Journal of Adolescent Health
Volume 58, Issue 2, 2016, Pages 174-180

The impact of intergenerational cultural dissonance on alcohol use among Vietnamese and Cambodian adolescents in the United States (Article)

Kane J.C.* , Johnson R.M. , Robinson C. , Jernigan D.H. , Harachi T.W. , Bass J.K.
  • a Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Hampton House, 624 North Broadway, Baltimore, MD 21205, United States
  • b Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Hampton House, 624 North Broadway, Baltimore, MD 21205, United States
  • c Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
  • d Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
  • e University of Washington School of Social Work, Seattle, WA, United States
  • f Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Hampton House, 624 North Broadway, Baltimore, MD 21205, United States

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. © 2016 Society for Adolescent Health and Medicine. All rights reserved.

Author Keywords

Immigration Intergenerational cultural dissonance Alcohol Asian American Acculturation Adolescents

Index Keywords

underage drinking Vietnam longitudinal study vietnamese alcohol consumption Cambodia Cambodian follow up human Longitudinal Studies controlled study priority journal ethnology Intergenerational Relations Washington human relation United States Humans migrant psychology Adolescent Asian Americans male Emigrants and Immigrants Acculturation Viet Nam Asian American female cultural factor Parent-Child Relations Article adult intergenerational cultural dissonance child parent relation
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84948822789&doi=10.1016%2fj.jadohealth.2015.10.002&partnerID=40&md5=f770289cb999d7725a193312309d02b0
DOI: 10.1016/j.jadohealth.2015.10.002
ISSN: 1054139X
Cited by: 5
Original Language: English