Alcohol use, acculturation and socioeconomic status among Hispanic/Latino men and women: The Hispanic community health study/study of Latinos

Sheila F. Castañeda; Melawhy L. Garcia; Maria Lopez-Gurrola; Mark Stoutenberg; Kristen Emory; Martha L. Daviglus; Robert Kaplan; Aida L. Giachello; Kristine M. Molina; Krista M. Perreira; Marston E. Youngblood; Denise C. Vidot; Gregory A. Talavera

doi:10.1371/journal.pone.0214906

Alcohol use, acculturation and socioeconomic status among Hispanic/Latino men and women: The Hispanic community health study/study of Latinos

Sheila F. Castañeda^*, Melawhy L. Garcia, Maria Lopez-Gurrola, Mark Stoutenberg, Kristen Emory, Martha L. Daviglus, Robert Kaplan, Aida L. Giachello, Kristine M. Molina, Krista M. Perreira, Marston E. Youngblood, Denise C. Vidot, Gregory A. Talavera

^*Corresponding author for this work

Preventive Medicine

Research output: Contribution to journal › Article › peer-review

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Abstract

The objective of this study was to examine the prevalence and patterns of alcohol use among U.S. Hispanic/Latino adults of diverse backgrounds. The population-based Hispanic Community Health Study/ Study of Latinos (HCHS/SOL) enrolled a cohort of Hispanic/ Latino adults (N = 16,415) ages 18–74 years at time of recruitment, from four US metropolitan areas between 2008–11. Drinking patterns and socio-demographics questionnaires were administered as part of the baseline examination. The relationship between age, sex, socio-demographics, acculturation, current alcohol use, and alcohol risk disorder, defined by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) [no risk (i.e., never drinker), low risk (i.e., women<7 drinks/week; men<14 drinks/week), and at-risk (i.e., women>7 drinks/week; men>14 drinks/week)] were assessed in unadjusted and adjusted multinomial logistic regression analyses. Men reported a higher prevalence than women of at-risk drinking. For women, increased odds of at-risk alcohol use was associated with: a younger age, greater education, full-time employment, and acculturation after adjustment. For men, having a lower income (vs. higher income) or a higher income (vs. not reported) and being employed fulltime (vs. retired) was associated with at-risk alcohol use. For both men and women, there were variations in odds of at-risk drinking across Hispanic/Latino heritage backgrounds, after adjustment. Exact values, odds ratios and p-values are reported within the text. Common factors across sex associated with at-risk drinking included being of Mexican background and being employed full-time. Intervention strategies should consider diversity within the Hispanic/Latino community when designing alcohol abuse prevention programs.

Original language	English (US)
Article number	e0214906
Journal	PloS one
Volume	14
Issue number	4
DOIs	https://doi.org/10.1371/journal.pone.0214906
State	Published - Apr 2019

Funding

We would like to acknowledge the following funding sources and individuals: The Hispanic Community Health Study/Study of Latinos is funded by contracts from the National Heart, Lung, and Blood Institute (NHLBI) to the University of North Carolina (N01-HC65233), University of Miami (N01-HC65234), Albert Einstein College of Medicine (N01- HC65235), Northwestern University (N01-HC65236), and San Diego State University (N01-HC65237). The following Institutes/Centers/ Offices contribute to the HCHS/ SOL through a transfer of funds to the NHLBI: National Center on Minority Health and Health Disparities, the National Institute of Deafness and Other Communications Disorders, the National Institute of Dental and Craniofacial Research, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements. The authors thank the staff and participants of HCHS/SOL for their important contributions. Investigators website: http://www.cscc.unc.edu/hchs/.

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Castañeda, S. F., Garcia, M. L., Lopez-Gurrola, M., Stoutenberg, M., Emory, K., Daviglus, M. L., Kaplan, R., Giachello, A. L., Molina, K. M., Perreira, K. M., Youngblood, M. E., Vidot, D. C., & Talavera, G. A. (2019). Alcohol use, acculturation and socioeconomic status among Hispanic/Latino men and women: The Hispanic community health study/study of Latinos. PloS one, 14(4), Article e0214906. https://doi.org/10.1371/journal.pone.0214906

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title = "Alcohol use, acculturation and socioeconomic status among Hispanic/Latino men and women: The Hispanic community health study/study of Latinos",

abstract = "The objective of this study was to examine the prevalence and patterns of alcohol use among U.S. Hispanic/Latino adults of diverse backgrounds. The population-based Hispanic Community Health Study/ Study of Latinos (HCHS/SOL) enrolled a cohort of Hispanic/ Latino adults (N = 16,415) ages 18–74 years at time of recruitment, from four US metropolitan areas between 2008–11. Drinking patterns and socio-demographics questionnaires were administered as part of the baseline examination. The relationship between age, sex, socio-demographics, acculturation, current alcohol use, and alcohol risk disorder, defined by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) [no risk (i.e., never drinker), low risk (i.e., women<7 drinks/week; men<14 drinks/week), and at-risk (i.e., women>7 drinks/week; men>14 drinks/week)] were assessed in unadjusted and adjusted multinomial logistic regression analyses. Men reported a higher prevalence than women of at-risk drinking. For women, increased odds of at-risk alcohol use was associated with: a younger age, greater education, full-time employment, and acculturation after adjustment. For men, having a lower income (vs. higher income) or a higher income (vs. not reported) and being employed fulltime (vs. retired) was associated with at-risk alcohol use. For both men and women, there were variations in odds of at-risk drinking across Hispanic/Latino heritage backgrounds, after adjustment. Exact values, odds ratios and p-values are reported within the text. Common factors across sex associated with at-risk drinking included being of Mexican background and being employed full-time. Intervention strategies should consider diversity within the Hispanic/Latino community when designing alcohol abuse prevention programs.",

author = "Casta{\~n}eda, {Sheila F.} and Garcia, {Melawhy L.} and Maria Lopez-Gurrola and Mark Stoutenberg and Kristen Emory and Daviglus, {Martha L.} and Robert Kaplan and Giachello, {Aida L.} and Molina, {Kristine M.} and Perreira, {Krista M.} and Youngblood, {Marston E.} and Vidot, {Denise C.} and Talavera, {Gregory A.}",

note = "Publisher Copyright: {\textcopyright} 2019 Casta{\~n}eda et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.",

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Castañeda, SF, Garcia, ML, Lopez-Gurrola, M, Stoutenberg, M, Emory, K, Daviglus, ML, Kaplan, R, Giachello, AL, Molina, KM, Perreira, KM, Youngblood, ME, Vidot, DC & Talavera, GA 2019, 'Alcohol use, acculturation and socioeconomic status among Hispanic/Latino men and women: The Hispanic community health study/study of Latinos', PloS one, vol. 14, no. 4, e0214906. https://doi.org/10.1371/journal.pone.0214906

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AU - Castañeda, Sheila F.

AU - Garcia, Melawhy L.

AU - Lopez-Gurrola, Maria

AU - Stoutenberg, Mark

AU - Emory, Kristen

AU - Daviglus, Martha L.

AU - Kaplan, Robert

AU - Giachello, Aida L.

AU - Molina, Kristine M.

AU - Perreira, Krista M.

AU - Youngblood, Marston E.

AU - Vidot, Denise C.

AU - Talavera, Gregory A.

N1 - Publisher Copyright: © 2019 Castañeda et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

PY - 2019/4

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N2 - The objective of this study was to examine the prevalence and patterns of alcohol use among U.S. Hispanic/Latino adults of diverse backgrounds. The population-based Hispanic Community Health Study/ Study of Latinos (HCHS/SOL) enrolled a cohort of Hispanic/ Latino adults (N = 16,415) ages 18–74 years at time of recruitment, from four US metropolitan areas between 2008–11. Drinking patterns and socio-demographics questionnaires were administered as part of the baseline examination. The relationship between age, sex, socio-demographics, acculturation, current alcohol use, and alcohol risk disorder, defined by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) [no risk (i.e., never drinker), low risk (i.e., women<7 drinks/week; men<14 drinks/week), and at-risk (i.e., women>7 drinks/week; men>14 drinks/week)] were assessed in unadjusted and adjusted multinomial logistic regression analyses. Men reported a higher prevalence than women of at-risk drinking. For women, increased odds of at-risk alcohol use was associated with: a younger age, greater education, full-time employment, and acculturation after adjustment. For men, having a lower income (vs. higher income) or a higher income (vs. not reported) and being employed fulltime (vs. retired) was associated with at-risk alcohol use. For both men and women, there were variations in odds of at-risk drinking across Hispanic/Latino heritage backgrounds, after adjustment. Exact values, odds ratios and p-values are reported within the text. Common factors across sex associated with at-risk drinking included being of Mexican background and being employed full-time. Intervention strategies should consider diversity within the Hispanic/Latino community when designing alcohol abuse prevention programs.

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Alcohol use, acculturation and socioeconomic status among Hispanic/Latino men and women: The Hispanic community health study/study of Latinos

Abstract

Funding

ASJC Scopus subject areas

UN SDGs

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