Alcohol Epidemiology In Hispanic National Groups

描述（由申请人提供）：本报告建议对四个西班牙裔国家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、波多黎各人和中南美洲人。受访者（每组1500人）将从家庭人口中随机抽取，并在该国选定的地理区域进行访谈。建议的调查有以下目的：1)表征饮酒模式，频繁的大量饮酒和醉酒，并确定这些饮酒模式的社会人口学相关性。2)研究对饮酒和醉酒的态度以及与酒精相关的期望，并建立这两个认知领域与饮酒之间的关系。3)评估四个国家群体的文化适应、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）之间的关系。4)评估假设具体目标1至3中讨论的因素之间关系的结构模型，以及这些因素与三种酒精消费指标之间的关系：戒酒与饮酒、每月饮酒数量和频繁重度饮酒。5)检查酒精相关问题、酒精依赖的流行程度；建立饮酒和社会人口学相关性的依赖；并评估酒精依赖和酒精相关问题之间的关系。6)在群体层面上，使用不是代表个人而是按性别、种族和年龄界定的社会人口群体的饮酒量的饮酒指标（如人均平均消费量），审查与酒精有关的问题、酒精滥用/依赖与饮酒之间的关系；7)研究四组中酒后驾车（DUI）和未被发现的酒后驾车（酒后驾车，如果被警察拦下就会有麻烦）的被捕率，以及其他与酒后驾车相关的方面，如影响驾驶所需的饮酒量。这项研究的结果将填补美国西班牙裔美国人流行病学的主要空白，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.