Substance Use Among Latinx Adolescents in the USA: Scope, Theory, Interventions, and Next Steps

Flavio F. Marsiglia, Elizabeth Kiehne

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Scopus citations


Substance use and abuse among Latinx adolescents is an important public health challenge because adolescents are highly vulnerable to substance use, and substance use can have a negative impact on their overall health and well-being. In this chapter, we provide a very brief history of the growth of the Latinx population in the USA and outline the epidemiology of substance use, highlighting within-group differences, including differences by country of origin, gender, and age, and explore substance use within the framework of the immigrant paradox. We also propose the use of an ecodevelopmental approach to preventing and reducing substance use among youth and describe an innovative evidence-based intervention, known as keepin’ it REAL, for early adolescents.We conclude with a call for action, including further research to explore the roles of culture and potential sources of data that can use used to elucidate both risk and protective factors.

Original languageEnglish (US)
Title of host publicationNew and Emerging Issues in Latinx Health
PublisherSpringer International Publishing
Number of pages30
ISBN (Electronic)9783030240431
ISBN (Print)9783030240424
StatePublished - Jan 1 2019
Externally publishedYes


  • Adolescent
  • Adolescent
  • Culture
  • Evidence-based intervention
  • Latinx
  • Substance use

ASJC Scopus subject areas

  • General Medicine
  • General Social Sciences


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