The impact of Covid-19 pandemic: Psycho-social perception of the crisis and sense-making processes

Disparities in access and utilization of substance abuse treatment (SAT) among Latinxs, accentuated by this population's rapid growth, create a public health issue. Although substance abuse literature has given more consideration to environmental factors and social support concerning treatment outcomes, current substance abuse models fail to address important contextual and cultural aspects for Latinxs in recovery, including acculturation. The proposed study aims to test out a multidimensional acculturation model on a sample of 131 Latinxs (Mage= 36.3; SD±10.4, 117 males, 49% immigrants) who recently completed SAT. Specifically, the proposed study employed a conditional process model using the PROCESS Macro for SPSS to examine the association between behavioral acculturation and substance use behavior in the past six months on nativity status at different levels of attitudinal acculturation. Results yielded that, after controlling for age and substance use, higher endorsement of U.S. mainstream cultural practices was associated with a higher frequency of days using alcohol among Latinx immigrants, specifically those reporting high and very high affiliation to the U.S. mainstream culture. Also, a negative association between U.S. mainland-born Latinx and frequency of days using illicit drugs in the past six months was observed, but only among those who endorse very high affiliation of U.S. mainstream culture.

拉丁裔群体中物质滥用治疗（Substance Abuse Treatment, SAT）的可及性与使用情况存在差距，且该群体的快速增长进一步放大了这一不平等现象，使其成为一项公共卫生问题。尽管现有物质滥用研究文献更多关注了与治疗结局相关的环境因素与社会支持，但当前的物质滥用模型未能涵盖康复期拉丁裔群体的重要情境与文化维度，其中就包括文化适应（Acculturation）。本研究旨在针对131名近期完成物质滥用治疗的拉丁裔受试者（平均年龄36.3岁，标准差±10.4；其中男性117名，移民占比49%），验证多维文化适应模型的适用性。具体而言，本研究采用SPSS的PROCESS宏程序构建条件过程模型，以检验在不同态度性文化适应水平下，行为性文化适应与近六个月物质使用行为之间的关联是否受出生身份的调节。研究结果显示，在控制年龄与物质使用情况后，拉丁裔移民对美国主流文化习俗的认同度越高，其近六个月的酒精使用天数就越多，这一关联在那些表示自身高度、极高程度认同美国主流文化的受试者中尤为显著。此外，研究还观察到，美国本土出生的拉丁裔与近六个月非法药物使用天数呈负相关，但这一关联仅存在于那些表示自身极高程度认同美国主流文化的受试者中。