Cross Ethnic Trends In Drinking, Alcohol Use Disorders And Service Utilization

描述(由申请人提供)：大量证据表明，少数民族群体和白人之间存在着重大的健康差距。在酒精领域也发现了这些差异，NIAAA已经认识到通过研究解决这些差异的重要性(NIAAA，2002)。这份意见书的长期目标是通过推进美国种族群体中饮酒及其相关问题的流行病学研究来解决健康差距。然而，这份意见书侧重于白人、黑人和西班牙裔美国人之间的比较，以利用作为要分析的数据集的一部分的黑人和西班牙裔过抽样。本文件根据1992年全国酒精纵向流行病学调查(NLAES)和2002年全国酒精及相关疾病流行病学调查(NESARC)的二级数据分析，提出了白人、黑人和西班牙裔饮酒和酗酒/依赖的10年趋势分析。本意见书的具体目的是：1)分析戒酒水平、饮酒模式、饮酒量(每月饮酒量)、酗酒和醉酒的十年趋势(1992和2002)，并确定白人、黑人和西班牙裔美国人这些行为和趋势的社会人口学预测因素；2)检查DSM-IV酒精滥用和依赖的流行率和十年趋势，并在白人、黑人和西班牙裔中建立这两种诊断的饮酒和社会人口学相关性；3)描述1992年和2002年的酒精滥用和依赖症状特征，确定这些症状特征的变化，并评估白人、黑人和西班牙裔不同特征的主要饮酒相关预测因素；以及4)描述白人、黑人和拉美裔美国人一生和12个月酒精服务利用的趋势，并遵循Aday和Andersen(1974)的模型，通过酒精和毒品领域的工作修改，以确定这些相同种族群体使用酒精服务的预测因素。不寻求帮助的原因也将被审查。拟议的目标将涵盖酒精流行病学重大领域的重要空白。在酒类文献中，还没有关于焦点所在时期的趋势分析以及白人、黑人和西班牙裔美国人的对比。聚集起来进行分析的研究小组经验丰富，多年来一直在一起进行富有成效的工作。7.项目说明：大量证据表明，少数民族群体和白人之间存在着重要的健康差距。在酒精领域也发现了这些差异，这些领域正在被认识到，并从预防的角度给予研究重要性。这份意见书的长期目标是通过推进美国种族群体中饮酒及其相关问题的流行病学研究来解决健康差距。拟议的目标将涵盖酒精流行病学重大领域的重要空白。在酒类文献中，还没有关于焦点所在时期的趋势分析以及白人、黑人和西班牙裔美国人的对比。 公共卫生相关性：大量证据表明，少数民族群体和白人之间存在着重要的健康差距。在酒精领域也发现了这些差异，这些领域正在被认识到，并从预防的角度给予研究重要性。这份意见书的长期目标是通过推进美国种族群体中饮酒及其相关问题的流行病学研究来解决健康差距。拟议的目标将涵盖酒精流行病学重大领域的重要空白。在酒类文献中，还没有关于焦点所在时期的趋势分析以及白人、黑人和西班牙裔美国人的对比。

DESCRIPTION (provided by applicant): Considerable evidence has been accumulated indicating that there are important health disparities between ethnic minority groups and Whites. These disparities are also found in the alcohol area, and NIAAA has recognized the importance of addressing them through research (NIAAA, 2002). The long term goal of this submission is to address health disparities by advancing the epidemiological study of drinking and its associated problems among ethnic groups in the U.S. However, this submission focuses on comparisons across Whites, Blacks and Hispanics to take advantage of the Black and Hispanic oversamples that are part of the data sets to be analyzed. This submission proposes 10-year trend analyses of drinking and alcohol abuse/dependence across Whites, Blacks and Hispanics based on secondary data analyses of the 1992 National Longitudinal Alcohol Epidemiologic Survey (NLAES) and the 2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). The specific aims of this submission are: 1) To analyze 10-year trends (1992 and 2002) in abstention levels, drinking patterns, volume of drinking (number of drinks per month), binge drinking and drunkenness; and to identify sociodemographic predictors of these behaviors and trends across Whites, Blacks and Hispanics; 2) To examine the prevalence and 10-year trends of DSM-IV alcohol abuse and dependence and to establish the drinking and sociodemographic correlates of these two diagnoses among Whites, Blacks and Hispanics; 3) To describe alcohol abuse and dependence symptom profiles in 1992 and 2002, to identify changes in these symptom profiles, and to assess the main drinking related predictors of different profiles across Whites, Blacks and Hispanics; and 4) To describe trends in both lifetime and12-month alcohol service utilization across Whites, Blacks and Hispanics, and following Aday and Andersen's (1974) model as modified by work in the alcohol and drug field, to identify the predictors of utilization across these same ethnic groups. Reasons for not seeking help will also be examined. The proposed aims will cover important gaps in significant areas of alcohol epidemiology. Trends analyses covering the period under focus and contrasting Whites, Blacks and Hispanics have not been reported yet in the alcohol literature. The research team assembled to conduct the analyses is experienced and has worked together productively for many years. 7. Project Narrative: Considerable evidence has been accumulated indicating that there are important health disparities between ethnic minority groups and Whites. These disparities are also found in the alcohol area which are being recognized and given research importance in the light of prevention. The long term goal of this submission is to address health disparities by advancing the epidemiological study of drinking and its associated problems among ethnic groups in the U.S. The proposed aims will cover important gaps in significant areas of alcohol epidemiology. Trends analyses covering the period under focus and contrasting Whites, Blacks and Hispanics have not been reported yet in the alcohol literature. Public Health Relevance: Considerable evidence has been accumulated indicating that there are important health disparities between ethnic minority groups and Whites. These disparities are also found in the alcohol area which are being recognized and given research importance in the light of prevention. The long term goal of this submission is to address health disparities by advancing the epidemiological study of drinking and its associated problems among ethnic groups in the U.S. The proposed aims will cover important gaps in significant areas of alcohol epidemiology. Trends analyses covering the period under focus and contrasting Whites, Blacks and Hispanics have not been reported yet in the alcohol literature.