Alcohol Use Disorder Risk and Protective Factors and Associated Harms Among Pacific Islander Young Adults.
Alcohol Use Disorder Risk and Protective Factors and Associated Harms Among Pacific Islander Young Adults.
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DOI：
10.1007/s40615-021-01118-0
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发表时间：
2022-10
影响因子：
3.9
通讯作者：
Wu, Li-Tzy
中科院分区：
文献类型：
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作者：
Subica, Andrew M;Guerrero, Erick G;Hong, Phong;Aitaoto, Nia;Moss, Howard B;Iwamoto, Derek K;Wu, Li-Tzy
太平洋岛民（PI）的年轻人（18至30岁）经历危险饮酒，AUDs和酒精相关伤害的比率升高。然而，由于缺乏针对性的酒精差异研究，我们对驱动或可以预防PI年轻人危险饮酒行为和AUDs的风险和保护因素知之甚少。这项大型定性研究提供了来自8个焦点小组的69名PI（51名年轻人，18名非正式提供者）的数据，以探索与PI年轻人危险饮酒和AUD相关的主要风险因素，保护因素和负面后果。研究结果显示：（1）主要风险因素，包括存在引发酒精自我治疗的重大生活压力源，同伴/社会饮酒压力，允许饮酒规范，以及经常接触酒精;（2）负面后果，包括身体打架，健康和关系问题，对个人声誉的损害，以及社区危害，包括酒后驾车和性暴力。防止危险饮酒和AUD的保护因素包括通过避免AUD来保护家庭声誉的文化规范、教会/宗教信仰、家庭责任和文化相关的亲社会活动（例如，体育、舞蹈、合唱）。获得这一深入的数据表明，一个有效的文化接地AUD预防干预PI年轻的成年人-目前还不存在-应该（1）针对这些确定的主要风险因素AUD，同时（2）整合文化响应策略，将其报告的保护因素。
Pacific Islander (PI) young adults (age 18 to 30 years) experience elevated rates of hazardous drinking, AUDs, and alcohol-related harms. Yet, we know little about the risk and protective factors that drive, or can prevent, PI young adult hazardous drinking behaviors and AUDs due to a lack of targeted alcohol disparities research. This large qualitative study presents data from 8 focus groups with 69 PIs (51 young adults, 18 informal providers) to explore the major risk factors, protective factors, and negative consequences associated with PI young adult hazardous drinking and AUDs. Findings revealed (1) major risk factors including the presence of significant life stressors that trigger alcohol self-medication, peer/social pressure to drink, permissive drinking norms, and frequent access to alcohol and (2) negative consequences involving physical fights, health and relationship problems, harm to personal reputation, and community harms including driving-under-the-influence and sexual violence. Protective factors against hazardous drinking and AUDs included the cultural norm of protecting the family’s reputation by avoiding AUDs, church/religious faith, family responsibilities, and culturally relevant prosocial activities (e.g., sports, dance, choir). Obtaining this in-depth data revealed that an effective culturally grounded AUD prevention intervention for PI young adults—which does not currently exist—should (1) target these identified major risk factors for AUDs, while (2) integrating culturally responsive strategies that incorporate their reported protective factors.