探讨酗酒者中感知到的酗酒耻辱感对治疗和生活质量种族差异的影响。
Examining perceived alcoholism stigma effect on racial-ethnic disparities in treatment and quality of life among alcoholics.
机构信息
Laboratory of Epidemiology and Biometry, Division of Intramural Clinical and Biological Research, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland 20892-9304, USA.
出版信息
J Stud Alcohol Drugs. 2010 Mar;71(2):231-6. doi: 10.15288/jsad.2010.71.231.
OBJECTIVE
The aim of this study was to examine racial-ethnic differences in perceived stigmatization of former alcoholics and their effect on associations of race-ethnicity with treatment history and psychological function among lifetime alcoholics.
METHOD
Logistic regression analyses were conducted using data from Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a nationally representative sample of U.S. adults 18 years or older.
RESULTS
Stigma scores were lowest for Whites and Native Americans, higher for Blacks, and highest for Asians and Hispanics, both in the total population and among lifetime alcoholics. Neither race-ethnicity nor stigma was associated with treatment utilization. Psychological function was negatively associated with stigma, but the impact of stigma on racial-ethnic differences in psychological function fell short of statistical significance.
CONCLUSIONS
Stigma may reduce quality of life among those with alcohol dependence, but there is no clear evidence that it affects racial-ethnic differences in quality of life.
目的
本研究旨在考察不同种族和族裔人群对前酗酒者的污名化感知的差异，以及这种感知对种族和族裔与酗酒者治疗史和心理功能之间关联的影响。
方法
使用来自全美酒精流行病学调查及相关条件调查（NESARC）第 1 波和第 2 波的数据进行逻辑回归分析，该调查是一项对美国 18 岁或以上成年人的全国代表性样本进行的调查。
结果
在总人口和所有酗酒者中，白人及美国原住民的污名化评分最低，黑人的评分较高，而亚洲人和西班牙裔的评分最高。种族和族裔与治疗利用均无关联。心理功能与污名呈负相关，但污名对心理功能种族和族裔差异的影响未达到统计学意义。
结论
污名可能会降低那些有酒精依赖的人的生活质量，但没有明确的证据表明它会影响生活质量的种族和族裔差异。
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