Exploring Structural, Sociocultural, and Individual Barriers to Alcohol Abuse Treatment Among Hispanic Men
| Autor: | David O. Garcia, Scott C. Carvajal, John M. Ruiz, Luis A. Valdez, Eyal Oren |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male gender issues and sexual orientation Health (social science) Social stigma media_common.quotation_subject Population general health and wellness lcsh:Medicine 030508 substance abuse Alcohol abuse health inequality/disparity Health Services Accessibility Interviews as Topic 03 medical and health sciences 0302 clinical medicine cultural sensitivity medicine Humans Normalization (sociology) masculinity 030212 general & internal medicine Sociocultural evolution education media_common health-care issues education.field_of_study Treatment seeking lcsh:R Public Health Environmental and Occupational Health Hispanic or Latino Middle Aged Patient Acceptance of Health Care alcohol use medicine.disease Special section-Racial and Ethnic Diversity and Disparity Issues United States behavioral issues Alcoholism risk behaviors Masculinity Thematic analysis 0305 other medical science Psychology Clinical psychology |
| Zdroj: | American Journal of Men's Health American Journal of Men's Health, Vol 12 (2018) |
| ISSN: | 1557-9891 1557-9883 |
| DOI: | 10.1177/1557988318790882 |
| Popis: | Hispanic men have poor access to alcohol abuse treatment, low treatment engagement, and low treatment completion rates despite the contrasting burden of alcohol-related consequences they face. The purpose of this study was to examine Hispanic male perspectives regarding alcohol abuse treatment-seeking behaviors and the structural, sociocultural, and individual factors that may influence initiation and continued engagement in treatment in this population. Individual interviews were conducted with a sample of 20 Hispanic men (age: 44.6 ± 11.3 years). Thematic analysis was completed using a hybrid deductive–inductive approach centered in an a priori codebook that was further supplemented with iterative exploration of transcripts. Results suggested treatment-seeking behaviors were highly influenced by (a) structural factors related to poor treatment access, as well as lack of linguistic- and cultural-responsiveness of available treatment; (b) sociocultural factors related to difficulties problematizing alcohol abuse due to lack of community awareness, societal normalization of consumption, and stigmatization of alcohol abuse treatment; and (c) individual factors related to lack of individual knowledge. This work highlights the perceived lack of congruency between available treatment and the linguistic, cultural, and gender norms of Hispanic men. There is need for responsive treatment strategies that comprehensively consider the gendered- and sociocultural-factors that govern treatment seeking and engagement behaviors. Findings also suggest a need for targeted alcohol abuse awareness building efforts in the Hispanic community. Specifically, the detrimental effects of alcohol-related problems and potential benefits of treatment should be addressed in order to diminish social stigma of abuse and of treatment. |
| Databáze: | OpenAIRE |
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