Alcohol in Mexican-Origin Groups: US and Mexican Surveys

描述（由申请人提供）： 根据2000年的人口普查，美国有超过3280万拉美裔人，占该县总人口的12%。墨西哥裔人是人数最多、增长最快的亚群体。他们现在占美国西班牙裔美国人的三分之二，自1990年以来，该群体增长了53%。许多指标表明，酒精依赖等与酒精有关的问题以及肝硬化等不良社会和健康后果对墨西哥裔美国人的影响不成比例-NIAAA致力于解决健康差距问题。这项研究将对三个数据集进行二次分析，其中两个数据集来自现有的酒精研究小组美国国家酒精调查（NAS），每个都包括大量的西班牙裔过度样本，以及1998年墨西哥全国成瘾调查（ENA），由我们的合作者在墨西哥城国家精神病学研究所进行。ENA的样本（n =约5，712）使用NAS酒精项目和量表，因此确保了相当大的可比性。美国的调查是在1995年（N9）进行的面对面访谈（n = 4，925; 1，589西班牙裔; 964墨西哥裔），并在2000年（N10+补充）作为电话调查（n = 8，980; 1，132西班牙裔; est。679名墨西哥裔）18岁或以上的成年人。在初步分析之后，我们计划将墨西哥裔NAS样本合并，将年龄范围限制在18-65岁（合并n = 1，542），以与ENA进行比较。具体目的包括：（1）比较和对比生活在这两个国家的墨西哥裔男性和女性中酗酒、酒精使用障碍（AUD）和其他酒精相关问题的患病率、预测因素和相关因素（美国和墨西哥）;（2）分析和比较这些群体中AUD与药物滥用、AUD与抑郁症的共病情况;（3）研究饮酒模式关键参数之间的风险曲线（大量饮酒的量和频率）和AUD以及两个墨西哥裔人群中一系列与酒精相关的健康和社会危害，考虑到性别，年龄和（对于美国）文化适应;（4）探讨酒精治疗与美国墨西哥裔美国人的AUD和其他酒精相关问题，健康危害，药物滥用和抑郁症的关系。这项研究符合NIAAA解决健康差距的战略行动计划：采用严格的研究设计，旨在提供急需的知识，详细了解饮酒模式和酒精相关的后果的一个关键少数民族人口-墨西哥裔西班牙裔个人-已知有风险的酒精依赖和其他健康危害饮酒。研究结果将为提供文化上适当的卫生服务和预防方案规划提供信息。

DESCRIPTION (provided by applicant): Based on the 2000 census, over 32.8 million Hispanics in the US represent 12% of the county's total population. People of Mexican origin constitute the largest, fastest growing subgroup. They are now two-thirds of all US Hispanics, and this subgroup has grown 53% since 1990. Numerous indicators show that such alcohol-related problems as alcohol dependence and such adverse social and health consequences as cirrhosis disproportionately affect Mexican Americans- health disparities that NIAAA is committed to addressing. This research will conduct a secondary analysis of three datasets, two drawn from existing Alcohol Research Group US National Alcohol Surveys (NASs), each including large Hispanic oversamples, and the 1998 Mexican National Survey of Addictions (ENA) conducted by our collaborators at the National Institute of Psychiatry, Mexico City. Questionnaires for the ENA (n = approximately 5,712) used NAS alcohol items and scales, so assuring considerable comparability. The US surveys were conducted in 1995 (N9) as face-to-face interviews (n = 4,925; 1,589 Hispanics; 964 of Mexican descent), and in 2000 (N10+Supplement) as telephone surveys (n = 8,980; 1,132 Hispanics; est. 679 of Mexican descent) of adults 18 or older. Following preliminary analyses, we plan to pool the Mexican-descent NAS samples, limiting age range to 18-65 (pooled n = 1,542) for comparison with the ENA. Specific Aims include (1) comparing and contrasting the prevalence, predictors and correlates of heavy drinking, alcohol use disorders (AUD), and other alcohol-related problems among men and women of Mexican descent living in the two countries (US and Mexico); (2) analyzing and comparing the comorbidity of AUD and drug abuse, and AUD and depression, among these groups; (3) investigating the risk curves between key parameters of drinking pattern (volume and frequency of heavy drinking) and AUD and a range of alcohol-related health and social harms in the two Mexican- origin populations, considering the role of demographic mediators such as gender, age and (for the US) acculturation; and (4) exploring the association of alcohol treatment in relation to AUD and other alcohol-related problems, health harms, drug abuse, and depression among Mexican Americans in the US. This research accords with the NIAAA strategic action plan for addressing health disparities: using a rigorous study design, it aims to provide critically needed knowledge in detail about drinking patterns and alcohol-related consequences of a key ethnic minority population-Mexican descent Hispanic individuals-known to be at risk for alcohol dependence and other health harms from drinking. Results will inform provision of culturally appropriate health services and prevention program planning.