The Effects of Acculturation on Harmful Alcohol Use in the Sikh Community and Outlining the Efficacy of a Culturally Integrative Model
Bibliographic record
Abstract
Over the past decades, there has been a significant migration of Sikhs, a religious group originating from Punjab, to Western countries, including Canada and England. Concurrently, while Sikhi maintains a prohibition of psychoactive substance use, Sikh immigrants face elevated alcohol abuse rates. Further convoluting this relationship with alcohol, alcohol abuse rates in Sikh communities continue to grow and negatively affect health outcomes despite the increased availability, recognition, and efficacy of current substance abuse models rooted in health promotion. While health promotion encourages individuals to take control of their health, there exist structural determinants that hinder an individual’s decision-making capabilities and resultingly, their health outcomes. Thus, this paper aims to centre the lived reality of Sikhs who migrate to Western countries to understand how the structural determinants associated with acculturative pressures contribute to an increasing tendency to use alcohol. This paper bases itself on a literature review that used the findings of previous studies that constructed both quantitative and qualitative data, with the latter drawing on individual responses to evaluate the lived experiences of Sikh immigrants who faced alcohol problems. It was found that two major structural determinants associated with newcomer health are contributing to alcohol problems in migrant Sikh communities, which are work stress and cultural barriers. Newcomer underemployment and migration from a collectivist to an individualistic culture were found to have contributed to the use of alcohol as a coping mechanism. Furthermore, analyzing existing health promotion models, including the transtheoretical model, supported that a lack of cultural competency led to an inefficacy for Sikhs seeking treatment. Finally, the review highlighted a need for a culturally integrative model and adopted various Sikh elements, including selfless service and the Gurdwara, the Sikh place of worship, to outline tools for a culturally integrative health promotion model for substance use problems. Overall, the limited available research related to Sikh-specific alcohol problems highlighted that it requires future research to effectively analyze the efficacy of overcoming cultural barriers through culturally-specific programming.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.010 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.006 |
| Scholarly communication | 0.003 | 0.002 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".