Hazardous Drinking, Alcohol Use Disorders, and Need for Treatment Among Pacific Islander Young Adults

Details

• Alternative Title:
  Am J Orthopsychiatry
• Personal Author:
  Subica, Andrew M. ; Guerrero, Erick ; Aitaoto, Nia ; Moss, Howard B. ; Iwamoto, Derek ; Wu, Li-Tzy
• Description:
  Pacific Islander (PI) young adults are suspected to bear heavy risk for hazardous drinking, alcohol use disorders (AUD), and alcohol-related harms. Yet, PIs remain among the most understudied racial groups in the United States-creating a lack of empirical data documenting their alcohol use problems and treatment needs. The present study presents the first known data on PI young adults' hazardous drinking, possible AUDs, alcohol-related harms, and treatment needs. Survey data were collected from 156 community-dwelling PI young adults (40% women, age 18-30 years) in 2 large PI communities: Los Angeles County and Northwest Arkansas. We screened participants for alcohol, cigarette, and marijuana use, hazardous drinking, possible AUD, alcohol-related harms, and past-year need for mental health and substance use disorder (SUD) treatment. Logistic regressions examined whether experiencing possible AUD and alcohol-related harms were associated with past-year need for treatment. PI young adults reported 78% lifetime rate of alcohol use with 56% screening positive for hazardous drinking, 49% for any possible AUD, and 40% experiencing significant alcohol-related harm (e.g., health, finances). Yet, just 25% of participants reported past-year need for SUD treatment. Although having possible AUD was not associated with perceived SUD treatment need, experiencing any alcohol-related harm associated with 4.7-13.2 times greater adjusted odds for needing treatment. Therefore, despite having low self-perceived treatment need, PI young adults experience excessive burden of hazardous drinking and alcohol-related harms. Given the profound negative social and health effects of AUDs, culturally grounded interventions should be designed to reduce PI young adults' elevated rates of hazardous drinking and alcohol-related harms. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
• Subjects:
  Adolescent Adult Alcohol-Related Disorders Alcohol-related Harm Alcohol Drinking Alcohol Use Disorder Article Female Humans Logistic Models Male Mental Health Native Hawaiian And Pacific Islander Native Hawaiian Or Other Pacific Islander Surveys And Questionnaires Treatment Need United States Young Adult

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• Source:
  Am J Orthopsychiatry. 90(5):557-566
• Pubmed ID:
  32352815
• Pubmed Central ID:
  PMC9048751
• Document Type:
  Journal Article
• Funding:
  National Institutes of Health; National Institute on Alcohol Abuse and Alcoholism/ ; R21 AA026689/AA/NIAAA NIH HHSUnited States/ ; NH/NIH HHSUnited States/ ; PCORI/Patient-Centered Outcomes Research InstituteUnited States/ ; UG1 DA040317/DA/NIDA NIH HHSUnited States/ ; CC/CDC HHSUnited States/ ; R01 MD007658/MD/NIMHD NIH HHSUnited States/
• Volume:
  90
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:14d19be9b6f14a7b666608306ec8a32a2e95db48344d472630c268ad559fc36b
• Download URL:
  https://stacks.cdc.gov/view/cdc/116880/cdc_116880_DS1.pdf
• File Type:
  [PDF - 372.33 KB ]