Document Detail


Alcohol use disorders and perceived drinking norms: ethnic differences in Israeli adults.
MedLine Citation:
PMID:  23036217     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Individuals' perceptions of drinking acceptability in their society (perceived injunctive drinking norms) are widely assumed to explain ethnic group differences in drinking and alcohol use disorders (AUDs), but this has never been formally tested. Immigrants to Israel from the former Soviet Union (FSU) are more likely to drink and report AUD symptoms than other Israelis. We tested perceived drinking norms as a mediator of differences between FSU immigrants and other Israelis in drinking and AUDs.
METHOD: Adult household residents (N = 1,349) selected from the Israeli population register were assessed with a structured interview measuring drinking, AUD symptoms, and perceived drinking norms. Regression analyses were used to produce odds ratios (OR) and risk ratios (RR) and 95% confidence intervals (CI) to test differences between FSU immigrants and other Israelis on binary and graded outcomes. Mediation of FSU effects by perceived drinking norms was tested with bootstrapping procedures.
RESULTS: FSU immigrants were more likely than other Israelis to be current drinkers (OR = 2.39, CI [1.61, 3.55]), have higher maximum number of drinks per day (RR = 1.88, CI [1.64, 2.16]), have any AUD (OR = 1.75, CI [1.16, 2.64]), score higher on a continuous measure of AUD (RR = 1.44, CI [1.12, 1.84]), and perceive more permissive drinking norms (p < .0001). For all four drinking variables, the FSU group effect was at least partially mediated by perceived drinking norms.
CONCLUSIONS: This is the first demonstration that drinking norms mediate ethnic differences in AUDs. This work contributes to understanding ethnic group differences in drinking and AUDs, potentially informing etiologic research and public policy aimed at reducing alcohol-related harm.
Authors:
Dvora Shmulewitz; Melanie M Wall; Katherine M Keyes; Efrat Aharonovich; Christina Aivadyan; Eliana Greenstein; Baruch Spivak; Abraham Weizman; Amos Frisch; Deborah Hasin
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of studies on alcohol and drugs     Volume:  73     ISSN:  1938-4114     ISO Abbreviation:  J Stud Alcohol Drugs     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-05     Completed Date:  2013-01-11     Revised Date:  2013-11-05    
Medline Journal Info:
Nlm Unique ID:  101295847     Medline TA:  J Stud Alcohol Drugs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  981-90     Citation Subset:  IM    
Affiliation:
New York State Psychiatric Institute, New York, New York, Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, New York. dsh2@columbia.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Alcohol Drinking / adverse effects,  epidemiology,  ethnology*,  psychology*
Alcohol-Related Disorders / epidemiology,  ethnology*,  psychology*
Emigrants and Immigrants / psychology
Ethnic Groups / psychology*
Female
Health Surveys / methods,  statistics & numerical data
Humans
Israel / epidemiology
Male
Middle Aged
Social Control, Informal*
USSR / ethnology
Grant Support
ID/Acronym/Agency:
K05 AA014223/AA/NIAAA NIH HHS; K05AA014223/AA/NIAAA NIH HHS; R01 AA013654/AA/NIAAA NIH HHS; R01AA013654/AA/NIAAA NIH HHS
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