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近期拉丁裔移民的酒精使用严重程度:文化适应、家族饮酒史和酒精预期结果的关联。

Alcohol use severity among recent Latino immigrants: Associations of acculturation, family history of alcohol use and alcohol outcome expectancies.

机构信息

Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.

Florida International University, Center for Research on US Latino HIV/AIDS and Drug Abuse (CRUSADA), Miami, Florida, USA.

出版信息

J Ethn Subst Abuse. 2023 Apr-Jun;22(2):372-386. doi: 10.1080/15332640.2021.1952126. Epub 2021 Aug 4.

DOI:10.1080/15332640.2021.1952126
PMID:34346286
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8814046/
Abstract

Having a family history of alcohol (FH+) use is a well-documented risk factor for alcohol use and alcohol related problems. However, there are limited studies examining the impact of FH + on current alcohol use among Latino immigrants. This study aimed to determine the influence of having a FH + on current alcohol use among Latino immigrants and the influence of alcohol outcome expectancies (AOEs) and acculturation on this relationship. This is a longitudinal secondary data analysis of data from the Recent Latino Immigrant Study (RLIS), the first community-based cohort study to examine pre- to post-immigration alcohol use trajectories of young adult Latino immigrants. Linear mixed models were performed to assess the association between various pre- and post-immigration factors and alcohol use among Latino immigrants. There were 518 young adult Latino immigrants with 18.7% reporting a FH + with those with a FH + having higher mean AUDIT score compared to those without (4.74 vs. 3.81; p = 0.028). Positive AOEs were associated with increase AUDIT scores. FH + individuals with greater positive AOEs experienced higher AUDIT scores compared to FH- individuals. Family cohesion was protective against alcohol use while endorsement of Americansism was associated with increased alcohol use. Theses results provide the framework for more in-depth exploration regarding the influences of FH+, AOEs, and acculturation have on the alcohol use among Latino immigrants. Future longitudinal research studies should account for whether traditional cultural values mediate or moderate the relationship between a FH+, AOE, and alcohol use of Latino immigrants.

摘要

有酗酒家族史(FH+)是酗酒和与酒精相关问题的一个有充分记录的风险因素。然而,目前还没有研究探讨 FH+对拉丁裔移民当前饮酒行为的影响。本研究旨在确定 FH+对拉丁裔移民当前饮酒行为的影响,以及酒精预期结果(AOEs)和文化适应对这种关系的影响。这是对最近拉丁裔移民研究(RLIS)数据的纵向二次数据分析,该研究是第一个基于社区的队列研究,旨在研究年轻成年拉丁裔移民的移民前和移民后酒精使用轨迹。线性混合模型用于评估各种移民前和移民后因素与拉丁裔移民饮酒之间的关联。有 518 名年轻成年拉丁裔移民,其中 18.7%报告有 FH+,与没有 FH+的人相比,有 FH+的人的 AUDIT 评分平均值更高(4.74 比 3.81;p=0.028)。积极的 AOEs 与 AUDIT 评分的增加有关。FH+个体的积极 AOEs 越高,AUDIT 评分越高,而 FH-个体的 AUDIT 评分越低。家庭凝聚力对饮酒有保护作用,而对美国主义的认可与饮酒增加有关。这些结果为更深入探讨 FH+、AOEs 和文化适应对拉丁裔移民饮酒行为的影响提供了框架。未来的纵向研究应考虑传统价值观是否调节或调节 FH+、AOE 和拉丁裔移民饮酒之间的关系。

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