RESUMO
The influence of the family is not well understood as it relates to drug use behaviors of Hispanic male adults. We examined the family's influence on drug use behavior, as perceived by Hispanic men who use heroin. One-time qualitative interviews were conducted with 21 current and former heroin users who participated in a larger study on long-term heroin use in Mexican-American men. Data were analyzed using a thematic analysis approach. Three main themes emerged: family as a supportive environment for heroin use; heroin as a family legacy; and, the family's strategies for helping to stop using heroin. A sub-theme emerged on the paradox of family involvement, which spanned the three main themes. This research lays a foundation for future work to disentangle the risks and benefits of family involvement to inform culturally-centered therapies and cultural adaptations to traditional therapeutic approaches with Mexican-American men who abuse drugs.
Assuntos
Relações Familiares/etnologia , Heroína , Americanos Mexicanos/psicologia , Abuso de Substâncias por Via Intravenosa/etnologia , Aculturação , Idoso , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Percepção , Pesquisa Qualitativa , Apoio SocialRESUMO
Survey results from 90 Mexican Americans and Latinos found that individuals who experienced social and economic challenges were more likely to self-report depressive symptoms. The prevalence of depressive symptoms among this sample was 30 percent. Results from a logistic regression analysis identified three significant predictors for depressive symptoms: (1) Individuals concerned about discrimination were twice as likely to self-report depressive symptoms; (2) individuals with concerns about access to medical care had a greater likelihood of having depressive symptoms by 94.8 percent; and (3) those who had experienced a dramatic loss of income were 1.1 times more likely to have depressive symptoms than those who had not experienced income loss. Results from the study also confirmed that the majority of Mexican Americans and Latinos prefer to seek assistance for mental health issues from a medical doctoral or from indigenous community resources, such as family members, friends, and religious consultation. Strategies for overcoming barriers to receive adequate and culturally competent mental health care and for coping with dramatic loss of income may help to alleviate depressive symptoms among the Mexican American and Latino populations.