Evidence map›Paper›PMID 25343653›Full record

ArticleJournal of studies on alcohol and drugs2014

Substance use disorders among first- and second- generation immigrant adults in the United States: evidence of an immigrant paradox?

Christopher P Salas-Wright, Michael G Vaughn, Trenette T Clark, Lauren D Terzis, David Córdova

Open access · bronzeAbstract read
In one paragraph

Article in Journal of studies on alcohol and drugs, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 4 pooled it
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 4 syntheses or guidelines pooled it, 116 citations in OpenAlex.

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  11. Race, discrimination, and mental health adversity in Canada.Canadian journal of public health = Revue canadienne de sante publique · 2025
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4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Christopher P Salas-WrightSchool of Social Work, The University of Texas at Austin, Austin, Texas.
Michael G VaughnSchool of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri.
Trenette T ClarkSchool of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Lauren D TerzisSchool of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri.
David CórdovaSchool of Social Work, University of Michigan, Ann Arbor, Michigan.
Saint Louis University · USThe University of Texas at Austin · USUniversity of Michigan–Ann Arbor · USUniversity of North Carolina at Chapel Hill · US

Funding

Interdisciplinary Research Training Institute on Hispanic Drug AbuseR25DA026401 · NIDA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI VALDEZ, AVELARDO · 2009 to 2019
$3.2M
Substance Use Trajectories and Health Outcomes for Monoracial and Biracial BlacksK01DA035895 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GOINGS, TRENETTE CLARK · 2013 to 2017
$829k
NIDA NIH HHS K01 DA035895NIDA NIH HHS R25 DA026401
6 · The paper itself

Abstract

objectiveA growing number of studies have examined the "immigrant paradox" with respect to the use of licit and illicit substances in the United States. However, there remains a need for a comprehensive examination of the multigenerational and global links between immigration and substance use disorders among adults in the United States.

methodThe present study, using data from the National Epidemiologic Survey on Alcohol and Related Conditions, aimed to address these gaps by comparing the prevalence of substance use disorders of first-generation (n = 3,338) and second-generation (n = 2,515) immigrants with native-born American adults (n = 15,733) in the United States. We also examined the prevalence of substance use disorders among first-generation emigrants from Asia, Africa, Europe, and Latin America in contrast to second-generation and native-born Americans.

resultsThe prevalence of substance use disorders was highest among native-born Americans, slightly lower among second-generation immigrants, and markedly lower among first-generation immigrants. Adjusted risk ratios were largest among individuals who immigrated during adolescence (ages 12-17 years) and adulthood (age 18 years or older). Results were consistent among emigrants from major world regions.

conclusionsConsistent with a broad body of literature examining the links between the immigrant paradox and health outcomes, results suggest that nativity and age at arrival are significant factors related to substance use disorders among first- and second-generation immigrants in the United States.

Indexed as

AdolescentAdultAge FactorsEmigrants and ImmigrantsEthnicityFemaleHealth SurveysHumansMaleMiddle AgedPopulation GroupsPrevalenceSubstance-Related DisordersUnited StatesYoung Adult

Identifiers

PMID25343653
PMCPMC4211337
OpenAlexW2088567980

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.