Hazardous drinking, alcohol use disorders, and need for treatment among Pacific Islander young adults.
Hazardous drinking, alcohol use disorders, and need for treatment among Pacific Islander young adults.
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DOI：
10.1037/ort0000456
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发表时间：
2020
影响因子：
3.3
通讯作者：
Wu, Li-Tzy
中科院分区：
文献类型：
--
作者：
Subica, Andrew M;Guerrero, Erick;Aitaoto, Nia;Moss, Howard B;Iwamoto, Derek;Wu, Li-Tzy
太平洋岛民 (PI) 年轻人被怀疑面临危险饮酒、酒精使用障碍 (AUD) 和酒精相关危害的严重风险。然而，PI 仍然是美国研究最充分的种族群体之一，导致缺乏记录其饮酒问题和治疗需求的经验数据。本研究提供了关于 PI 年轻人危险饮酒、可能的澳元、酒精相关危害和治疗需求的第一个已知数据。调查数据收集自 2 个大型 PI 社区（洛杉矶县和阿肯色州西北部）的 156 名居住在社区的 PI 年轻人（40% 为女性，年龄 18-30 岁）。我们对参与者进行了酒精、香烟和大麻使用情况、危险饮酒、可能的澳元、酒精相关危害以及过去一年对心理健康和药物滥用障碍 (SUD) 治疗的需求进行筛查。逻辑回归分析了经历可能的 AUD 和酒精相关伤害是否与过去一年的治疗需求相关。 PI 年轻人报告称，一生中饮酒的比例为 78%，其中 56% 的人有害饮酒筛查呈阳性，49% 的人对任何可能的澳元筛查呈阳性，40% 的人经历与酒精相关的重大伤害（例如健康、财务）。然而，只有 25% 的参与者报告去年需要 SUD 治疗。尽管可能患有 AUD 与感知 SUD 治疗需求无关，但经历任何与酒精相关的伤害与需要治疗的调整后赔率增加 4.7-13.2 倍相关。因此，尽管 PI 年轻人自我感知的治疗需求较低，但他们却承受着有害饮酒和酒精相关伤害的过度负担。鉴于 AUD 对社会和健康产生深远的负面影响，应设计基于文化的干预措施，以减少 PI 年轻人危险饮酒和酒精相关危害率升高的情况。
Pacific Islander (PI) young adults are suspected to bear heavy risk for hazardous drinking, alcohol use disorders (AUD), and alcohol-related harms. Yet, PIs remain among the most understudied racial groups in the United States—creating a lack of empirical data documenting their alcohol use problems and treatment needs. The present study presents the first known data on PI young adults’ hazardous drinking, possible AUDs, alcohol-related harms, and treatment needs. Survey data were collected from 156 community-dwelling PI young adults (40% women, age 18–30 years) in 2 large PI communities: Los Angeles County and Northwest Arkansas. We screened participants for alcohol, cigarette, and marijuana use, hazardous drinking, possible AUD, alcohol-related harms, and past-year need for mental health and substance use disorder (SUD) treatment. Logistic regressions examined whether experiencing possible AUD and alcohol-related harms were associated with past-year need for treatment. PI young adults reported 78% lifetime rate of alcohol use with 56% screening positive for hazardous drinking, 49% for any possible AUD, and 40% experiencing significant alcohol-related harm (e.g., health, finances). Yet, just 25% of participants reported past-year need for SUD treatment. Although having possible AUD was not associated with perceived SUD treatment need, experiencing any alcohol-related harm associated with 4.7–13.2 times greater adjusted odds for needing treatment. Therefore, despite having low self-perceived treatment need, PI young adults experience excessive burden of hazardous drinking and alcohol-related harms. Given the profound negative social and health effects of AUDs, culturally grounded interventions should be designed to reduce PI young adults’ elevated rates of hazardous drinking and alcohol-related harms.