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

描述（由申请人提供）：积累了大量证据表明少数民族群体和白人之间存在重要的健康差异。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年）。本报告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异问题。然而，本报告侧重于白人，黑人和西班牙裔之间的比较，以利用黑人和西班牙裔的过度样本作为分析数据集的一部分。本报告建议基于1992年全国纵向酒精流行病学调查（NLAES）和2002年全国酒精及相关疾病流行病学调查（NESARC）的二次数据分析，对白人、黑人和西班牙裔人的饮酒和酒精滥用/依赖进行10年趋势分析。该报告的具体目的是：1)分析十年来（1992年和2002年）在戒酒水平、饮酒模式、饮酒量（每月饮酒次数）、酗酒和醉酒方面的趋势；并确定白人、黑人和西班牙裔美国人的这些行为和趋势的社会人口学预测因素；2)检查DSM-IV中酒精滥用和依赖的患病率和10年趋势，并确定白人、黑人和西班牙裔人中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、黑人和西班牙裔美国人不同特征的主要饮酒相关预测因素；4)描述白人、黑人和西班牙裔人终生和12个月酒精服务使用的趋势，并遵循经酒精和药物领域工作修改的Aday和Andersen（1974）模型，以确定这些相同种族群体使用的预测因素。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要领域的重要空白。关于这一时期的趋势分析，以及对白人、黑人和西班牙裔的对比，在酒精文献中还没有报道。进行分析的研究小组经验丰富，多年来一直富有成效地合作。7. 项目说明：积累的大量证据表明，少数民族群体和白人之间存在着重大的健康差异。在酒精方面也发现了这些差异，这些差异正在得到承认，并在预防方面具有重要的研究意义。本报告的长期目标是通过推进美国少数民族中饮酒及其相关问题的流行病学研究来解决健康差异问题。提出的目标将涵盖酒精流行病学重要领域的重要空白。关于这一时期的趋势分析，以及对白人、黑人和西班牙裔的对比，在酒精文献中还没有报道。

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.