Alcohol Epidemiology among Border and Non-Border Mexican Americans

描述（由申请人提供）：本申请是响应PA-05-029，“健康的社会和文化层面”提交的。它建议对生活在边境的墨西哥裔美国人的饮酒模式和与酒精有关的问题进行深入的家庭流行病学调查。通过将边境样本与居住在边境地区以外的1500名墨西哥裔美国人样本进行比较，并作为已经资助的NIAAA赠款的一部分于2006年在休斯顿和洛杉矶进行采访，将增加研究的丰富性和范围。拟议的调查有以下目的：1）描述饮料偏好、戒酒水平、饮酒模式、饮酒量（每月饮酒次数），酗酒（男性在2小时内喝5杯或更多，女性喝4杯或更多），以及确定社会人口预测因素（年龄，性别，收入，教育，婚姻状况，就业状况，出生地，代际地位和宗教）的饮酒模式在边境墨西哥裔美国人相比，非边境墨西哥裔美国人。2)基于饮酒的规范模型（Caetano，1987 a，1987 b;吉尔伯特，1985; Zemore，2005），研究边境墨西哥裔美国人与非边境墨西哥裔美国人相比的文化适应，酒精相关的态度和期望，饮酒和狂欢之间的关联。3)研究饮酒（每月饮酒次数），暴饮暴食和感知邻里特征（集体效能和社会凝聚力和非正式社会控制，以及感知邻里暴力）之间的关联边境墨西哥裔美国人相比，非边境墨西哥裔美国人。4)研究饮酒地点（墨西哥一侧与美国一侧）、选择饮酒地点的原因、饮酒同伴与边境墨西哥裔美国人饮酒和酗酒频率之间的关联。5)研究酒精相关问题（社会，法律的，人际）和DSM-IV酒精滥用/依赖的患病率;并建立饮酒和社会人口统计学相关的这些问题之间的边境墨西哥裔美国人相比，非边境墨西哥裔美国人。6)测试一组结构模型，假设具体目标1至5中讨论的因素之间的关系，以及这些因素与三个结果之间的关系：与非边境墨西哥裔美国人相比，边境墨西哥裔美国人的饮酒量（每月饮酒量）、酗酒和酒精问题/依赖。

DESCRIPTION (provided by applicant): This application is submitted in response to PA-05-029, "Social and Cultural Dimensions of Health". It proposes an in-depth household epidemiological survey of drinking patterns and alcohol-related problems among Mexican Americans living on the Border. The richness and scope of the study will be augmented by comparing the Border sample with a sample of 1500 Mexican Americans living outside the Border area, and interviewed in 2006 in Houston and Los Angeles as part of an already funded NIAAA grant. The proposed survey has the following aims: 1) To characterize beverage preferences, abstention level, drinking patterns, volume of drinking (number of drinks per month), binge drinking (5 or more drinks for men and 4 or more for women in a 2 hour occasion), as well as identify the sociodemographic predictors (age, gender, income, education, marital status, employment status, birthplace, generational status and religion) of these patterns of drinking among Border Mexican Americans as compared to non-Border Mexican Americans. 2) Based on a normative model of drinking (Caetano, 1987a, 1987b; Gilbert, 1985; Zemore, 2005), to examine the association between acculturation, alcohol related attitudes and expectancies, drinking and binge among Border Mexican Americans as compared to non-Border Mexican Americans. 3) To examine the association between drinking (number of drinks per month), binge drinking and perceived neighborhood characteristics (collective efficacy and indicated by social cohesion and informal social control, and perceived neighborhood violence) among Border Mexican Americans compared to non-Border Mexican Americans. 4) To examine the association between place of drinking (Mexico side versus US side), reasons for selecting place of drinking, drinking companions and frequency of drinking and binge drinking among Border Mexican Americans. 5) To examine the prevalence of alcohol-related problems (social, legal, interpersonal) and DSM-IV alcohol abuse/dependence; and to establish the drinking and sociodemographic correlates of these problems among Border Mexican Americans compared to Non-Border Mexican Americans. 6) To test a set of structural models that postulate the relationships among the factors discussed in specific aims 1 to 5 and the relationship between these factors and three outcomes: volume of drinking (number of drinks consumed per month) binge drinking and alcohol problems/dependence among Border Mexican Americans compared to non-Border Mexican Americans.