The Disparities in Alcohol Problems research component Investigates how race/ethnicity and socioeconomic disadvantage (SED) are related to current and lifespan patterns of alcohol use and problems. A considerable body of work has already uncovered strong associations between both race/ethnicity and SED and drinking patterns and problems. However, limited research has focused on the cumulative effects of disadvantage experienced across multiple domains and across time, even though Individuals exposed to multiple forms of disadvantage or enduring disadvantage may show exponentially worse outcomes than individuals experiencing a single form of disadvantage. Similarly, very little work has considered how race/ethnicity and SED may relate to lifespan drinking patterns and problems, despite emerging evidence for the long-lasting health impacts of disadvantage. This component thus addresses these gaps in knowledge with a special focus on how a severe economic recession may exacerbate drinking problems in already disadvantaged groups. Our data source is the 2009/10 National Alcohol Survey (NAS), which provides valuable new data on exposure to recession-related economic hardships;indicators of childhood, adult, and chronic SED;fine-grained measures of alcohol outcomes;and oversamples of Blacks and Hispanics Specific aims are to:
Aim 1) Examine the unique and cumulative effects of race/ethnicity and SED on heavy drinking and alcohol problems, including heavy drinking over the lifespan.
This aim will involve risk curve analyses and latent class analysis to examine trajectories of heavy drinking from one's teens to the present.
Aim 2) Investigate whether the effects of race/ethnicity and SED on heavy drinking and alcohol problems are exacerbated during an economic recession, due to increased exposure and vulnerability to severe hardship. Analyses will involve propensity score matching, and NAS-series trend analyses to assess changes in the magnitude of alcohol-problem disparities.
Aim 3) Test a stress process model of how race/ethnicity, SED, and severe recession-related hardship are associated with heavy drinking and alcohol problems, and examine protective factors that may buffer the adverse effects of disadvantage. Study findings will identify high-risk groups and help to inform prevention efforts with potential to reduce alcohol-related disparities.
This study advances understanding of disparities in alcohol problems by examining the cumulative effects of race/ethnicity and socioeconomic disadvantage on drinking problems over the lifespan, and how drinking problems in disadvantaged groups may be exacerbated during an economic recession. Findings will help to inform efforts to reduce alcohol-related disparities by identifying particularly acute forms of disadvantage, protective factors that mitigate their impact, and high-priority populations during an economic recession.
|Karriker-Jaffe, Katherine J; Witbrodt, Jane; Subbaraman, Meenakshi S et al. (2018) What Happens After Treatment? Long-Term Effects of Continued Substance Use, Psychiatric Problems and Help-Seeking on Social Status of Alcohol-Dependent Individuals. Alcohol Alcohol 53:394-402|
|Kerr, William C; Ye, Yu; Williams, Edwina et al. (2018) Lifetime Alcohol Use Patterns and Risk of Diabetes Onset in the National Alcohol Survey. Alcohol Clin Exp Res :|
|Kerr, William C; Ye, Yu; Subbaraman, Meenakshi Sabina et al. (2018) Changes in Marijuana Use Across the 2012 Washington State Recreational Legalization: Is Retrospective Assessment of Use Before Legalization More Accurate? J Stud Alcohol Drugs 79:495-502|
|Borges, Guilherme; Zemore, Sarah E; Orozco, Ricardo et al. (2018) Drug use on both sides of the US-Mexico border. Salud Publica Mex 60:451-461|
|Karriker-Jaffe, Katherine J; Greenfield, Thomas K; Mulia, Nina et al. (2018) Ten-Year Trend in Women's Reasons for Abstaining or Limiting Drinking: The 2000 and 2010 United States National Alcohol Surveys. J Womens Health (Larchmt) 27:665-675|
|Bensley, Kara M; Seelig, Amber D; Armenta, Richard F et al. (2018) Posttraumatic Stress Disorder Symptom Association With Subsequent Risky and Problem Drinking Initiation. J Addict Med 12:353-362|
|Kerr, William C; Lui, Camillia; Ye, Yu (2018) Trends and age, period and cohort effects for marijuana use prevalence in the 1984-2015 US National Alcohol Surveys. Addiction 113:473-481|
|Karriker-Jaffe, Katherine J; Li, Libo; Greenfield, Thomas K (2018) Estimating mental health impacts of alcohol's harms from other drinkers: using propensity scoring methods with national cross-sectional data from the United States. Addiction 113:1826-1839|
|Trangenstein, Pamela J; Morojele, Neo K; Lombard, Carl et al. (2018) Heavy drinking and contextual risk factors among adults in South Africa: findings from the International Alcohol Control study. Subst Abuse Treat Prev Policy 13:43|
|Klinger, Jamie L; Karriker-Jaffe, Katherine J; Witbrodt, Jane et al. (2018) Effects of Distance to Treatment on Subsequent Alcohol Consumption. Drugs (Abingdon Engl) 25:173-180|
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