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The Impact of Intergenerational Cultural Dissonance on Alcohol Use Among Vietnamese and Cambodian Adolescents in the United States.
J Adolesc Health. 2016 Feb; 58(2):174-80.JA

Abstract

PURPOSE

Rates of alcohol use may be increasing among Asian-American adolescents. Among youth from Asian-immigrant families, intergenerational cultural dissonance (ICD), a difference in acculturation between children and caregivers, is associated with adverse childhood outcomes. This study investigates the longitudinal association of ICD and alcohol use among youth from immigrant Vietnamese and Cambodian families in the United States.

METHODS

Two waves of annual data, wave 4 (baseline for this study) and wave 5 (follow-up), were obtained from the Cross-Cultural Families Project, a longitudinal study of 327 Vietnamese and Cambodian immigrant families in Washington State. The Asian-American Family Conflicts Scale was used to measure ICD. Adolescent alcohol use was measured as any drinking in the past 30 days. A multiple logistic regression model was estimated with the outcome, alcohol use, measured at the follow-up visit and all predictors, including ICD, measured at baseline. Sex, nationality, nativity, and acculturation were tested as modifiers of the ICD-alcohol use relationship.

RESULTS

Nine percent of adolescents (age range 13-18 years) reported alcohol use at baseline and this increased significantly (p < .0001) to 16% one year later. ICD was associated with increased odds of alcohol use at follow-up (odds ratio: 1.57; 95% confidence interval: 1.03-2.41; p = .04). None of the interactions were statistically significant.

CONCLUSIONS

ICD is a significant predictor of alcohol use among Vietnamese and Cambodian adolescents. Interventions that should be targeted toward reducing ICD through enhancing parent-child communication and teaching bicultural competence skills may help prevent alcohol use problems among youth from immigrant families.

Authors+Show Affiliations

Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. Electronic address: jkane29@jhu.edu.Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.University of Washington School of Social Work, Seattle, Washington.Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

26598062

Citation

Kane, Jeremy C., et al. "The Impact of Intergenerational Cultural Dissonance On Alcohol Use Among Vietnamese and Cambodian Adolescents in the United States." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, vol. 58, no. 2, 2016, pp. 174-80.
Kane JC, Johnson RM, Robinson C, et al. The Impact of Intergenerational Cultural Dissonance on Alcohol Use Among Vietnamese and Cambodian Adolescents in the United States. J Adolesc Health. 2016;58(2):174-80.
Kane, J. C., Johnson, R. M., Robinson, C., Jernigan, D. H., Harachi, T. W., & Bass, J. K. (2016). The Impact of Intergenerational Cultural Dissonance on Alcohol Use Among Vietnamese and Cambodian Adolescents in the United States. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 58(2), 174-80. https://doi.org/10.1016/j.jadohealth.2015.10.002
Kane JC, et al. The Impact of Intergenerational Cultural Dissonance On Alcohol Use Among Vietnamese and Cambodian Adolescents in the United States. J Adolesc Health. 2016;58(2):174-80. PubMed PMID: 26598062.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Impact of Intergenerational Cultural Dissonance on Alcohol Use Among Vietnamese and Cambodian Adolescents in the United States. AU - Kane,Jeremy C, AU - Johnson,Renee M, AU - Robinson,Courtland, AU - Jernigan,David H, AU - Harachi,Tracy W, AU - Bass,Judith K, Y1 - 2015/11/17/ PY - 2015/05/19/received PY - 2015/10/05/revised PY - 2015/10/06/accepted PY - 2015/11/25/entrez PY - 2015/11/26/pubmed PY - 2016/10/25/medline KW - Acculturation KW - Adolescents KW - Alcohol KW - Asian American KW - Immigration KW - Intergenerational cultural dissonance SP - 174 EP - 80 JF - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JO - J Adolesc Health VL - 58 IS - 2 N2 - PURPOSE: Rates of alcohol use may be increasing among Asian-American adolescents. Among youth from Asian-immigrant families, intergenerational cultural dissonance (ICD), a difference in acculturation between children and caregivers, is associated with adverse childhood outcomes. This study investigates the longitudinal association of ICD and alcohol use among youth from immigrant Vietnamese and Cambodian families in the United States. METHODS: Two waves of annual data, wave 4 (baseline for this study) and wave 5 (follow-up), were obtained from the Cross-Cultural Families Project, a longitudinal study of 327 Vietnamese and Cambodian immigrant families in Washington State. The Asian-American Family Conflicts Scale was used to measure ICD. Adolescent alcohol use was measured as any drinking in the past 30 days. A multiple logistic regression model was estimated with the outcome, alcohol use, measured at the follow-up visit and all predictors, including ICD, measured at baseline. Sex, nationality, nativity, and acculturation were tested as modifiers of the ICD-alcohol use relationship. RESULTS: Nine percent of adolescents (age range 13-18 years) reported alcohol use at baseline and this increased significantly (p < .0001) to 16% one year later. ICD was associated with increased odds of alcohol use at follow-up (odds ratio: 1.57; 95% confidence interval: 1.03-2.41; p = .04). None of the interactions were statistically significant. CONCLUSIONS: ICD is a significant predictor of alcohol use among Vietnamese and Cambodian adolescents. Interventions that should be targeted toward reducing ICD through enhancing parent-child communication and teaching bicultural competence skills may help prevent alcohol use problems among youth from immigrant families. SN - 1879-1972 UR - https://www.unboundmedicine.com/medline/citation/26598062/The_Impact_of_Intergenerational_Cultural_Dissonance_on_Alcohol_Use_Among_Vietnamese_and_Cambodian_Adolescents_in_the_United_States_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1054-139X(15)00384-5 DB - PRIME DP - Unbound Medicine ER -