Posttraumatic Stress Symptoms and their Relationship to Drug and Alcohol use in an International Sample of Latino Immigrants

We identify the prevalence and correlates of posttraumatic stress (PTSD) symptoms and their relationship to alcohol and substance use disorders (AUD/SUD) among Latino immigrants in two countries. A screening battery assessing PTSD symptoms (PCL-C), alcohol use (AUDIT), drug abuse (DAST), and psychol...

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Bibliographic Details
Published in:Journal of immigrant and minority health 2017-06, Vol.19 (3), p.552-561
Main Authors: Ramos, Zorangelí, Fortuna, Lisa R., Porche, Michelle V., Wang, Ye, Shrout, Patrick E., Loder, Stephen, McPeck, Samantha, Noyola, Nestor, Toro, Manuela, Carmona, Rodrigo, Alegría, Margarita
Format: Article
Language:English
Subjects:
Acculturation
Adolescent
Adult
Alcohol Abuse
Alcohol use
Alcoholism - ethnology
Alcohols
Anxiety
Benzodiazepines
Child & adolescent psychiatry
Comparative Law
Correlation analysis
Cultural identity
Cultural Influences
Death
Drinking
Drug abuse
Drug use
Early intervention
Emigrants and Immigrants - psychology
Ethnicity
Family (Sociological Unit)
Female
Gender aspects
Gender differences
Hispanic Americans
Hispanic Americans - psychology
Hispanic people
Humans
Immigrants
International & Foreign Law
Likert Scales
Male
Medical screening
Medicine
Medicine & Public Health
Mental Health and Well-Being
Minority & ethnic groups
Morbidity
Noncitizens
Original Paper
Pathology
Post traumatic stress disorder
Posttraumatic stress disorder
Poverty
Private International Law
Psychological aspects
Psychological trauma
Psychological Trauma - ethnology
Public Health
Questionnaires
Racial Discrimination
Racial Identification
Racism
Regression analysis
Research Assistants
Resistance (Psychology)
Screening
Screening Tests
Sex differences
Sex Factors
Socioeconomic Factors
Sociology
Spain - epidemiology
Statistical analysis
Stress Disorders, Post-Traumatic - ethnology
Substance Abuse
Substance use
Substance use disorder
Substance-Related Disorders - ethnology
Symptoms (Individual Disorders)
Trauma
United States - epidemiology
Young Adult
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Summary:We identify the prevalence and correlates of posttraumatic stress (PTSD) symptoms and their relationship to alcohol and substance use disorders (AUD/SUD) among Latino immigrants in two countries. A screening battery assessing PTSD symptoms (PCL-C), alcohol use (AUDIT), drug abuse (DAST), and psychological measures was administered to 562 Latino immigrants recruited in clinics. We used logistical regression analyses to evaluate the relationship between PTSD symptoms and AUD/SUD. Prevalence of elevated PTSD symptoms was high (53.7 % in Boston, 47.9 % in Madrid and, 43.8 % in Barcelona). Screening positive for psychological measures was significantly correlated to screening positive on the PCL-C (p < 0.001). Significant gender differences in risk of AUD/SUD were moderated by PTSD symptoms. Presence of any PTSD symptoms predicted problems with benzodiazepine misuse. Given the high rates of co-morbidity between PTSD symptoms and AUD/SUD, we recommend early interventions for dual pathology for Latino immigrants with trauma history.
ISSN:1557-1912
1557-1920
DOI:10.1007/s10903-016-0426-y