Epidemiology of Drinking and Disorders in Border vs. Non-Border Contexts

边境与非边境背景下饮酒和疾病的流行病学

• 批准号: 8499163
• 负责人: GUILHERME LUIZ GUIMARAES BORGES
• 金额: $ 59.13万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8499163
• 关键词: Acculturation; Address; Adult; Affect; Age; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohol or Other Drugs use; Alcoholic Intoxication; Alcohols; Area; Attention; Biogenesis; Border Crossings; Characteristics; Cities; Clinical; Cognitive; Consumption; Country; County; DSM-IV; Data; Dependence; Discrimination; Disease; Drug usage; Education; Educational Background; Employment; Environment; Environmental Risk Factor; Epidemiologic Studies; Epidemiology; Ethnic Origin; Exposure to; Family; Frequencies; Friends; Funding; Gender; General Population; Generations; Goals; Health; Health Services; Heavy Drinking; High Prevalence; Hispanics; Home environment; Homicide; Household; Immigrant; Immigration; Income; Individual; Institutes; Intervention; Interview; Law Enforcement; Leadership; Legal; Life; Link; Literature; Mediating; Mediation; Medical; Mental Health; Methods; Mexican; Mexican Americans; Mexico; Minority; Modeling; National Institute of Drug Abuse; National Institute on Alcohol Abuse and Alcoholism; Nature; Neighborhoods; Occupations; Outcome; Pattern; Pharmaceutical Preparations; Policies; Policy Developments; Population; Poverty; Prevalence; Prevention; Preventive Intervention; Psychiatry; Public Health; Race; Recording of previous events; Reporting; Research; Research Institute; Respondent; Risk; Risk Factors; Role; Security Measures; Side; Sister; Social Network; Social support; Strategic Planning; Stress; Subgroup; Surveys; Symptoms; Testing; Texas; Time; Travel; Unemployment; Universities; Variant; Violence; Visit; Woman; Work; Youth; addiction; alcohol and other drug; alcohol availability; alcohol research; alcohol use disorder; austin; base; density; drinking; epidemiologic data; experience; hazardous drinking; health disparity; men; metropolitan; population survey; psychological distress; racial discrimination; stressor; trafficking; young adult

DESCRIPTION (provided by applicant): Epidemiology of Drinking and Disorders in Border vs. Non-Border Contexts People of Mexican origin constitute the largest subgroup of Hispanics in the US (70 percent), representing 29 percent of the country's immigrant population, a large proportion of which comes to the US from border areas in Mexico. The border, home to the largest concentration of those of Mexican-origin living in the US, has received a great deal of media attention due to high rates of violence, homicide and drug trafficking, but little epidemiologic data exist on substance use or related disorders along the US-Mexico border on either side, or the effect of such stressors. This suggests the need for an in-depth study of alcohol use and related problems within the border context, including an examination of the influence of border proximity and cross-border mobility on alcohol use outcomes. The proposed research aims to describe and explain alcohol use patterns and related problems among Mexican-origin adults living in three pairs of sister metropolitan areas at the Texas-Mexico border, plus, as a contrast, in one adjacent non-border metropolitan area on each side of the border as follows: 1) describe alcohol and drug use patterns and alcohol use disorders in border vs. non-border context on both sides of the border; 2) test a conceptual model explaining the effects of border variables on alcohol and drug use outcomes; 3) describe cross-border mobility on both sides and determine the influence of cross-border mobility on alcohol and drug use patterns and alcohol use disorders. Survey data, from face-to-face household interviews, will be collected on 2,400 Mexican-origin adults over the age of 18 living in three border metropolitan areas (Laredo, McAllen and Brownsville), and one non-border metropolitan area (San Antonio) in Texas, and on 2,400 adults living in three sister metropolitan border counterparts (Nuevo Laredo, Reynosa and Matamoros), and one non-border metropolitan area in Mexico. Hazardous drinking, alcohol use disorders, and drug use will be compared between respondents in border and non-border metropolitan areas on both sides, and between those in Texas and their counterparts in Mexican sister metropolitan areas. Path analysis will be used to test the conceptual model. These findings are expected to increase our understanding of alcohol use patterns and problems in the border context, including the influence of cross-border mobility, and provide valuable data for formulating hypotheses which can be explored in a broader border context. Findings from this application will inform intervention and prevention related to substance use at the border.

描述（由申请人提供）：边境与非边境背景下饮酒和疾病的流行病学墨西哥血统的人构成了美国最大的拉美裔亚组（70%），占该国移民人口的29%，其中很大一部分来自墨西哥边境地区。边境是墨西哥裔美国人最集中的地方，由于暴力、凶杀和毒品贩运的高发率，受到了媒体的极大关注，但几乎没有流行病学数据表明美墨边境沿着的物质使用或相关疾病，或者这些压力源的影响。这表明有必要深入研究边境范围内的酒精使用和相关问题，包括审查边境邻近和跨境流动对酒精使用结果的影响。拟议的研究旨在描述和解释生活在得克萨斯州-墨西哥边境三对姐妹大都市区的墨西哥裔成年人的酒精使用模式和相关问题，作为对比，在边境两侧的一个相邻的非边境大都市区，具体如下：1）描述边境两侧边境与非边境背景下的酒精和药物使用模式以及酒精使用障碍; 2）测试解释边境变量对酒精和药物使用结果的影响的概念模型; 3）描述双方的跨境流动，并确定跨境流动对酒精和药物使用模式以及酒精使用障碍的影响。调查数据来自面对面的家庭访谈，将收集居住在三个边境大都市地区的2，400名18岁以上的墨西哥裔成年人（拉雷多、麦卡伦和布朗斯维尔），以及一个非边境大都市区（圣安东尼奥）在得克萨斯州，并对2,400名成年人生活在三个姐妹大都市边境同行（新拉雷多、雷诺萨和马塔莫罗斯），以及墨西哥的一个非边境大都市区。危险饮酒，酒精使用障碍和药物使用将在边境和非边境大都市地区的受访者之间进行比较，以及在德克萨斯州和墨西哥姐妹大都市地区的受访者之间进行比较。路径分析将用于测试概念模型。这些研究结果预计将增加我们的酒精使用模式和问题的理解，在边境的情况下，包括跨境流动的影响，并提供有价值的数据，制定可以在更广泛的边境背景下进行探讨的假设。该应用程序的结果将为与边境药物使用有关的干预和预防提供信息。