Substance Use Among Asian-American Adolescents: Perceptions of Use and Preferences for Prevention Programming

Fang, Lin; Barnes-Ceeney, Kevin; Lee, Rebecca A.; Tao, John

doi:10.1080/00981389.2011.588115

Cited by 10 publications

(4 citation statements)

References 41 publications

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“…Thus, targeted prevention/intervention efforts for Cambodian-American adolescents are still needed. Future research is required to determine whether these youth would respond to standard strategies or whether they might benefit from interventions tailored to be culturally-responsive (Fang et al, 2011; Sue et al, 2012). For example, promoting limited substance use among youth in this ethnic group use by highlighting cultural norms around moderation may assist in the preventative effort (Makimoto, 1998).…”

Section: Discussionmentioning

confidence: 99%

“…Census Bureau, 2012) and are underrepresented in psychiatric epidemiological research (Sue et al, 2012). Moreover, Asian-Americans are particularly understudied with respect to substance misuse (Caetano et al, 1998; Fang et al, 2011; Harachi et al, 2001; Sue et al, 1995). Thus, there is an emerging need to gather information regarding the health and risk behavior of individuals from specific Asian-American subgroups.…”

Section: Introductionmentioning

confidence: 99%

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A comparison of Cambodian-American adolescent substance use behavior to national and local norms

Pedersen

Marshall

Schell

et al. 2014

Addictive Behaviors

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This study was designed to compare rates of alcohol, marijuana, and cigarette use in Cambodian-American adolescents with norms from nationally- and regionally-representative peers. Substance use data from 439 10th grade Cambodian-American adolescents in Long Beach, California were compared to grade- and gender-matched nationally representative data from the Monitoring the Future study and data from the California Healthy Kids Survey of students within the same school district. Overall, the Cambodian-American youth were less likely than nationally- and regionally-representative youth to use alcohol, marijuana, and cigarettes. Specifically, relative to estimates obtained for the general population and students attending school in the same school district, Cambodian-American youth were significantly less likely to use alcohol and marijuana. Cambodian-American youth were also less likely than youth in the general population to smoke cigarettes, but did not differ statistically from youth within their same school district. As a group, Cambodian-American youth may not be at especially high risk for substance use. As is the case with virtually all populations, some individuals within the Cambodian-American group are likely to have more difficulty than others with substance use concerns. Thus, additional research is needed to identify factors that might help to identify high users with potential service needs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A comparison of Cambodian-American adolescent substance use behavior to national and local norms

Pedersen

Marshall

Schell

et al. 2014

Addictive Behaviors

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“…The study used a randomized control trial methodology. Understanding the difficulty of recruiting Asian American families (Kumpfer et al, 2002), we first hosted three focus groups with Asian American adolescents (see Fang, Barnes-Ceeney, Lee, & Tao, 2011) and consulted community key informants (e.g., service providers, parents) on ways to reach out to Asian American communities with restricted resources. We learned very valuable information from Asian American youth and our key informants.…”

Section: Methods Proceduresmentioning

confidence: 99%

Mediation effects of a culturally generic substance use prevention program for Asian American adolescents.

Fang¹,

Schinke²

2014

Asian American Journal of Psychology

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In this paper, we examined the mediation effects of a family-based substance use prevention program on a sample of Asian American families. These families were randomized into an intervention arm or a non-intervention control arm. Using path models, we assessed the effect of the intervention on adolescent girls’ substance use outcomes at 2-year follow-up through family relationships and adolescent self-efficacy pathways. Bias-corrected bootstrapping strategy was employed to assess the significance of the mediation effect by evaluating the 95% confidence interval of the standardized coefficient. The results show that receiving the intervention exerted a positive effect on girls’ family relationships at 1-year follow-up. Such an improvement was associated with girls’ increased self-efficacy, which in turn led to girls’ decreased alcohol use, marijuana use, and future intention to use substances at 2-year follow-up. Considering the diverse cultural backgrounds, as well as languages, nationalities, and acculturation levels under the umbrella term “Asian Americans”, we demonstrate that a universal web-based intervention that tackles the theoretical- and empirical-based risk and protective factors can be effective for Asian Americans. Despite its generic nature, our program may provide relevant tools for Asian American parents in assisting their adolescent children to navigate through the developmental stage and ultimately, resist substance use.

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“…Due to a history of discrimination, persecution, marginalization, and/or cultural colonization, factors influencing tobacco use among APIs in the U.S. may differ from those of other racial/ethnic groups (McElfish et al, 2019). The combination of the "model minority" stereotype perpetuated toward Asian groups and lower overall substance abuse rates compared to other ethnic groups has contributed to the lack of awareness and prevention programs available to the public (Fang et al, 2011).…”

Section: Tobacco-and E-cigarette-related Racial/ethnic Disparitiesmentioning

confidence: 99%

Correlates of tobacco use among Asian and Pacific Islander youth and young adults in the U.S.: A systematic review of the literature.

Phillips¹,

Okamoto²,

Johnson³

et al. 2021

Experimental and Clinical Psychopharmacology

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Rates of tobacco product use, including the use of combustible and electronic cigarettes, remain high in youth and young adults within the U.S. Though a substantial body of work has examined risk factors associated with initiation and ongoing use of tobacco products, research on tobacco use and associated correlates among Asian and Pacific Islanders (APIs) has been more limited despite high rates in select API subgroups. This systematic review outlines recent research (2010-2020) on the correlates of tobacco use in APIs aged 9-29. To better understand determinants of tobacco use and identify gaps in the literature, we framed correlates based on the National Institute on Minority Health and Health Disparities (NIMHD) multidimensional research framework. Database and author-focused searches were conducted, followed by article abstract and full-text reviews, much of which were guided by a discrete set of inclusionary and exclusionary criteria related to tobacco use and youth/young adults. A total of 24 articles were included in this review. The majority of articles focused on individual-level correlates, with a high number of studies demonstrating association between behavioral and sociocultural factors and tobacco product use behavior. Interpersonal factors also made up a substantial portion of the literature, commonly focusing on peer, family, and social norms. Gaps related to the NIMHD model are addressed. Future research should examine biological and community/societal factors associated with API smoking to better understand unique correlates in this population and to inform tobacco prevention and intervention approaches. Public Health SignificanceThis systematic review provides an updated overview of recent research related to correlates of tobacco use in Asian and Pacific Islander youth and young adults. We used the National Institute on Minority Health and Health Disparities (NIMHD) multidimensional research framework to outline the current research base and identify gaps in the literature.

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Substance Use Among Asian-American Adolescents: Perceptions of Use and Preferences for Prevention Programming

Cited by 10 publications

References 41 publications

A comparison of Cambodian-American adolescent substance use behavior to national and local norms

A comparison of Cambodian-American adolescent substance use behavior to national and local norms

Mediation effects of a culturally generic substance use prevention program for Asian American adolescents.

Correlates of tobacco use among Asian and Pacific Islander youth and young adults in the U.S.: A systematic review of the literature.

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