Alcohol Research Group, Public Health Institute, 6001 Shellmound St., Suite 450, Emeryville, CA 94608, USA.
Alcohol Research Group, Public Health Institute, 6001 Shellmound St., Suite 450, Emeryville, CA 94608, USA.
Addict Behav. 2021 Jul;118:106873. doi: 10.1016/j.addbeh.2021.106873. Epub 2021 Feb 16.
The Great Recession has been associated with racial/ethnic disparities in economic loss, alcohol-related problems and mental health in the US. In this study, we examine its effect on overall health, the role of heavy drinking and mental health, and whether these relationships vary by race/ethnicity. Using US National Alcohol Survey data collected from White, African American and Latino individuals between June 2009 and March 2010 (N = 4656), we conducted gender-stratified simultaneous path modeling to test racial/ethnic differences in hypothesized paths from recession-related hardships to overall self-rated health through current depressive symptoms and heavy drinking. Recession impacts were measured using an index of job-related, financial and housing hardships. Models accounted for demographic characteristics and heavy drinking, health conditions and alcohol-related health harms occurring prior to the Great Recession. We found that in men and women of each racial/ethnic group, more accumulated recession hardships were associated with greater depressive symptoms and more frequent heavy drinking, and depressive symptoms were associated with poorer self-rated health. Further, heavy drinking was related to poorer self-rated health in Black men and depressive symptoms in Latino men, and for Black and Latina women, prior heavy drinking was associated with current depressive symptoms. Findings highlight adverse, behavioral and overall health consequences of a severe recession for men and women of diverse racial/ethnic groups, as well as unique risks for Black and Latino men and women. Findings suggest the need for behavioral health interventions alongside multisector strategies to bolster the labor market and social safety net during severe economic downturns.
大衰退与美国经济损失、与酒精相关的问题和心理健康方面的种族/民族差异有关。在这项研究中，我们考察了它对整体健康的影响、重度饮酒和心理健康的作用，以及这些关系是否因种族/民族而异。我们使用美国国家酒精调查数据，该数据是在 2009 年 6 月至 2010 年 3 月期间从白种人、非裔美国人和拉丁裔个体中收集的（N=4656），通过当前抑郁症状和重度饮酒，对假设的从经济衰退相关困难到整体自我评估健康的路径进行性别分层的同步路径建模，以检验种族/民族差异。衰退影响是使用与工作相关、财务和住房困难的指数来衡量的。模型考虑了人口统计学特征和重度饮酒、健康状况以及大衰退前发生的与酒精相关的健康危害。我们发现，在每个种族/民族群体的男性和女性中，更多的累积衰退困难与更大的抑郁症状和更频繁的重度饮酒有关，抑郁症状与较差的自我评估健康有关。此外，在黑人男性中，重度饮酒与较差的自我评估健康有关，在拉丁裔男性中，抑郁症状与较差的自我评估健康有关，对于黑人和拉丁裔女性，以前的重度饮酒与当前的抑郁症状有关。研究结果强调了严重衰退对不同种族/民族群体的男性和女性的不利、行为和整体健康后果，以及对黑人和拉丁裔男性和女性的独特风险。研究结果表明，在严重经济衰退期间，需要行为健康干预措施以及多部门战略来支持劳动力市场和社会安全网。
