Alcohol Epidemiology In Hispanic National Groups

描述(申请人提供)：本意见书建议对四个国家的拉美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、波多黎各人和中部南美人。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。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的特征，并确定这些饮酒模式的社会人口学相关性。2)考察对饮酒和醉酒的态度和与酒精相关的期望，并建立这两个认知领域和饮酒之间的关系。3)研究四个民族人群的文化适应、文化适应压力、饮酒方式、经常酗酒与酒精相关认知(态度、期望)之间的关系。4)评估结构模型，这些模型假定具体目标1至3中讨论的因素之间的关系，以及这些因素与酒精消费的三个衡量标准：戒酒与饮酒、每月饮酒次数和经常大量饮酒之间的关系。5)审查与酒精有关的问题的流行率，即酒精依赖；确定饮酒与依赖的社会人口学相关性；并评估酒精依赖与酒精相关问题之间的关系。6)在群体一级审查与酒精有关的问题、酗酒/依赖和饮酒之间的关系，使用饮酒指标(例如，人均饮酒量)，这些指标代表的不是个人，而是按性别、族裔和年龄界定的社会人口群体的饮酒量；7)审查酒后驾车的逮捕率(酒后驾车)和未被发现的酒后驾车(如果被警察拦下，酒后驾车自找麻烦)以及酒后驾车相关的其他领域，例如在研究的四个群体中影响驾驶所需的饮酒量。这项研究的结果将填补美国拉美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.