Disadvantage and Sociocultural Modifiers in Asian American Drinking

亚裔美国人饮酒的劣势和社会文化因素

• 批准号: 9245528
• 负责人: Won Kim Cook
• 金额: $ 7.72万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-01-03 至 2018-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9245528
• 关键词: Acute; Address; Adult; Adverse effects; Affect; Alcohol abuse; Alcohols; Asian Americans; Asians; Attention; Behavior; Cessation of life; Characteristics; Communities; Country; Disadvantaged; Discrimination; Education; Elements; Gender; Guidelines; Health; Heavy Drinking; Immigrant; Impairment; Income; International; Intervention; Knowledge; Latino; Life; Link; Measures; National Institute on Alcohol Abuse and Alcoholism; Outcome; Pattern; Population; Prevalence; Process; Race; Research; Resources; Risk; Sampling; Social Interaction; Social status; Social support; Socioeconomic Status; Study of Latinos; Subgroup; Surveys; Woman; Work; alcohol intervention; alcohol prevention; alcohol use disorder; college; contextual factors; drinking; experience; high risk; men; social; socioeconomic disadvantage; socioeconomics; theories

Abstract Despite the progress made with the disparities paradigm in linking socioeconomic disadvantage to heavy drinking and other alcohol problems, there is limited understanding of disadvantage as it affects Asian American drinking. Common markers of socioeconomic status may not adequately capture the social position affecting Asian American drinking, but there is a lack of indicators of socioeconomic disadvantage specifically derived from Asian American experiences. Further, little is known about sociocultural conditions that may modify the effects of disadvantage on drinking. To address these gaps, the proposed research aims to investigate the relationship between disadvantage and two drinking outcomes—heavy drinking and alcohol use disorder—among Asian American adults and the ways in which this relationship is modified by sociocultural factors, specifically, social support, ethnic identification, and drinking prevalence and detrimental drinking pattern in the country of origin (COO). Using a nationally-representative adult sample from the 2002-3 National Latino and Asian American Survey (Asian N=2095), three primary aims will be addressed. First, we will examine the relationships between three alternative indicators of disadvantage (i.e., subjective social standing, financial strain, and perceived labor market discrimination) and drinking outcomes. Second, we will examine whether social support and ethnic identification, conceptualized primarily as protective resources, moderate the relationship between disadvantage and problem drinking. Third, we will evaluate whether COO drinking prevalence and detrimental drinking pattern modify the relationships between disadvantage and drinking outcomes, as well as the moderating effects of social support and ethnic identification of these relationships. COO drinking prevalence and detrimental drinking pattern represent cultural disparities adversely affecting Asian Americans originating from countries where drinking is prevalent and/or detrimental. We hypothesize that the association between disadvantage and drinking outcomes will be stronger for Asian Americans originating from countries where drinking is more prevalent or of more detrimental pattern. We also hypothesize that the effects of social support and ethnic identification will be less protective, or even adverse, for Asian Americans originating from countries where drinking is more prevalent or detrimental.

摘要