Alcohol Epidemiology among Border and Non-Border Mexican Americans

描述（由申请人提供）：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。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，并于2006年在休斯顿和洛杉矶接受采访，这是NIAAA已经资助的赠款的一部分，将增强研究的丰富性和范围。建议的调查有以下目的：1)表征饮料偏好、戒酒水平、饮酒模式、饮酒量（每月饮酒次数）、酗酒（男性在2小时内饮酒5次或以上，女性饮酒4次或以上），以及确定社会人口学预测因素(年龄、性别、收入、教育程度、婚姻状况、就业状况、出生地、2)基于饮酒的规范模型(Caetano, 1987a, 1987b; Gilbert, 1985；Zemore, 2005)，以检验与非边境墨西哥裔美国人相比，边境墨西哥裔美国人的文化适应、与酒精有关的态度和期望、饮酒和狂欢之间的关系。3)为了检验饮酒（每月饮酒次数）、狂欢饮酒和感知邻里特征（集体效能，由社会凝聚力和非正式社会控制表明）之间的关系，4)检查饮酒地点（墨西哥方面与美国方面），选择饮酒地点的原因，饮酒同伴以及饮酒和酗酒频率之间的关联。5)检查酒精相关问题（社会，法律，人际关系）的流行程度和DSM-IV酒精滥用/依赖；并建立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和社会人口学相关性。6)测试一组结构模型，这些模型假设了具体目标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（每月消费的饮料数量）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.