Alcohol Research Group, Public Health Institute, Emeryville, California 94608-1010, USA.
J Stud Alcohol Drugs. 2013 Jul;74(4):532-41. doi: 10.15288/jsad.2013.74.532.
Despite the low overall prevalence of alcohol use among Asian Americans, rates of alcohol use disorder are high among Asian American young adults. The influence of ethnic drinking cultures on immigrants and their descendants has been overlooked in past research. We took an integrative approach to examine the influence of ethnic drinking culture, acculturation, and socioeconomic disparities on problem drinking among Asian American young adults.
This study was a nationally representative sample of 854 Asian American young adults extracted from the Wave 4 National Longitudinal Study of Adolescent Health data. About 48% of the sample was female and 52% male. Several multiple logistic regression models were fitted.
Controlling for other covariates, two dimensions of ethnic drinking culture were associated with alcohol outcomes only for the foreign born: (a) detrimental drinking pattern with frequent drunkenness and alcohol-abuse symptoms and (b) drinking prevalence with alcohol-dependence symptoms. Financial hardship was a significant predictor of symptoms of alcohol abuse and dependence only for the U.S. born. Asian language use was protective against alcohol-abuse symptoms and alcohol-dependence symptoms for the foreign born.
Cultural and socioeconomic factors of problem drinking may be different for U.S.-and foreign-born Asian American young adults. Ethnic drinking cultures may significantly influence problem drinking of foreign-born Asian American young adults, independent of their acculturation into U.S. cultures. To inform effective interventions targeted at immigrants and their descendants, future research might further investigate the cultural and socioeconomic processes in immigrant communities that might significantly influence drinking.
尽管亚裔美国人的总体饮酒率较低，但亚裔美国青年饮酒障碍的发病率却很高。过去的研究忽视了族裔饮酒文化对移民及其后代的影响。我们采用综合方法来研究族裔饮酒文化、文化适应和社会经济差异对亚裔美国青年饮酒问题的影响。
本研究是从青少年健康纵向研究第四波全国代表性样本中抽取的 854 名亚裔美国青年，该研究约 48%的样本为女性，52%为男性。采用了多个多项逻辑回归模型。
在控制其他协变量的情况下，族裔饮酒文化的两个维度仅与外国出生者的酒精结局有关：（a）频繁醉酒和酒精滥用症状的不良饮酒模式；（b）与酒精依赖症状相关的饮酒流行率。经济困难仅对美国出生者的酒精滥用和依赖症状有显著预测作用。使用亚洲语言对外国出生者的酒精滥用症状和酒精依赖症状有保护作用。
对于美国出生和外国出生的亚裔美国青年来说，与饮酒问题相关的文化和社会经济因素可能不同。族裔饮酒文化可能会对外国出生的亚裔美国青年的饮酒问题产生重大影响，而不受其融入美国文化的影响。为了提供有针对性的移民及其后代的有效干预措施，未来的研究可能需要进一步调查移民社区中的文化和社会经济过程，这些过程可能会对饮酒产生重大影响。
