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Degree of acculturation and the risk of crack cocaine smoking among Hispanic Americans.

F A Wagner-Echeagaray, C G Schütz, H D Chilcoat and J C Anthony

Centros de Integracion Juvenil, Mexico City, Mexico.

Epidemiologic data from three national surveys conducted in 1988, 1990, and 1991 were used to investigate the association between acculturation and use of crack cocaine among Hispanic Americans living in the United States. Poststratification and conditional logistic regression were used to hold constant shared aspects of neighborhood environment, age, sex, and education. The analyses showed a strong inverse relationship between degree of acculturation and crack smoking among Mexican Americans (relative odds = 0.12, 95% confidence interval = 0.04, 0.34) but not among other Hispanics in the study population. This observed variation within the US Hispanic American population deserves special attention in future research.

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