From the Department of Medicine, San Francisco General Hospital, University of California, San Francisco, San Francisco, CA.
J Addict Med. 2023;17(6):717-721. doi: 10.1097/ADM.0000000000001209. Epub 2023 Aug 16.
Unhealthy alcohol use (UAU) affects nearly 1 in 4 Latinx/o/a individuals in the United States (US). Compared with White individuals, Latinx/o/a individuals with UAU face increased morbidity, decreased access to addiction treatment, and higher rates of incarceration. Community health workers (CHWs), also known as promotores, provide culturally and linguistically informed services while augmenting social and health care interventions. Although there is extensive literature evaluating the role of CHW interventions for chronic conditions including hypertension and diabetes, less is known about CHW interventions for UAU in the US. To better understand how CHWs can address UAU in the Latinx/o/a community in the US, we performed a scoping review of the literature for CHW interventions for UAU in the Latinx/o/a population. We reviewed publications up to March 8, 2022, which described CHW interventions for UAU in Latinx/o/a individuals in the US and identified 6 publications that met inclusion criteria after full-text review. These publications included 3 randomized controlled trials, 2 follow-up feasibility and acceptability assessments within the randomized controlled trial intervention group, and a pre-post noncontrolled feasibility study. All interventions were brief, with low-intensity touchpoints between CHWs and patients. None included medications for alcohol use disorder. We found few publications related to CHW-delivered interventions for UAU within the Latinx/o/a population. Given the acceptance and success of CHW-delivered interventions other conditions, as well as the increasing use of CHWs in the US, we need to invest in research that examines the efficacy of the CHWs in UAU.
美国有近四分之一的拉丁裔/拉丁裔个体存在不健康的饮酒行为（UAU）。与白人个体相比，患有 UAU 的拉丁裔/拉丁裔个体发病率更高，获得成瘾治疗的机会减少，监禁率更高。社区卫生工作者（CHWs），也称为 promotores，提供文化和语言上知情的服务，同时增强社会和医疗保健干预措施。尽管有大量文献评估了 CHW 干预措施在高血压和糖尿病等慢性疾病中的作用，但对于 CHW 干预措施在美国治疗 UAU 的作用知之甚少。为了更好地了解 CHW 如何解决美国拉丁裔/拉丁裔社区的 UAU 问题，我们对 CHW 干预 UAU 的文献进行了范围综述，该文献针对的是美国拉丁裔/拉丁裔人群。我们查阅了截至 2022 年 3 月 8 日的出版物，这些出版物描述了美国拉丁裔/拉丁裔个体中 CHW 干预 UAU 的情况，并在全文审查后确定了 6 篇符合纳入标准的出版物。这些出版物包括 3 项随机对照试验、2 项在随机对照试验干预组内进行的随访可行性和可接受性评估，以及一项未经对照的可行性研究。所有干预措施都很简短，CHW 和患者之间的接触点很少。没有一项干预措施包括治疗酒精使用障碍的药物。我们发现与拉丁裔/拉丁裔人群中 CHW 提供的 UAU 干预措施相关的出版物很少。鉴于 CHW 提供的干预措施在其他疾病方面的接受度和成功，以及在美国越来越多地使用 CHW，我们需要投资研究，以评估 CHW 在 UAU 方面的疗效。
