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，流行病学 酒精问题：与酒精相关的差异，使人们更加关注美国国立卫生研究院的优先领域差异 在健康、精神健康和社会问题方面。该中心，建立在其开创性的概念和 方法论贡献40多年来，研究饮酒模式之间的复杂相互作用 整个生命历程、人口特征、社会文化和饮酒背景、社区和政策 在一般人群和关注高危亚群的情况下，对各种因素和问题结果进行分析。 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，以及 尽管我们过去作出了贡献，但在这一领域的知识基础上存在重大差距，我们继续把重点放在 2021-25年中心的差异，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、横截面的、 全国黑人和拉丁裔大样本超额抽样调查以及与地理位置相关的个体 参考面积计量，每5年进行一次可比计量，并促进差异 分析侧重于种族/族裔和社会经济群体；健康差距项目2涉及 与酒精有关的伤害、糖尿病和心脏相关结果的种族/族裔和社会经济差异； 酒精服务项目3，关于与酒精有关的护理的质量和差距，以及如何 随着卫生改革而改变；以及高强度饮酒(HID)项目4涉及HID的趋势， 8/12饮品消费事件的特征分析、特征和分类 在这些水平饮酒的个人和他们所经历的问题。支持这些项目的是 行政核心，促进中心整合、协同和成功、培训、传播和 协作和一个科学核心：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以及对ARG科学家和研究人员的培训。这些 核心和项目说明了丰富多样的方法和引人注目的公共卫生问题，并将 通过概念、测量和分析创新，为未来在差异领域的研究提供信息。

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.