Exploring Structural, Sociocultural, and Individual Barriers to Alcohol Abuse Treatment Among Hispanic Men

Luis A. Valdez, David O. Garcia, John Ruiz, Eyal - Oren, Scott C Carvajal

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1948-1957
Number of pages10
JournalAmerican Journal of Men's Health
Volume12
Issue number6
DOIs
StatePublished - Nov 1 2018

Keywords

  • alcohol use
  • behavioral issues
  • behavioral issues
  • cultural sensitivity
  • gender issues and sexual orientation
  • general health and wellness
  • health inequality/disparity
  • health-care issues
  • masculinity
  • risk behaviors

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

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