Gender and Cultural Adaptations for Diversity: A Systematic Review of Alcohol and Substance Abuse Interventions for Latino Males

Valdez, Luis; Flores, Melissa; Ruiz, John; Oren, Eyal; Carvajal, Scott C.; Garcia, David O.

doi:10.1080/10826084.2017.1417999

Cited by 23 publications

(14 citation statements)

References 41 publications

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“…For instance, Lee et al (2013) , assessed the effectiveness of a motivational interview intervention ( n = 53, 54% male) to decrease heavy drinking in a Hispanic sample in which interviewers accounted for the influences of poverty, perceived discrimination, historical trauma, and employment status. Authors found that improved communication between providers and participants had a significant influence in reducing participants’ drinking patterns at follow-up, suggesting that approaches that consider a broader social context may be more efficacious for this population ( Lee et al, 2013 ; Valdez et al, 2018 )…”

Section: Discussionmentioning

confidence: 99%

“…Individual interviews were conducted using a semistructured interview guide ( Table 2 ) formulated to elicit perspectives related to alcohol abuse, masculinity, and treatment seeking behaviors. The interview guide used was based on formative work ( Valdez et al, 2018 ) and a brief review of the available literature to identify potential gaps in work with Hispanic men. A bilingual, bicultural male member of the research team conducted all interviews and administered a voluntary questionnaire.…”

Section: Methodsmentioning

confidence: 99%

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Exploring Structural, Sociocultural, and Individual Barriers to Alcohol Abuse Treatment Among Hispanic Men

et al. 2018

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Hispanic men have poor access to alcohol abuse treatment, low treatment engagement, and low treatment completion rates despite the contrasting burden of alcohol-related consequences they face. The purpose of this study was to examine Hispanic male perspectives regarding alcohol abuse treatment-seeking behaviors and the structural, sociocultural, and individual factors that may influence initiation and continued engagement in treatment in this population. Individual interviews were conducted with a sample of 20 Hispanic men (age: 44.6 ± 11.3 years). Thematic analysis was completed using a hybrid deductive–inductive approach centered in an a priori codebook that was further supplemented with iterative exploration of transcripts. Results suggested treatment-seeking behaviors were highly influenced by (a) structural factors related to poor treatment access, as well as lack of linguistic- and cultural-responsiveness of available treatment; (b) sociocultural factors related to difficulties problematizing alcohol abuse due to lack of community awareness, societal normalization of consumption, and stigmatization of alcohol abuse treatment; and (c) individual factors related to lack of individual knowledge. This work highlights the perceived lack of congruency between available treatment and the linguistic, cultural, and gender norms of Hispanic men. There is need for responsive treatment strategies that comprehensively consider the gendered- and sociocultural-factors that govern treatment seeking and engagement behaviors. Findings also suggest a need for targeted alcohol abuse awareness building efforts in the Hispanic community. Specifically, the detrimental effects of alcohol-related problems and potential benefits of treatment should be addressed in order to diminish social stigma of abuse and of treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Exploring Structural, Sociocultural, and Individual Barriers to Alcohol Abuse Treatment Among Hispanic Men

et al. 2018

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“…A notable finding was that about one third of the interventions were adapted to accommodate local literacy rates, sociocultural beliefs on gender differences, helpseeking behaviors, and locally-bound substance use behaviors. This finding may add to the current literature about how community-based SUD interventions can potentially be adapted depending on the context [32,40,42]. Moreover, the translation and adaptation of intervention materials, as well as the use of non-professionals, may be useful strategies to address local resource and sociocultural barriers, although it may be challenging to sufficiently train non-professionals in some settings due to time and/or resource limitations [41,72].…”

Section: Discussionmentioning

confidence: 82%

“…Lastly, the sociocultural environments in which interventions are delivered may further affect their effectiveness and implementation (e.g. feasibility and acceptability); studies have shown that culturally-adapting psychosocial SUD interventions may result in improved implementation outcomes by addressing context-specific factors such as stigma, ethnicity and cultural beliefs [40][41][42][43][44]. So far, there is limited evidence about the extent to which SUD interventions are culturally adapted in LMICs or about the facilitators, barriers, or common elements involved in this process.…”

Section: Substance Use Disorder Treatment and Preventionmentioning

confidence: 99%

“…The search terms used were based on this study's inclusion criteria and the Medical Subject Headings (MeSH) substance-related disorders, community health services, primary health care, psychiatric rehabilitation and community psychiatry. In addition, the search string used for this review was informed by terms used in previous reviews relevant to this research topic [35,42,[63][64][65][66]. In summary, the search string used in this review covered four key concepts for which related terms were used: (1) psychoactive substance use disorders, (2) psychosocial intervention, (3) community-based, and 4) lowand middle-income country.…”

Section: Data Collectionmentioning

confidence: 99%

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Community-based psychosocial substance use disorder interventions in low-and-middle-income countries: a narrative literature review

Suasnabar

Walters

2020

Int J Ment Health Syst

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Background Mental health and substance use disorders (SUDs) are the world’s leading cause of years lived with disability; in low-and-middle income countries (LIMCs), the treatment gap for SUDs is at least 75%. LMICs face significant structural, resource, political, and sociocultural barriers to scale-up SUD services in community settings. Aim This article aims to identify and describe the different types and characteristics of psychosocial community-based SUD interventions in LMICs, and describe what context-specific factors (policy, resource, sociocultural) may influence such interventions in their design, implementation, and/or outcomes. Methods A narrative literature review was conducted to identify and discuss community-based SUD intervention studies from LMICs. Articles were identified via a search for abstracts on the MEDLINE, Academic Search Complete, and PsycINFO databases. A preliminary synthesis of findings was developed, which included a description of the study characteristics (such as setting, intervention, population, target SUD, etc.); thereafter, a thematic analysis was conducted to describe the themes related to the aims of this review. Results Fifteen intervention studies were included out of 908 abstracts screened. The characteristics of the included interventions varied considerably. Most of the psychosocial interventions were brief interventions. Approximately two thirds of the interventions were delivered by trained lay healthcare workers. Nearly half of the interventions targeted SUDs in addition to other health priorities (HIV, tuberculosis, intimate partner violence). All of the interventions were implemented in middle income countries (i.e. none in low-income countries). The political, resource, and/or sociocultural factors that influenced the interventions are discussed, although findings were significantly limited across studies. Conclusion Despite this review’s limitations, its findings present relevant considerations for future SUD intervention developers, researchers, and decision-makers with regards to planning, implementing and adapting community-based SUD interventions.

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Cultural Considerations in the Behavioral Assessment and Treatment of Substance-Related Disorders

Paul

Lopez

Strong

et al. 2020

Handbook of Cultural Factors in Behavioral Health

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Gender and Cultural Adaptations for Diversity: A Systematic Review of Alcohol and Substance Abuse Interventions for Latino Males

Cited by 23 publications

References 41 publications

Exploring Structural, Sociocultural, and Individual Barriers to Alcohol Abuse Treatment Among Hispanic Men

Exploring Structural, Sociocultural, and Individual Barriers to Alcohol Abuse Treatment Among Hispanic Men

Community-based psychosocial substance use disorder interventions in low-and-middle-income countries: a narrative literature review

Cultural Considerations in the Behavioral Assessment and Treatment of Substance-Related Disorders

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