Pain and Alcohol Use among Latinos in Primary Care: Examining Rumination as an Explanatory Factor

Daniel J. Paulus, Joseph W Ditre, Andres G. Viana, Jafar Bakhshaie, Monica Garza, Jeanette Valdivieso, Melissa Ochoa-Perez, Chad Lemaire, Michael J. Zvolensky

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Background: Alcohol is a widely abused substance among Latinos. Yet, little is known regarding factors underlying hazardous drinking in this population. Growing work has linked pain to hazardous drinking, although highly limited work has focused on Latinos. Objectives: The aim of the current study was to test rumination as an underlying mechanism explaining relations between pain severity and alcohol use among Latinos. Methods: Data from 252 low-income Latino adults (Mage = 38.7 years, SD = 10.8; 86.1% female) attending a community-based primary health care clinic were available. Participants completed measures of pain, rumination, and alcohol use. Structural equation modeling was used to evaluate the indirect effect of pain severity via rumination on alcohol use. Results: The model displayed good fit to the data. There was a statistically significant indirect effect of pain severity via rumination on alcohol use. Conclusions/Importance: The current findings suggest that rumination may underlie associations of pain and alcohol use among Latinos. Future work in primary care medical settings may benefit from targeting ruminative thinking among Latinos who are experiencing pain to address hazardous drinking.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalSubstance Use and Misuse
DOIs
StateAccepted/In press - Oct 13 2017

Keywords

  • Alcohol
  • comorbidity
  • health disparity
  • pain
  • ruminatio
  • transdiagnostic

ASJC Scopus subject areas

  • Health(social science)
  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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  • Cite this

    Paulus, D. J., Ditre, J. W., Viana, A. G., Bakhshaie, J., Garza, M., Valdivieso, J., Ochoa-Perez, M., Lemaire, C., & Zvolensky, M. J. (Accepted/In press). Pain and Alcohol Use among Latinos in Primary Care: Examining Rumination as an Explanatory Factor. Substance Use and Misuse, 1-8. https://doi.org/10.1080/10826084.2017.1361998