1 University of Arizona, Tucson, AZ, USA.
2 San Diego State University, San Diego, CA, USA.
Health Educ Behav. 2019 Aug;46(4):648-655. doi: 10.1177/1090198119826212. Epub 2019 Feb 12.
Evidence suggests that Hispanic and non-Hispanic White men (NHW) have comparable prevalence rates of alcohol use. However, Hispanic men consistently have higher prevalence rates of alcohol misuse compared with NHW men. Consequently, Hispanic men experience disproportionate levels of adverse health consequences of alcohol misuse when compared with NHW men. The aim of this study was to explore Hispanic male perspectives and opinions regarding alcohol use patterns that may lead to disparate rates of alcohol misuse in Hispanic males. Demographic data were collected with questionnaires. Twenty semistructured one-on-one interviews were completed in English and Spanish with Mexican-origin Hispanic men (age: 44.6 ± 11.3 years). A thematic analysis was conducted using a hybrid deductive-inductive strategy with an a priori codebook supplemented with iterative analysis of transcripts. Results suggest that alcohol misuse patterns in Hispanic males are influenced by an interaction between alcohol-related social norms and learned expressions of masculinity; a lack of knowledge of the alcohol-related health risks that further perpetuate the normalization of alcohol misuse; and expressions of masculinity and adaptive coping that lead to alcohol misuse as an escape from life stressors. Given the rapid expansion of the Hispanic population in the United States, and the disparate consequences of alcohol misuse in this population, it is imperative to consider the complex and often compounded impact of sociocultural norms and the social context on misuse-related behaviors. Viable prevention and treatment strategies should be addressed thought multicomponent, community-level strategies that more comprehensively address the complexities of alcohol misuse in this population.
有证据表明，西班牙裔和非西班牙裔白种男性（NHW）的酒精使用患病率相当。然而，西班牙裔男性的酒精滥用率始终高于 NHW 男性。因此，与 NHW 男性相比，西班牙裔男性因酒精滥用而导致的不良健康后果不成比例。本研究的目的是探讨西班牙裔男性对可能导致西班牙裔男性酒精滥用率差异的酒精使用模式的看法和意见。使用问卷收集人口统计学数据。对 20 名墨西哥裔西班牙裔男性（年龄：44.6±11.3 岁）进行了英语和西班牙语的半结构化一对一访谈。采用混合演绎-归纳策略，使用预先制定的编码手册并结合转录本的迭代分析进行主题分析。结果表明，西班牙裔男性的酒精滥用模式受到与酒精相关的社会规范和习得的男性气质表达之间相互作用的影响；对与酒精相关的健康风险的了解不足，进一步使酒精滥用正常化；以及表达男性气质和适应性应对，导致酒精滥用作为逃避生活压力的一种方式。鉴于西班牙裔人口在美国的迅速扩张，以及该人群中酒精滥用的后果存在差异，考虑到社会文化规范和社会背景对与滥用相关的行为的复杂且常常是复合的影响至关重要。应通过多组分、社区层面的策略来解决可行的预防和治疗策略，这些策略更全面地解决该人群中酒精滥用的复杂性。
