Epidemiology of Alcohol Problems: Alcohol-Related Disparities

摘要：总体 酒精研究小组（ARG）国家酒精研究中心的继续， 酒精问题：酒精相关的差异，使更多的关注NIH的优先领域的差异 健康、心理健康和社会问题。该中心，建立在其开创性的概念和 40多年的方法学贡献，研究饮酒模式之间复杂的相互作用， 整个生命过程、人口特征、社会文化和饮酒环境、社区和政策 因素和问题结果，无论是在一般人群中，并注意高风险亚组。 认识到酒精使用模式、问题和健康结果方面的差异的重要性， 尽管我们过去作出了贡献，但在这一领域的知识基础方面存在重大差距， 2021-25中心的差距，围绕四个研究项目组织：国家酒精调查 (NAS)项目1将允许继续实施我们的NAS，这是一个重复的，跨部门的， 全国流行病学调查，对黑人和拉丁美洲人进行大量过度抽样，并对与个人相关的地理 参照地区措施，每5年进行一次可比措施，并促进差异 分析侧重于种族/民族和社会经济群体;健康差异项目2解决 酒精相关损伤、糖尿病和心脏相关结果的种族/民族和社会经济差异; 酒精服务项目3，关于所接受的与酒精有关的护理的质量和差异，以及这如何可能 随着卫生改革而变化;以及涉及高强度饮酒趋势的高强度饮酒项目4， 分析8+/12+饮料被消费的事件的特征，表征和分类 这些饮酒水平的人以及他们所经历的问题。支持这些项目的是 行政核心，促进中心一体化、协同作用和成功，培训、传播和 一个科学核心：统计和数据服务（SDS）核心，它汇集了 分析专业知识、经验丰富的数据管理技能和对ARG科学家和研究人员的培训。这些 核心和项目说明了方法的丰富多样性和引人注目的公共卫生问题， 通过概念、测量和分析创新，为今后的差距竞技场研究提供信息。

ABSTRACT: Overall The continuation of the Alcohol Research Group's (ARG) National Alcohol Research Center, Epidemiology of Alcohol Problems: Alcohol-related Disparities, brings increased focus to the NIH's priority area of disparities in health, mental health and social problems. The Center, building on its groundbreaking conceptual and methodological contributions for over 40 years, studies the complex interactions between drinking patterns across the life-course, demographic characteristics, sociocultural and drinking contexts, community and policy factors, and problem outcomes, both in the general population and with attention to high-risk subgroups. Recognizing the importance of disparities in alcohol use patterns, problems and health outcomes, and the significant gaps in the knowledge base in this area despite our past contributions, we continue to focus on disparities in the 2021-25 Center, organized around four research projects: the National Alcohol Surveys (NAS) Project 1 that would allow continued implementation of our NAS, which is a repeated, cross-sectional, national epidemiological survey with large oversamples of Blacks and Latinos and individually-linked geo- referenced area measures, conducted with comparable measurement every 5 years and facilitating disparities analyses focused on race/ethnicity and socioeconomic groups; the Health Disparities Project 2 addressing racial/ethnic and socioeconomic disparities in alcohol-related injuries, diabetes and heart-related outcomes; the Alcohol Services Project 3 on the quality of and disparities in alcohol-related care received and how this may be changing with health reform; and the High-Intensity Drinking (HID) Project 4 involving trends in HID, analyses of the characteristics of events where 8+/12+ drinks are consumed, characterization and classification of the individuals that drink at these levels and the problems they experience. Supporting these projects are the Administrative Core, facilitating Center integration, synergy and success, training, dissemination and collaborations, and one scientific Core: the Statistical and Data Services (SDS) Core, which brings together analytic expertise, experienced data management skills and training for ARG scientists and research staff. These Cores and Projects illustrate a rich diversity of approaches and compelling public health questions, and stand to inform future research in the disparities arena with conceptual, measurement and analytical innovations.