Torres Vanessa N, Williams Emily C, Ceballos Rachel M, Donovan Dennis M, Ornelas India J
University of California, Los Angeles, CA, USA.
RAND Corporation, Santa Monica, CA, USA.
J Ethn Subst Abuse. 2024;23(1):150-165. doi: 10.1080/15332640.2022.2077273. Epub 2022 May 28.
Latino immigrant men are at increased risk for unhealthy alcohol use and related consequences due to social stressors associated with immigration. We assessed the associations of, and examined whether social stressors moderated associations between, alcohol use and alcohol-related consequences in a community-based sample of Latino immigrant men in Washington (N = 187). The mean Alcohol Use Disorders Identification Test Consumption (AUDIT-C) score was 6.3 (scores ≥ 4 indicate unhealthy alcohol use). More than half of the men (61.5%) reported experiencing discrimination in at least one setting and mean acculturative stress score was 18.3 indicating moderate levels of acculturative stress. Linear regression models were fit to assess main effects (associations between both alcohol use and social stressors and alcohol-related consequences) and moderation (whether the association between alcohol use and consequences varied based on experience of social stressors using multiplicative interaction) after adjustment for potential confounders. Alcohol use (β = 0.47, 95% CI = 0.20-0.73; p = .001), discrimination (β = 0.85, 95% CI = 0.27-1.43; p = .004), and acculturative stress (β = 0.13, 95% CI = 0.02-0.24; p = .025) were all associated with increased experience of alcohol-related consequences. The association between alcohol use and alcohol-related consequences was stronger for those with high levels of acculturative stress (p = .025) but not experience of discrimination (p = .587). Findings underscore the importance of social and cultural context in alcohol use and related consequences. Efforts to reduce negative consequences of drinking may include focus on reducing exposure to discrimination and acculturative stress.
由于与移民相关的社会压力源，拉丁裔移民男性出现不健康饮酒及相关后果的风险增加。我们在华盛顿州一个以社区为基础的拉丁裔移民男性样本（N = 187）中，评估了饮酒与酒精相关后果之间的关联，并检验了社会压力源是否调节了这种关联。酒精使用障碍识别测试饮酒量（AUDIT-C）平均得分为6.3（得分≥4表明存在不健康饮酒）。超过一半的男性（61.5%）报告称在至少一种场合遭受过歧视，文化适应压力平均得分为18.3，表明文化适应压力处于中等水平。在对潜在混杂因素进行调整后，采用线性回归模型评估主效应（饮酒及社会压力源与酒精相关后果之间的关联）和调节作用（饮酒与后果之间的关联是否因社会压力源经历的不同而有所变化，采用乘法交互作用）。饮酒（β = 0.47，95%置信区间 = 0.20 - 0.73；p = .001）、歧视（β = 0.85，95%置信区间 = 0.27 - 1.43；p = .004）和文化适应压力（β = 0.13，95%置信区间 = 0.02 - 0.24；p = .025）均与酒精相关后果的增加有关。文化适应压力水平高者饮酒与酒精相关后果之间的关联更强（p = .025），但歧视经历并非如此（p = .587）。研究结果强调了社会和文化背景在饮酒及相关后果中的重要性。减少饮酒负面影响的努力可能包括着重减少遭受歧视和文化适应压力的情况。
