Caetano R
Alcohol Research Group, Berkeley, California 94709, USA.
J Stud Alcohol. 1997 Nov;58(6):565-72. doi: 10.15288/jsa.1997.58.565.
This article reports on the prevalence, incidence and stability of dependence-related problems and social consequences from drinking among whites, blacks and Hispanics between 1984 and 1992.
A probability sample of 1,777 whites, 1,947 blacks and 1,453 Hispanics from the U.S. adult household population was interviewed in 1984. In 1992 a subsample consisting of 788 whites, 723 blacks and 703 Hispanics was reinterviewed. Interviews averaging 1 hour in length were conducted in respondents' homes by trained interviewers.
The prevalence of a number of alcohol-related problems, the stability and incidence of dependence-related problems and the incidence of social consequences from drinking are higher among Hispanic than among white men. Dependence-related problems are more stable among black than among white men. Among women, the incidence of dependence-related problems and social consequences from drinking is higher among blacks than whites. Hispanic women have a higher incidence of social consequences from drinking than white women. Having a problem at Time 1 correlates only moderately with having a problem at Time 2, independent of ethnicity.
In general, Hispanics and blacks continue to be more at risk than whites for developing a number of alcohol-related problems. These two ethnic groups should be the focus of renewed efforts to address alcohol problems and inequalities in income distribution, employment, education and lack of access to adequate health care.
本文报告了1984年至1992年间白人、黑人和西班牙裔人群中与饮酒相关的依赖问题的患病率、发病率、稳定性以及社会后果。
1984年对来自美国成年家庭人口的1777名白人、1947名黑人和1453名西班牙裔进行了概率抽样访谈。1992年,对由788名白人、723名黑人和703名西班牙裔组成的子样本进行了重新访谈。由训练有素的访谈员在受访者家中进行平均时长为1小时的访谈。
西班牙裔男性中一些与酒精相关问题的患病率、与依赖相关问题的稳定性和发病率以及饮酒的社会后果发病率高于白人男性。与依赖相关的问题在黑人男性中比在白人男性中更稳定。在女性中,黑人中与依赖相关问题的发病率和饮酒的社会后果高于白人。西班牙裔女性饮酒的社会后果发病率高于白人女性。不考虑种族因素,在时间1出现问题与在时间2出现问题的相关性仅为中等程度。
总体而言,西班牙裔和黑人在出现一些与酒精相关问题方面继续比白人面临更高风险。这两个种族群体应成为重新努力解决酒精问题以及收入分配、就业、教育和缺乏获得适当医疗保健机会方面不平等问题的重点。