STRESS, RACE AND ALCOHOL USE IN A HOUSEHOLD POPULATION

这项提案旨在确定饮酒是否能缓解压力 对酗酒和由此产生的问题有很大影响 黑人与白人男性和女性相比。虽然高血压一直是 被确定为与酒精有关的主要健康问题，特别是在 黑人，心理社会压力可能产生的混杂效应需要 接受检查，以评估他们对这一重要健康的贡献 问题。我们将调查饮酒模式、与酒精有关的问题、压力 高血压的因素、血压、病因以及 具有代表性的黑人和青少年样本的社会人口学特征 白人成年人。 低收入、中等收入和高收入黑人和白人成年人的概率样本 加权以代表东北地区的家庭人口 将绘制工业化标准大都市统计区，使用 根据1980年人口普查数据列出的街区(N=2,000)。随机选择 受访者将接受关于他们饮酒情况的采访， 与酒精有关的问题和社会人口特征。压力 调查的因素包括压力源、最近的生活事件、 慢性生活紧张和自我消退；压力的中介物，社会 支持和控制点；以及压力、焦虑、 抑郁、心理困扰和幸福。血压，身高， 体重和高血压的病因也将被测量。 与酒精相关的依赖饮酒模式的范畴表达 问题和压力因素将与独立的 三个维度的社会人口学特征和种族 在混淆时控制年龄和性别。之间的相互作用 自变量将用多元回归进行检验 技巧。压力因素间关系的理论模型 而饮酒以应对压力将根据种族进行分析，使用 多元回归检验关系的形式和强度 和通径分析技术来阐明直接变量和间接变量 两性关系。高血压的病因，包括种族， 心理社会压力和酒精摄入量会对血液造成影响 压力。这些研究将提供必要的信息 制定高危人群的防治方案 人口和基线数据，以评估其有效性。

This proposal is aimed at determining if drinking to cope with stress contributes significantly to heavy drinking and resultant problems among black compared to white men and women. While hypertension has been identified as a major alcohol-related health problem, especially among blacks, the possible confounding effect of psychosocial stress need to be examined to evaluate their contribution, if any, to this important health issue. We will survey drinking patterns, alcohol-related problems, stress factors, blood pressure, etiologic factors in hypertension, and sociodemographic characteristics in a representative sample of black and white adults. A probability sample of low, middle, and high income black and white adults weighted to be representative of the household population in a Northeast industrialized Standard Metropolitan Statistical Area will be drawn, using blocks listed according to 1980 census data (N=2,000). Randomly selected respondents will be interviewed regarding their alcohol consumption, alcohol-related problems and sociodemographic characteristics. Stress factors to be surveyed include sources of stress, recent life events, chronic life strains, and diminishment of self; mediators of stress, social supports and locus of control; and manifestations of stress, anxiety, depression, psychological distress and well-being. Blood pressure, height, weight, and etiologic factors in hypertension will also be measured. Categorical expressions of dependent drinking patterns, alcohol-related problems and stress factors will be cross tabulated with independent sociodemographic characteristics and race in three dimensions and controlled for age and sex when confounded. Interactions between independent variables will be examined with multiple regression techniques. Theoretical models of the relationships between stress factors and drinking to cope with stress will be analyzed, according to race, using multiple regression to examine the form and strength of the relationships and path analytic techniques to elucidate direct and indirect variable relationships. Etiological factors in hypertension, including race, psychosocial stress, and alcohol intake will be regressed on blood pressure. These studies will provide information essential to the development of prevention and treatment programs in this high-risk population and baseline data to evaluate their effectiveness.