Incidence of Alcohol Use Disorders Among Hispanic Subgroups in the USA
Incidence of Alcohol Use Disorders Among Hispanic Subgroups in the USA
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DOI：
10.1093/alcalc/agu032
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发表时间：
2014-09-01
影响因子：
2.8
通讯作者：
Freile-Salinas, Diana
中科院分区：
文献类型：
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作者：
Rios-Bedoya, Carlos F.;Freile-Salinas, Diana
目的：西班牙裔美国人是美国最大的少数民族群体，也是一个相当异质的群体。但这种异质性通常被忽视，将它们归为一个类别。本研究的目的是通过提供西班牙裔亚组的酒精使用障碍（AUD）发病率和风险估计来挑战这种做法。研究方法：分析了参加第一波和第二波全国酒精和相关疾病流行病学调查的有AUD风险的西班牙裔（n = 2371）和非西班牙裔白人（n = 7741）的子样本。计算西班牙裔亚组中AUD的加权发生率。采用加权修正Poisson广义线性模型估计相对危险度。结果如下：与非西班牙裔白人相比，波多黎各人的AUD发病率最高（3.6%; 95% CI：0.5，6.7），其次是墨西哥裔美国人（2.5%; 95% CI：1.5，3.6），其他西班牙裔美国人（1.6%; 95% CI：0.1，3.1）和古巴裔美国人（0.6%; 95% CI：0.1，1.2）。相比之下，墨西哥裔美国人的加权调整相对风险估计值为（RR = 3.2; 95% CI：1.7，6.2），但波多黎各人（RR = 2.2; 95% CI：1.0，5.0），它有点减弱，但仍然显着（P = 0.049）。古巴裔美国人或其他西班牙裔美国人之间没有差异。结论：在西班牙裔亚组中，AUD的年发病率和风险差异很大。尽管如此，将西班牙裔人归类为单一族裔群体的做法仍在继续。我们的研究结果表明，这种做法不仅是不恰当的，而且阻碍了更好地了解AUD的病因，预防，治疗和康复在美国最大的少数民族群体。
Objective: Hispanics are the largest ethnic minority group in the USA and a fairly heterogeneous group. But this heterogeneity has usually been ignored by grouping them into a single category. The objective of this study is to challenge that practice by providing alcohol use disorders (AUD) incidence and risk estimates across Hispanic subgroups. Methods: A subsample of Hispanics (n = 2371) and non-Hispanic whites (n = 7741) at risk for AUD who participated in the first and second wave of the National Epidemiological Survey on Alcohol and Related Conditions was analyzed. Weighted incidence for AUD was calculated across Hispanic subgroups. A weighted modified Poisson generalized linear model was used to estimate relative risks. Results: Compared with non-Hispanic whites, Puerto Ricans have the highest AUD incidence (3.6%; 95% CI: 0.5, 6.7) followed by Mexican-Americans (2.5%; 95% CI: 1.5, 3.6), Other Hispanics (1.6%; 95% CI: 0.1, 3.1) and Cuban-Americans (0.6%; 95% CI: 0.1, 1.2). In contrast, weighted adjusted relative risk estimates for Mexican-Americans were (RR = 3.2; 95% CI: 1.7, 6.2) but for Puerto Ricans (RR = 2.2; 95% CI: 1.0, 5.0) it was somewhat attenuated but still significant (P = 0.049). No difference was found for Cuban-Americans or Other Hispanics. Conclusions: The annual incidence and risk for AUD varies greatly among Hispanic subgroups. Nonetheless, the practice of categorizing Hispanics as a homogenous ethnic group still continues. Our findings suggest that this practice is not only inappropriate, but also hinders a better understanding of AUD etiology, prevention, treatment and rehabilitation in the largest ethnic minority group in the USA.