economic Stressors, Mental Health Problems, Substance Use, and Intimate Partner Violence among Hispanic Emergency Department Patients: The Role of Language-Based Acculturation
title_short Interrelationships of Economic Stressors, Mental Health Problems, Substance Use, and Intimate Partner Violence among Hispanic Emergency Department Patients: The Role of Language-Based Acculturation
title_full Interrelationships of Economic Stressors, Mental Health Problems, Substance Use, and Intimate Partner Violence among Hispanic Emergency Department Patients: The Role of Language-Based Acculturation
title_fullStr Interrelationships of Economic Stressors, Mental Health Problems, Substance Use, and Intimate Partner Violence among Hispanic Emergency Department Patients: The Role of Language-Based Acculturation
title_full_unstemmed Interrelationships of Economic Stressors, Mental Health Problems, Substance Use, and Intimate Partner Violence among Hispanic Emergency Department Patients: The Role of Language-Based Acculturation
title_sort interrelationships of economic stressors, mental health problems, substance use, and intimate partner violence among hispanic emergency department patients: the role of language-based acculturation
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/5ed8d7f4c28243c2b6ca734b1741a78e
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