The aims of this Developmental Grant Proposal for Collaborative International Projects are to: compare the sensitivity, specificity and efficiency of standard screening instruments and items for identifying harmful drinking and alcohol dependence among injured and non-injured Hispanic emergency room patients in California and in Mexico: 2) examine new measures which may be more efficient in identifying alcohol problems in Hispanic emergency room populations in California and Mexico: 3) compare the sensitivity, specificity and efficiency of screening instruments and items in the California and Mexico ER samples with their respective general populations. This project builds on and extends work currently funded by NIAAA to test standard screening instruments for harmful drinking/abuse and alcohol dependence in a largely Hispanic (specifically, Mexican American) emergency room (ER) population at the Santa Clara Valley Medical Center in San Jose (Santa Clara County), California. The project also builds on and extends work currently being carried out by the Mexican Institute of Psychiatry in three emergency rooms in Pachuca, Hidalgo, as part of a larger project of alcohol abuse, consequences, prevention and treatment, funded by the Mexican National Council of Technology and Science and the Ministry of Health. The Pachuca study is using the same methodology and a similar questionnaire with identical questions, among others, regarding screening and diagnostic instruments for harmful drinking/abuse and alcohol dependence, as that used in the Santa Clara Valley Medical Center ER study. He proposed Developmental grant seeks to build on and enhance prior collaborative work on emergency room studies between the Alcohol Research Group and the Mexican Institute of Psychiatry, and extend these projects in the U.S. and Mexico by requesting funding for comparative analyses only, related to the performance of standard screening instruments foe harmful drinking and alcohol dependence. Comparisons of the performance of these instruments and the development of new, shorter and sensitive instruments among Hispanics in the U.S., especially Mexican Americans, and those in Mexico who share a common origin, is particularly important given this is the most rapidly growing ethnic minority in the U.S. and the growing population of Hispanics in California, many of whom have recently arrived in the U.S. and do not speak English.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21AA011503-01
Application #
2370620
Study Section
Special Emphasis Panel (ZAA1-CC (M3))
Project Start
1997-09-30
Project End
1997-11-30
Budget Start
1997-09-30
Budget End
1997-11-30
Support Year
1
Fiscal Year
1997
Total Cost
Indirect Cost
Name
Western Consortium for Public Health
Department
Type
DUNS #
City
Berkeley
State
CA
Country
United States
Zip Code
94704
Borges, G; Cherpitel, C J; Medina-Mora, M E et al. (2004) Violence related injuries in the emergency room: alcohol, depression, and conduct problems. Subst Use Misuse 39:911-30
Borges, Guilherme; Cherpitel, Cheryl; Mittleman, Murray (2004) Risk of injury after alcohol consumption: a case-crossover study in the emergency department. Soc Sci Med 58:1191-200
Barnett, Nancy P; Monti, Peter M; Cherpitel, Cheryl et al. (2003) Identification and brief treatment of alcohol problems with medical patients: an international perspective. Alcohol Clin Exp Res 27:262-70
Cherpitel, Cheryl J; Borges, Guilherme (2002) Drinking in the injury event: a comparison of Mexican-American male ER patients in the United States and in Mexico. Subst Use Misuse 37:133-43
Cherpitel, Cheryl J; Borges, Guilherme (2002) Substance use among emergency room patients: an exploratory analysis by ethnicity and acculturation. Am J Drug Alcohol Abuse 28:287-305
Cherpitel, C J; Borges, G (2001) A comparison of substance use and injury among Mexican American emergency room patients in the United States and Mexicans in Mexico. Alcohol Clin Exp Res 25:1174-80
Romero, M; Mondragon, L; Cherpitel, C et al. (2001) Characteristics of Mexican women admitted to emergency care units. Alcohol consumption and related problems. Salud Publica Mex 43:537-43
Borges, G; Cherpitel, C J (2001) Selection of screening items for alcohol abuse and alcohol dependence among Mexicans and Mexican Americans in the emergency department. J Stud Alcohol 62:277-85
Cherpitel, C J (2000) A brief screening instrument for problem drinking in the emergency room: the RAPS4. Rapid Alcohol Problems Screen. J Stud Alcohol 61:447-9
Cherpitel, C J; Borges, G (2000) Screening instruments for alcohol problems: a comparison of cut points between Mexican American and Mexican patients in the emergency room. Subst Use Misuse 35:1419-30

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