IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i22p12230-d684459.html
   My bibliography  Save this article

Interrelationships of Economic Stressors, Mental Health Problems, Substance Use, and Intimate Partner Violence among Hispanic Emergency Department Patients: The Role of Language-Based Acculturation

Author

Listed:
  • Carol B. Cunradi

    (Prevention Research Center, Pacific Institute for Research and Evaluation, 2150 Shattuck Avenue, Suite 601, Berkeley, CA 94704, USA)

  • Raul Caetano

    (Prevention Research Center, Pacific Institute for Research and Evaluation, 2150 Shattuck Avenue, Suite 601, Berkeley, CA 94704, USA)

  • William R. Ponicki

    (Prevention Research Center, Pacific Institute for Research and Evaluation, 2150 Shattuck Avenue, Suite 601, Berkeley, CA 94704, USA)

  • Harrison J. Alter

    (Andrew Levitt Center for Social Emergency Medicine, Oakland, CA 94602, USA)

Abstract

We analyzed the interrelationships of economic stressors, mental health problems, substance use, and intimate partner violence (IPV) among a sample of Hispanic emergency department patients and probed if Spanish language preference, which may represent low acculturation and/or immigrant status, had a protective effect, in accordance with the Hispanic health paradox. Study participants ( n = 520; 50% female; 71% Spanish speakers) provided cross-sectional survey data. Gender-stratified logistic regression models were estimated for mental health problems (PTSD, anxiety, depression), substance use (risky drinking, cannabis, illicit drug use), and IPV. Results showed that economic stressors were linked with mental health problems among men and women. Among men, PTSD was associated with greater odds of cannabis and illicit drug use. Men who used cannabis and illicit drugs were more likely to report IPV. Male Spanish speakers had lower odds of anxiety and cannabis use than English speakers. Female Spanish speakers had lower odds of substance use and IPV than English speakers. The protective effect of Spanish language preference on some mental health, substance use, and IPV outcomes was more pronounced among women. Future research should identify the mechanisms that underlie the protective effect of Spanish language preference and explore factors that contribute to the observed gender differences.

Suggested Citation

  • Carol B. Cunradi & Raul Caetano & William R. Ponicki & Harrison J. Alter, 2021. "Interrelationships of Economic Stressors, Mental Health Problems, Substance Use, and Intimate Partner Violence among Hispanic Emergency Department Patients: The Role of Language-Based Acculturation," IJERPH, MDPI, vol. 18(22), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12230-:d:684459
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/22/12230/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/22/12230/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Okechukwu, C.A. & Ayadi, A.M.E. & Tamers, S.L. & Sabbath, E.L. & Berkman, L., 2012. "Household food insufficiency, financial strain, work-family spillover, and depressive symptoms in the working class: The work, family, and health network study," American Journal of Public Health, American Public Health Association, vol. 102(1), pages 126-133.
    2. Alegría, M. & Mulvaney-Day, N. & Torres, M. & Polo, A. & Cao, Z. & Canino, G., 2007. "Prevalence of psychiatric disorders across Latino subgroups in the United States," American Journal of Public Health, American Public Health Association, vol. 97(1), pages 68-75.
    3. Lown, E.A. & Vega, W.A., 2001. "Prevalence and predictors of physical partner abuse among Mexican American women," American Journal of Public Health, American Public Health Association, vol. 91(3), pages 441-445.
    4. Ana Isabel Maldonado & Carol B. Cunradi & Anna María Nápoles, 2020. "Racial/Ethnic Discrimination and Intimate Partner Violence Perpetration in Latino Men: The Mediating Effects of Mental Health," IJERPH, MDPI, vol. 17(21), pages 1-17, November.
    5. Ruiz, J.M. & Steffen, P. & Smith, T.B., 2013. "Hispanic mortality paradox: A systematic review and meta-analysis of the longitudinal literature," American Journal of Public Health, American Public Health Association, vol. 103(3), pages 52-60.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Finno-Velasquez, Megan & Seay, Kristen D. & He, Amy S., 2016. "A national probability study of problematic substance use and treatment receipt among Latino caregivers involved with child welfare: The influence of nativity and legal status," Children and Youth Services Review, Elsevier, vol. 71(C), pages 61-67.
    2. Samson, Frank L., 2015. "Racial resentment and smoking," Social Science & Medicine, Elsevier, vol. 126(C), pages 164-168.
    3. Wallace, Matthew & Wilson, Ben, 2022. "Age variations and population over-coverage: is low mortality among migrants merely a data artefact?," LSE Research Online Documents on Economics 114300, London School of Economics and Political Science, LSE Library.
    4. Mathieu Ichou & Matthew Wallace, 2019. "The Healthy Immigrant Effect: The role of educational selectivity in the good health of migrants," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 40(4), pages 61-94.
    5. Sloane Burke Winkelman & Elizabeth H. Chaney & Jeffrey W. Bethel, 2013. "Stress, Depression and Coping among Latino Migrant and Seasonal Farmworkers," IJERPH, MDPI, vol. 10(5), pages 1-16, May.
    6. Teresa Ghilarducci & Kyle Moore, 2015. "Racially Disparate Effects of Raising the Retirement Age," SCEPA working paper series. 2015-03, Schwartz Center for Economic Policy Analysis (SCEPA), The New School.
    7. Tunstall, Helena & Mitchell, Richard & Pearce, Jamie & Shortt, Niamh, 2014. "The general and mental health of movers to more- and less-disadvantaged socio-economic and physical environments within the UK," Social Science & Medicine, Elsevier, vol. 118(C), pages 97-107.
    8. Alcántara, Carmela & Chen, Chih-Nan & Alegría, Margarita, 2014. "Do post-migration perceptions of social mobility matter for Latino immigrant health?," Social Science & Medicine, Elsevier, vol. 101(C), pages 94-106.
    9. Roelfs, David J. & Shor, Eran, 2024. "The problematic nature of existing explanations for differential immigrant mortality: Insights from a comparative cross-national systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 349(C).
    10. April Schweinhart & Janine Austin Clayton, 2018. "Reversing the Trends toward Shorter Lives and Poorer Health for U.S. Women: A Call for Innovative Interdisciplinary Research," IJERPH, MDPI, vol. 15(9), pages 1-14, August.
    11. Erhardt, Erik & Murray-Krezan, Cristina & Regino, Lidia & Perez, Daniel & Bearer, Elaine L. & Page-Reeves, Janet, 2023. "Associations between depression and diabetes among Latinx patients from low-income households in New Mexico," Social Science & Medicine, Elsevier, vol. 320(C).
    12. Peter J. Guarnaccia & Roberto Lewis-Fernandez & Igda Martinez Pincay & Patrick Shrout & Jing Guo & Maria Torres & Glorisa Canino & Margarita Alegria, 2010. "Ataque De Nervios as a Marker of Social and Psychiatric Vulnerability: Results From the NLAAS," International Journal of Social Psychiatry, , vol. 56(3), pages 298-309, May.
    13. Okechukwu, Cassandra A. & Kelly, Erin L. & Bacic, Janine & DePasquale, Nicole & Hurtado, David & Kossek, Ellen & Sembajwe, Grace, 2016. "Supporting employees' work-family needs improves health care quality: Longitudinal evidence from long-term care," Social Science & Medicine, Elsevier, vol. 157(C), pages 111-119.
    14. Danan Gu & Haiyan Zhu & Ming Wen, 2015. "Neighborhood-health links: Differences between rural-to-urban migrants and natives in Shanghai," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 33(17), pages 499-524.
    15. Wong, David W.S. & Das Gupta, Debasree, 2023. "Empirical evidence supporting the inclusion of multi-axes segregation in assessing US county health," Social Science & Medicine, Elsevier, vol. 339(C).
    16. Luis Enrique Espinoza & Lucas Enrique Espinoza & Jennifer L. Talleff & Rosalva Resendiz & Leticia Nevarez Zavala & Kathleen Ayako Anangwe, 2022. "A comparative study of intimate partner violence among U.S.‐born and foreign‐born Hispanic women," Social Science Quarterly, Southwestern Social Science Association, vol. 103(4), pages 833-844, July.
    17. Rebecca M. Crocker & Karina Duenas & Luis Vázquez & Maia Ingram & Felina M. Cordova-Marks & Emma Torres & Scott Carvajal, 2022. "“Es Muy Tranquilo Aquí”: Perceptions of Safety and Calm among Binationally Mobile Mexican Immigrants in a Rural Border Community," IJERPH, MDPI, vol. 19(14), pages 1-16, July.
    18. Aguado Loi, Claudia X. & Alfonso, Moya L. & Chan, Isabella & Anderson, Kelsey & Tyson, Dinorah (Dina) Martinez & Gonzales, Junius & Corvin, Jaime, 2017. "Application of mixed-methods design in community-engaged research: Lessons learned from an evidence-based intervention for Latinos with chronic illness and minor depression," Evaluation and Program Planning, Elsevier, vol. 63(C), pages 29-38.
    19. Fox, Molly & Thayer, Zaneta & Wadhwa, Pathik D., 2017. "Assessment of acculturation in minority health research," Social Science & Medicine, Elsevier, vol. 176(C), pages 123-132.
    20. Norma Fuentes-Mayorga & Alfredo Cuecuecha Mendoza, 2023. "The Most Vulnerable Hispanic Immigrants in New York City: Structural Racism and Gendered Differences in COVID-19 Deaths," IJERPH, MDPI, vol. 20(10), pages 1-21, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12230-:d:684459. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.