Disadvantage and Sociocultural Modifiers in Asian American Drinking

摘要 尽管不平等范式在将社会经济劣势与沉重联系起来方面取得了进展 饮酒和其他酒精问题，人们对其不利因素的了解有限，因为它影响到亚洲人 美国人的饮酒。社会经济地位的常见标志可能不能充分反映社会地位 影响亚裔美国人饮酒，但缺乏具体的社会经济劣势指标 源自亚裔美国人的经历。此外，人们对可能出现的社会文化状况知之甚少。 修改不利因素对饮酒的影响。为了解决这些差距，拟议的研究旨在 调查劣势与两种饮酒结果的关系--大量饮酒和饮酒 亚裔美国成年人中的障碍以及这种关系被社会文化改变的方式 因素，特别是社会支持、族裔认同、饮酒盛行和有害饮酒 原产国(COO)的模式。使用具有全国代表性的2002-3年度全国成人样本 拉美裔和亚裔美国人调查(亚裔N=2095)，将解决三个主要目标。首先，我们将 检查三个可选的劣势指标之间的关系(即，主观社会地位， 经济压力和对劳动力市场的歧视)和饮酒结果。第二，我们将审查 社会支持和种族认同，主要被概念化为保护性资源，是否缓和了 劣势与问题饮酒之间的关系。第三，我们将评估COO是否饮酒 患病率和有害饮酒模式改变了劣势与饮酒之间的关系 结果，以及社会支持和对这些关系的族裔认同的缓和作用。 COO饮酒盛行和有害饮酒模式代表着文化差异，对 来自饮酒盛行和/或有害的国家的亚裔美国人。我们假设 对于亚裔美国人来说，劣势和饮酒结果之间的联系将更强 来自饮酒更普遍或危害更大的国家。我们也 假设社会支持和种族认同的影响将不那么具有保护性，甚至是不利的， 对于来自饮酒更普遍或更有害的国家的亚裔美国人来说。

Abstract Despite the progress made with the disparities paradigm in linking socioeconomic disadvantage to heavy drinking and other alcohol problems, there is limited understanding of disadvantage as it affects Asian American drinking. Common markers of socioeconomic status may not adequately capture the social position affecting Asian American drinking, but there is a lack of indicators of socioeconomic disadvantage specifically derived from Asian American experiences. Further, little is known about sociocultural conditions that may modify the effects of disadvantage on drinking. To address these gaps, the proposed research aims to investigate the relationship between disadvantage and two drinking outcomes—heavy drinking and alcohol use disorder—among Asian American adults and the ways in which this relationship is modified by sociocultural factors, specifically, social support, ethnic identification, and drinking prevalence and detrimental drinking pattern in the country of origin (COO). Using a nationally-representative adult sample from the 2002-3 National Latino and Asian American Survey (Asian N=2095), three primary aims will be addressed. First, we will examine the relationships between three alternative indicators of disadvantage (i.e., subjective social standing, financial strain, and perceived labor market discrimination) and drinking outcomes. Second, we will examine whether social support and ethnic identification, conceptualized primarily as protective resources, moderate the relationship between disadvantage and problem drinking. Third, we will evaluate whether COO drinking prevalence and detrimental drinking pattern modify the relationships between disadvantage and drinking outcomes, as well as the moderating effects of social support and ethnic identification of these relationships. COO drinking prevalence and detrimental drinking pattern represent cultural disparities adversely affecting Asian Americans originating from countries where drinking is prevalent and/or detrimental. We hypothesize that the association between disadvantage and drinking outcomes will be stronger for Asian Americans originating from countries where drinking is more prevalent or of more detrimental pattern. We also hypothesize that the effects of social support and ethnic identification will be less protective, or even adverse, for Asian Americans originating from countries where drinking is more prevalent or detrimental.