Social, Familial, Neighborhood Factors and Drinking in Puerto Rico

波多黎各的社会、家庭、邻里因素和饮酒

• 批准号: 8469369
• 负责人: RAUL CAETANO
• 金额: $ 58.06万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-05-15 至 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8469369
• 关键词: 18 year old; Address; Adult; Affect; Alcohol abuse; Alcohol dependence; Area; Attitude; Censuses; Characteristics; Complex; DSM-IV; DSM-V; Data; Dependence; Diagnosis; Diagnostic; Disadvantaged; Economic Recession; Education; Epidemiology; Expectancy; Family; Frequencies; Friends; Happiness; Health; Health Personnel; Health Professional; Heavy Drinking; Hispanics; Household; Individual; Island; Knowledge; Legal; Mediating; Mental Depression; Mind-Body Method; Neighborhoods; Orphan; Population; Poverty; Prevention; Prevention strategy; Preventive Intervention; Public Health; Puerto Rican; Puerto Rico; Recording of previous events; Research; Research Personnel; Sampling; Social Controls; Social Problems; Stress; Structure; Substance Use Disorder; Surveys; Testing; Time; Underemployment; Unemployment; Update; alcohol epidemiology; alcohol related problem; alcohol research; alcohol use disorder; authority; base; binge drinker; binge drinking; cohesion; drinking; drinking behavior; effective therapy; hazardous drinking; high risk drinking; innovation; interest; metropolitan; response; social; treatment response

DESCRIPTION (provided by applicant): Alcohol-related problems, abuse and dependence are an important public health problem in Puerto Rico. Unfortunately, public health authorities on the island lack the epidemiological data on drinking and its consequences that are necessary to respond to these problems. To cover this gap in knowledge, this application proposes an in-depth household epidemiological survey of drinking among adults 18 years of age and older in San Juan, Puerto Rico (sample N=1,500). A set of four innovative aims is proposed, which together will examine social, familial and neighborhood factors associated with drinking and its consequences on the island. The proposed specific aims are: 1) To examine the influence of attitudes and expectancies about drinking and of family cohesion and support on the association between drinking and alcohol-related problems, and DSM-IV abuse and dependence; 2) To examine the impact of the present economic recession on drinking behavior and associated consequences by examining the association between unemployment and underemployment, stress, depression, drinking, alcohol-related problems, abuse and dependence; 3) Expanding aims 1 and 2 to examine the association between neighborhood collective efficacy (social cohesion and social control), neighborhood disadvantage (as represented by the census-level variables poverty, under education and unemployment), volume of drinking, binge drinking, and alcohol abuse and dependence; 4) Given the specific cultural circumstances of Puerto Rico, some of which are described in aims 1, 2 and 3, above, test the cross-cultural applicability of the dimensionality of the newly proposed DSM-V substance use disorder criteria and examine the proportion and characteristics of diagnostic "orphans". Results from this study will greatly enhance the ability of treatment providers and prevention professionals to understand more about alcohol problems in Puerto Rico. The study will collect detailed epidemiological data on individual- and neighborhood-level predictors of drinking, alcohol-related problems, abuse and dependence. These data will be shared with public health professionals in Puerto Rico, which will enable these professionals to plan effective treatment responses as well as prevention strategies to address alcohol problems on the island. With this in mind, the research team is composed of researchers on the U.S. mainland and in Puerto Rico so that translational application of this research is enhanced. Finally, the knowledge produced will also be applicable to understanding drinking and its consequences among Puerto Ricans as well as other Hispanic groups on the U.S. mainland.

描述（由申请人提供）：与酒精有关的问题、滥用和依赖是波多黎各一个重要的公共卫生问题。不幸的是，岛上的公共卫生当局缺乏应对这些问题所必需的关于饮酒及其后果的流行病学数据。为了弥补这方面的知识差距，本应用程序建议对波多黎各圣胡安18岁及以上成年人的饮酒情况进行深入的家庭流行病学调查（样本N=1,500）。提出了一套四项创新目标，这些目标将共同审查与饮酒及其在岛上的后果有关的社会、家庭和邻里因素。提出的具体目标是：1)检查对饮酒的态度和期望以及家庭凝聚力和支持对饮酒和酒精相关问题以及DSM-IV滥用和依赖之间的关联的影响；2)通过考察失业与就业不足、压力、抑郁、饮酒、酒精相关问题、滥用和依赖之间的关系，研究当前经济衰退对饮酒行为和相关后果的影响；3)扩展目标1和2，以检验社区集体效能（社会凝聚力和社会控制）、社区劣势（以人口普查水平变量贫困、教育不足和失业为代表）、饮酒量、酗酒和酒精滥用和依赖之间的关系；4)考虑到波多黎各的特定文化环境，其中一些在上面的目标1、2和3中描述，测试的跨文化适用性