Alcohol use/abuse and help-seeking among U.S. adults: The role of racial-ethnic origin and foreign-born status.

Alcohol use/abuse and help-seeking among U.S. adults: The role of racial-ethnic origin and foreign-born status.
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DOI:
10.1080/15332640.2017.1333476
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发表时间:
2019-04
影响因子:
1.3
通讯作者:
Cubbins LA
Cubbins LA
中科院分区:
医学4区
文献类型:
--
作者:
Szaflarski M;Klepinger DH;Cubbins LA

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我们使用国家酒精及相关疾病流行病学调查第一波和第二波的数据来研究酒精使用/滥用和寻求治疗方面的种族民族和出生地差异,同时考虑文化适应、压力和社会融合因素。因变量包括饮酒、危险饮酒、DSM-IV 酒精使用障碍以及过去 12 个月内寻求治疗。种族类别包括:非洲人、欧洲人、亚洲/太平洋岛民、墨西哥人、波多黎各人和其他西班牙裔/拉丁裔。使用先前经过验证的详细措施来评估文化适应、社会压力和社会融合。对女性和男性的样本选择双变量概率模型进行了估计。移民身份和起源与酗酒/滥用和寻求治疗之间的联系很强,并且基本上不受其他社会因素的影响。欧洲人和墨西哥裔男性的饮酒/滥用率最高,而非洲、亚洲/太平洋岛民和波多黎各裔女性的饮酒/滥用率最低。对于所有移民群体来说,在美国生活的时间与饮酒/滥用酒精的风险较高有关。外国出生的人如果滥用酒精或依赖酒精,寻求治疗的可能性并不比美国本土人低。有必要对特定移民群体之间的这些关系进行进一步建模。这些发现为少数族裔和移民的酒精康复和心理健康服务提供了信息。
We used data from Wave 1 and Wave 2 of the National Epidemiological Survey on Alcohol and Related Conditions to examine racial-ethnic and nativity-based variations in alcohol use/abuse and treatment-seeking while accounting for acculturation, stress, and social integration factors. The dependent variables included alcohol use, risky drinking, DSM-IV alcohol use disorder, and treatment-seeking in the last 12 months. Racial-ethnic categories included: African, European, Asian/Pacific Islander, Mexican, Puerto Rican, and other Hispanic/Latino. Acculturation, social stress, and social integration were assessed with previously validated, detailed measures. Bivariate probit models with sample selection were estimated for women and men. Immigrant status and origin associations with alcohol use/abuse and treatment-seeking were strong and largely unaffected by other social factors. Europeans and men of Mexican origin had the highest while women of African, Asian/Pacific-Islander, and Puerto Rican origins had the lowest rates of alcohol use/abuse. Years in the US were associated with a higher risk of alcohol use/abuse for all immigrant groups. Foreign-born were no less likely than US-natives to seek treatment if they were abusing or were dependent on alcohol. Further modeling of these relationships among specific immigrant groups is warranted. These findings inform alcohol rehabilitation and mental health services for racial-ethnic minorities and immigrants.
DOI: 10.1039/p29880000031
发表时间: 1988-01-01
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