Alcohol Epidemiology In Hispanic National Groups

描述（由申请人提供）：本提交材料建议对四个国家的西班牙裔群体进行酒精流行病学调查：墨西哥裔美国人、古巴裔美国人、波多黎各人和中美洲人。将从家庭人口中随机挑选受访者（每组1500人），并在该国选定的地理区域进行访谈。拟议的调查有以下目的：1）描述饮酒模式，经常大量饮酒和醉酒，并确定这些饮酒模式的社会人口学相关因素。2)研究对饮酒和醉酒的态度以及与酒精相关的预期，并建立这两个认知领域与饮酒之间的关系。3)评估在所研究的四个民族群体中，文化适应、文化适应压力、饮酒模式、频繁酗酒和酒精相关认知（态度、期望）之间的关联。4)评估结构模型，该模型假设了具体目标1至3中讨论的因素之间的关系，以及这些因素与饮酒量的三个指标之间的关系：戒酒与饮酒、每月饮酒量和频繁重度饮酒。5)检查酒精相关问题的患病率，酒精依赖;建立依赖的饮酒和社会人口相关性;并评估酒精依赖和酒精相关问题之间的关系。6)使用饮酒指标（例如，人均平均消费量），代表的不是个人消费的酒精量，而是按性别、种族和年龄定义的社会人口群体消费的酒精量，7）调查酒后驾驶和未被发现的酒后驾驶的逮捕率（酒后驾车，如果被警察拦下，就会有麻烦）以及其他酒后驾车-相关的领域，如影响驾驶所需的饮料数量在研究中的四组。这项研究的结果将填补美国西班牙裔流行病学的一个主要空白，并将对预防干预措施的发展产生影响。

DESCRIPTION (provided by applicant): This submission proposes an alcohol epidemiological survey of four national groups of Hispanics: Mexican Americans, Cuban Americans, Puerto Rieans and CentraFSouth Americans. Respondents (1500 in each group) will be randomly selected from the household population and interviewed in selected geographical areas of the country. The proposed survey has the following aims: 1) To characterize drinking patterns, frequent heavy drinking and drunkenness, and to identify the sociodemographic correlates of these patterns of drinking. 2) To examine attitudes toward drinking and drunkenness and alcohol-related expectancies, and to establish the relationship between these two areas of cognition and drinking. 3) To evaluate the association between acculturation, acculturation stress, drinking patterns, frequent heavy drinking and alcohol-related cognitions (attitudes, expectancies) in each of the four national groups under study. 4) To evaluate structural models that postulate the relationships among the factors discussed in specific aims 1 to 3 and the relationship between these factors and three measures of alcohol consumption: abstention versus drinking, number of drinks consumed per month, and frequent heavy drinking. 5) To examine the prevalence of alcohol-related problems, alcohol dependence; to establish the drinking and sociodemographic correlates of dependence; and to assess the relationship between alcohol dependence and alcohol-related problems. 6) To examine the relationship between alcohol-related problems, alcohol abuse/dependence and drinking at the group level, using indicators of drinking (e.g., mean consumption per capita) that represent amount of alcohol consumed not by individuals but by sociodemographic groups defined by gender, ethuicity and age, 7) To examine the rate of arrests for driving under the influence (DUI) and undetected DUI (driving after having drunk enough to be in trouble if stopped by police) as well as other DUI-related areas such as number of drinks necessary to affect driving in the four groups under study. Results from this study will fill a major gap in epidemiology among U.S. Hispanics, and will have implications for the development of prevention interventions.