Alcohol Epidemiology among Border and Non-Border Mexican Americans

说明(申请人提供)：本申请是根据PA-05-029“健康的社会和文化层面”提交的。它建议对居住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。这项研究的丰富性和范围将通过将边境样本与居住在边境地区以外的1500名墨西哥裔美国人的样本进行比较，并于2006年作为已经资助的NIAAA赠款的一部分在休斯顿和洛杉矶进行采访。拟议的调查有以下目的：1)描述边境墨西哥裔美国人与非边境墨西哥裔美国人的饮酒偏好、戒酒水平、饮酒模式、饮酒量(每月饮酒量)、狂饮(男性在两小时内饮酒5杯或更多，女性饮酒4杯或更多)，以及确定这些饮酒模式的社会人口预测因素(年龄、性别、收入、教育、婚姻状况、就业状况、出生地、世代状况和宗教)。2)基于饮酒的标准模型(Caetano，1987a，1987b；Gilbert，1985；Zemore，2005)，考察了墨西哥边境美国人与非墨西哥边境美国人之间的文化适应、与酒精相关的态度和期望、饮酒和酗酒之间的联系。3)研究边境墨西哥裔美国人与非边境墨西哥裔美国人之间的饮酒(每月饮酒次数)、酗酒与感知的邻里特征(集体效能、社会凝聚力和非正式社会控制以及感知的邻里暴力)之间的关系。4)考察边境墨西哥裔美国人饮酒地点(墨西哥一侧与美国一侧)、选择饮酒地点的原因、饮酒同伴与饮酒频率和酗酒频率之间的关系。5)检查与酒精有关的问题(社会、法律、人际关系)和DSM-IV酒精滥用/依赖的流行率；并与非墨西哥边境美国人相比，确定这些问题在墨西哥边境美国人中的饮酒和社会人口相关性。6)检验一套结构模型，这些模型假设在具体目标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的关系：饮酒量(每月饮酒量)、酗酒和酒精问题/依赖在边境墨西哥裔美国人与非边境墨西哥裔美国人之间的比较。

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.