DOI: 10.1101/19002048Jul 14, 2019Paper

Ethnicity and Acculturation: Asian American Substance Use from Early Adolescence to Mature Adulthood

MedRxiv : the Preprint Server for Health Sciences
Z. Ahmmad, Daniel E Adkins


Research on Asian American substance use has, to date, been limited by monolithic conceptions of Asian identity, inadequate attention to acculturative process, and a disproportionate focus on the adolescent developmental period. This study addresses these limitations by longitudinally investigating disparities in substance use, including tobacco, alcohol, cannabis, and a range of illicit drugs, from early adolescence (~15) into mature adulthood (~40) using five waves of the National Longitudinal Study of Adolescent to Adult Health (Add Health). Ample statistical power (Asian N=1583, obs=7915) allowed disaggregated study of the most populous Asian American ethnic groups including Chinese, Filipino, Korean, Vietnamese, Asian Indian, and Japanese, as well as subjects identifying as multiple Asian ethnicities (i.e., multiethnic) and multiracial Asians. The potential mediating role of acculturative factors (e.g., nativity, parental nativity, familial language use) on the observed ethnic disparities was also examined. Results indicate significant variation across Asian ethnicities, with the lowest probability of substance use among Chinese and Vietnamese, and the highest among multiethnic and multiracial Asians. Acculturative factors...Continue Reading

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