Social determinants of alcohol and tobacco use among Hispanic adolescents: a scoping review

BackgroundAlcohol and tobacco use (ATU) have been persistent public health concerns among youth in the United States (U.S.), including Hispanic youth who represent 25% of all American youth. While the psychosocial factors associated with ATU among Hispanic adolescents have been investigated for deca...

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Main Authors: Kazi Priyanka Silmi, Victoria Castillo, Nallely Segura, Nayeli Carrillo Cervantes, Yailene Perez, Aubrey Valenzuela, Erika A. Pugh, Jennifer B. Unger, Marybel R. Gonzalez
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1568462/full
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author Kazi Priyanka Silmi
Victoria Castillo
Nallely Segura
Nayeli Carrillo Cervantes
Yailene Perez
Aubrey Valenzuela
Erika A. Pugh
Jennifer B. Unger
Marybel R. Gonzalez
author_facet Kazi Priyanka Silmi
Victoria Castillo
Nallely Segura
Nayeli Carrillo Cervantes
Yailene Perez
Aubrey Valenzuela
Erika A. Pugh
Jennifer B. Unger
Marybel R. Gonzalez
author_sort Kazi Priyanka Silmi
collection DOAJ
description BackgroundAlcohol and tobacco use (ATU) have been persistent public health concerns among youth in the United States (U.S.), including Hispanic youth who represent 25% of all American youth. While the psychosocial factors associated with ATU among Hispanic adolescents have been investigated for decades, the social environments for youth have undergone considerable change over time. The aim of this scoping review was to examine how social determinants of health (SDOH) influence ATU among Hispanic adolescents and to assess the extent to which mental health variables are integrated into these studies.MethodsWe conducted a systematic, reproducible search on PubMed, PsycInfo, and Scopus for empirical research articles published that examined the SDOH of ATU among Hispanic/Latino/a/x adolescents in the U.S. We retrieved and screened 1467 titles and abstracts that yielded 241 articles for full review, of which 63 articles met final criteria for inclusion in the final synthesis. We categorized the SDOH by domains of behavioral, physical/built environment, socio-cultural, health care, and by levels for individual, interpersonal, school, community, and societal factors.ResultsMost studies focused on socio-cultural domains within individual and interpersonal levels. Less studies examined societal and healthcare domains. Along with the influence of individual and interpersonal determinants (e.g., generational status, Hispanic values, acculturation stress, family and peers), community level factors (e.g., neighborhood level factors such as neighborhood exposure to ATU and neighborhood ethnic concentration) emerged as key structural predictors of ATU. Ethnic discrimination was also identified as a societal level predictor that influenced ATU, with potential association of mental health as mediators, moderators, or co-occurring outcomes. About one-third of the studies investigated the influence of SDOH on ATU along with mental health related variables like depression, anxiety, and stress.ConclusionSDOH at the societal level and in the health care domain were identified as understudied among Hispanic adolescents. Future research is needed on these broader societal and structural determinants, including access to healthcare services and the integration of substance use prevention within these services, to intervene early in adolescence and reduce ATU related health consequences among Hispanic adults in the U.S.
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spelling doaj-art-e454380253bc46188e17c8363c2a2e202025-08-20T03:40:46ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-08-011610.3389/fpsyt.2025.15684621568462Social determinants of alcohol and tobacco use among Hispanic adolescents: a scoping reviewKazi Priyanka Silmi0Victoria Castillo1Nallely Segura2Nayeli Carrillo Cervantes3Yailene Perez4Aubrey Valenzuela5Erika A. Pugh6Jennifer B. Unger7Marybel R. Gonzalez8Department of Psychiatry and Behavioral Health, College of Medicine, Ohio State University, Columbus, OH, United StatesDepartment of Psychology, University of California San Diego, San Diego, CA, United StatesDepartment of Psychiatry and Behavioral Health, College of Medicine, Ohio State University, Columbus, OH, United StatesDepartment of Psychology, University of California San Diego, San Diego, CA, United StatesDepartment of Psychology, University of California San Diego, San Diego, CA, United StatesDepartment of Psychology, University of California San Diego, San Diego, CA, United StatesDepartment of Psychiatry and Behavioral Health, College of Medicine, Ohio State University, Columbus, OH, United StatesDepartment of Population and Public Health Sciences, University of Southern California, Los Angeles, CA, United StatesDepartment of Psychiatry and Behavioral Health, College of Medicine, Ohio State University, Columbus, OH, United StatesBackgroundAlcohol and tobacco use (ATU) have been persistent public health concerns among youth in the United States (U.S.), including Hispanic youth who represent 25% of all American youth. While the psychosocial factors associated with ATU among Hispanic adolescents have been investigated for decades, the social environments for youth have undergone considerable change over time. The aim of this scoping review was to examine how social determinants of health (SDOH) influence ATU among Hispanic adolescents and to assess the extent to which mental health variables are integrated into these studies.MethodsWe conducted a systematic, reproducible search on PubMed, PsycInfo, and Scopus for empirical research articles published that examined the SDOH of ATU among Hispanic/Latino/a/x adolescents in the U.S. We retrieved and screened 1467 titles and abstracts that yielded 241 articles for full review, of which 63 articles met final criteria for inclusion in the final synthesis. We categorized the SDOH by domains of behavioral, physical/built environment, socio-cultural, health care, and by levels for individual, interpersonal, school, community, and societal factors.ResultsMost studies focused on socio-cultural domains within individual and interpersonal levels. Less studies examined societal and healthcare domains. Along with the influence of individual and interpersonal determinants (e.g., generational status, Hispanic values, acculturation stress, family and peers), community level factors (e.g., neighborhood level factors such as neighborhood exposure to ATU and neighborhood ethnic concentration) emerged as key structural predictors of ATU. Ethnic discrimination was also identified as a societal level predictor that influenced ATU, with potential association of mental health as mediators, moderators, or co-occurring outcomes. About one-third of the studies investigated the influence of SDOH on ATU along with mental health related variables like depression, anxiety, and stress.ConclusionSDOH at the societal level and in the health care domain were identified as understudied among Hispanic adolescents. Future research is needed on these broader societal and structural determinants, including access to healthcare services and the integration of substance use prevention within these services, to intervene early in adolescence and reduce ATU related health consequences among Hispanic adults in the U.S.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1568462/fullHispanicyouthalcohol usetobacco usemental healthsocial determinants of health
spellingShingle Kazi Priyanka Silmi
Victoria Castillo
Nallely Segura
Nayeli Carrillo Cervantes
Yailene Perez
Aubrey Valenzuela
Erika A. Pugh
Jennifer B. Unger
Marybel R. Gonzalez
Social determinants of alcohol and tobacco use among Hispanic adolescents: a scoping review
Frontiers in Psychiatry
Hispanic
youth
alcohol use
tobacco use
mental health
social determinants of health
title Social determinants of alcohol and tobacco use among Hispanic adolescents: a scoping review
title_full Social determinants of alcohol and tobacco use among Hispanic adolescents: a scoping review
title_fullStr Social determinants of alcohol and tobacco use among Hispanic adolescents: a scoping review
title_full_unstemmed Social determinants of alcohol and tobacco use among Hispanic adolescents: a scoping review
title_short Social determinants of alcohol and tobacco use among Hispanic adolescents: a scoping review
title_sort social determinants of alcohol and tobacco use among hispanic adolescents a scoping review
topic Hispanic
youth
alcohol use
tobacco use
mental health
social determinants of health
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1568462/full
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