Szaflarski Magdalena, Klepinger Daniel H, Cubbins Lisa A
a University of Alabama at Birmingham , Birmingham , Alabama.
b Battelle Health and Analytics , Seattle , Washington (retired).
J Ethn Subst Abuse. 2019 Apr-Jun;18(2):183-210. doi: 10.1080/15332640.2017.1333476. Epub 2017 Jul 5.
We used data from Wave 1 and Wave 2 of the National Epidemiological Survey on Alcohol and Related Conditions to examine racial-ethnic and nativity-based variations in alcohol use/abuse and treatment seeking while accounting for acculturation, stress, and social integration factors. The dependent variables included alcohol use, risky drinking, DSM-IV alcohol use disorder, and treatment seeking in the past 12 months. Racial-ethnic categories included African, European, Asian/Pacific Islander, Mexican, Puerto Rican, and other Hispanic/Latino. Acculturation, social stress, and social integration were assessed with previously validated, detailed measures. Bivariate probit models with sample selection were estimated for women and men. Immigrant status and origin associations with alcohol use/abuse and treatment seeking were strong and largely unaffected by other social factors. Europeans and men of Mexican origin had the highest while women of African, Asian/Pacific Islander, and Puerto Rican origins had the lowest rates of alcohol use/abuse. Years in the United States was associated with a higher risk of alcohol use/abuse for all immigrant groups. Foreign-born individuals were no less likely than U.S. natives to seek treatment if they were abusing or were dependent on alcohol. Further modeling of these relationships among specific immigrant groups is warranted. These findings inform alcohol rehabilitation and mental health services for racial-ethnic minorities and immigrants.
我们使用了全国酒精及相关状况流行病学调查第一轮和第二轮的数据，来研究基于种族和出生地的饮酒/酗酒及寻求治疗方面的差异，同时考虑文化适应、压力和社会融合因素。因变量包括饮酒、危险饮酒、《精神疾病诊断与统计手册》第四版（DSM-IV）酒精使用障碍以及过去12个月内寻求治疗的情况。种族类别包括非洲裔、欧洲裔、亚太岛民、墨西哥裔、波多黎各裔以及其他西班牙裔/拉丁裔。文化适应、社会压力和社会融合通过先前经验证的详细测量方法进行评估。针对男性和女性估计了带有样本选择的双变量概率模型。移民身份和出生地与饮酒/酗酒及寻求治疗之间的关联很强，并且在很大程度上不受其他社会因素的影响。欧洲裔以及墨西哥裔男性的饮酒/酗酒率最高，而非洲裔、亚太岛民和波多黎各裔女性的饮酒/酗酒率最低。在美国居住的年限与所有移民群体的饮酒/酗酒风险较高有关联。如果外国出生的人存在酒精滥用或酒精依赖问题，他们寻求治疗的可能性并不低于美国本土居民。有必要对特定移民群体之间的这些关系进行进一步建模。这些研究结果为针对少数族裔和移民的酒精康复及心理健康服务提供了参考。
