Family cohesion and pride, drinking and alcohol use disorder in Puerto Rico.

Family cohesion and pride, drinking and alcohol use disorder in Puerto Rico.
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DOI:
10.1080/00952990.2016.1225073
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发表时间:
2017-01
期刊:
The American journal of drug and alcohol abuse
影响因子:
--
通讯作者:
Canino G
Canino G
中科院分区:
其他
文献类型:
--
作者:
Caetano R;Vaeth PA;Canino G

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多代同堂的大家庭是西班牙文化的核心价值。家庭凝聚力/自豪感可以对西班牙裔人的饮酒和吸毒相关行为产生保护作用。研究波多黎各家庭凝聚力/自豪感、饮酒、酗酒和DSM-5酒精使用障碍之间的关联。数据来自波多黎各的圣胡安的1510名18-64岁的个体的家庭随机样本。双变量分析表明,家庭凝聚力/自豪感与每周平均饮酒量无关,但与男性的酗酒有关。家庭凝聚力/自豪感也与DSM-5酒精使用障碍有关。多变量分析的结果与DSM-5 AUD的这些双变量结果一致。低(OR=2.2,95 CL =1.21-3.98; p<0.01)和中等(OR=1.88; 95 CL =1.12-3.14; p<0.01)家庭凝聚力/自豪感的受访者比高家庭凝聚力/自豪感的受访者更有可能被诊断为DSM-5酒精使用障碍。更自由的饮酒规范和对饮酒的积极态度也是每周平均饮酒量的强预测因素。更自由的饮酒规范也预测了酗酒,DSM-5 AUD。更高的家庭凝聚力/自豪感可能对DSM-5酒精使用障碍有保护作用。这可能对临床和预防计划具有实际意义。只要高凝聚力不允许饮酒,这些方案就可以增强和支持家庭凝聚力/自豪感,帮助客户治疗和康复,防止饮酒问题。
The extended multigenerational family is a core value of Hispanic culture. Family cohesion/pride can have protective effects on drinking and drug use related behavior among Hispanics. To examine the association between family cohesion/pride, drinking, binge drinking, and DSM-5 alcohol use disorder in Puerto Rico. Data are from a household random sample of 1510 individuals 18-64 years of age of San Juan, Puerto Rico. Bivariate analyses showed that family cohesion/pride was not associated with the average number of drinks consumed per week, but was associated with binge drinking among men. Family cohesion/pride was also associated with DSM-5 alcohol use disorder. Results of the multivariate analyses were consistent with these bivariate results for DSM-5 AUD. Respondents with low (OR=2.2, 95CL=1.21-3.98; p<.01) and medium (OR=1.88; 95CL=1.12-3.14; p<.01) family cohesion/pride were more likely than those with high family cohesion/pride to have a positive diagnosis of DSM-5 alcohol use disorder. More liberal drinking norms and positive attitudes towards drinking were also strong predictors of the average number of drinks consumed per week. More liberal drinking norms also predicted binge drinking, and DSM-5 AUD. Higher family cohesion/pride may have a protective effect against DSM-5 alcohol use disorder. This may have practical implications for clinical and prevention programs. As long as high cohesion is not enabling drinking, these programs can enhance and support family cohesion/pride to help clients in treatment and recovery and prevent drinking problems.
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