Nevertheless, studies that examine ethnicity and alcohol-attributed harms provide important information about public health and serve to identify high-risk groups in the population. This article shows that Native Americans, Hispanics, and Blacks are disproportionately affected by the adverse social and health harms from alcohol consumption. Regardless of ethnicity, the risk of developing these cancers is significantly higher among men than women (National Cancer Institute 2011c, d, e).

Prevalence of Past-Year Drinking

However, it has been shown to be the best approach to find hidden populations of immigrants particularly undocumented immigrants. However, the RLIS has an excellent retention rate and selection bias due to loss to follow up is not likely to effect the sample. The outcome for treatment for an alcohol use disorder should not vary substantially according to an individual’s ethnic background when all of these considerations are taken into account. Moreover, NIDA specifically states that successful treatment for any substance use disorder follows an overall blueprint that has been shown to be effective by research studies, but that has the flexibility to be personalized for the specific needs of the individual.

What to Know About Substance Use and the Latinx Community

Future longitudinal research studies should account for whether traditional cultural values (e.g. machismo, marianismo, deep sense of respect for elder’s family members, collectivism ideology) mediate or moderate the relationship between a family history of alcohol use, AOE, and the alcohol use of Latino immigrants. Expanding on this study primary focus can lead to the development of more cultural relevant effective evidence-based prevention and treatment programs targeting Latino immigrants with a presenting alcohol misuse or dependency diagnosis. The long-term outcome of such a new generation of alcohol use prevention and treatment programs will reduce the prevalence of problematic alcohol alcohol withdrawal use behavior which is the most pressing substance abuse problem confronting Latino immigrants nationwide. The research reviewed focuses on Whites, Blacks, Hispanics, Asians, and Native Americans (i.e., American Indians and Alaska Natives) in the United States as general ethnic groups, although significant subgroup differences within populations also are evident. There are limitations to using these general categories because ethnicity encompasses a combination of characteristics such as tribe, ancestry, national group, birthplace, and language, which could have distinct relationships to patterns of drinking and alcohol-related harms (Caetano 1986; Cheung 1993; Heath 1990– 1991).

Data Availability

Alcohol-related and non–alcohol-related liver cirrhosis usually precede HCC and are the two most common risk factors (Altekruse et al. 2009; El-Serag 2011; Pelucchi et al. 2006). The relative risk for developing this cancer increases with increased levels of alcohol consumption (Pelucchi et al. 2006). By ethnic group, 2003–2005 age-adjusted incidence rates for HCC per 100,000 persons were highest among Asians (11.7), is marijuana addictive followed by Hispanics (8.0), Blacks (7.0), Native Americans (6.6), and Whites (3.9) (Altekruse et al. 2009). Death rates for HCC per 100,000 people also are higher among minority groups (i.e., 8.9, 6.7, 5.8, 4.9, and 3.5 for Asians, Hispanics, Blacks, Native Americans, and Whites, respectively). In sum, the link between acculturation and alcohol use among Hispanics is not well understood (Vaeth et al., 2012).

In particular, Native American violent crime victims were more likely (62 percent) than other violent crime victims to report alcohol use by their offender, including Whites (43 percent), Blacks (35 percent), and Asians (33 percent). To our knowledge, the HCHS/SOL study is the largest contemporary study to examine alcohol use and contributing factors among diverse Hispanic/Latino heritage groups. Results from this study show that prevalence and patterns of alcohol use vary among Hispanics/Latinos of diverse heritage, as well as by sex. Given the growing numbers of Mexican background individuals in the US, more research is needed to further examine factors that may contribute to at-risk alcohol use among this group.

  1. Another common trope of many treatment programs is “you can’t help people if you’re not helping yourself,” an idea that isn’t quite compatible with someone who, for example, may be supporting their family financially.
  2. We do not discriminate in the delivery of services due to race, religion, ethnicity, sexual orientation, disability, or ability to pay for services.
  3. He also said Type 47 licenses are quota licenses that must be bought if they exceed the number of licenses in a current census tract.
  4. Two-way interaction with study site moderating the association between U.S. orientation and alcohol use severity.

Self-reported past-month use of alcohol in Hispanic adolescents (15.8%) was generally consistent with the national average of past-month alcohol use for individuals between the ages of 12 and 17 (16%). A 2014 study found a relationship between substance use and discrimination among people from the Latinx community. While researchers observed some differences with regard to gender, whether people were born within or outside the United States, and ethnic subgroups, they nonetheless concluded that discrimination affected the health and well-being gabapentinoid benefit and risk stratification: mechanisms over myth pmc of all members of the Latinx community. The NIAAA reported that in 2019, 825,000 young people reported binge drinking on 5 or more days over the past month. SAMHSA’s mission is to lead public health and service delivery efforts that promote mental health, prevent substance misuse, and provide treatments and supports to foster recovery while ensuring equitable access and better outcomes. Find up-to-date statistics on lifetime drinking, past-year drinking, past-month drinking, binge drinking, heavy alcohol use, and high-intensity drinking.

Self-efficacy, the perceived confidence to perform a desired action, is a key construct in theories of health behavior and behavior modification—including alcohol use behavior (Bandura, 1982; Kadden & Litt, 2011). Thus, one construct that may be relevant to research on sociocultural determinants of health behavior among Hispanics is bicultural self-efficacy which encompasses multiple domains of functioning such as social groundedness and role repertoire. Social groundedness represents the level of confidence an individual has in establishing social networks in both cultural groups (David et al., 2009). It is hypothesized that the ability to establish and maintain social networks in both cultures improves a person’s capacity to cope with the demands of living in a bicultural context (LaFromboise et al., 1993). Role repertoire refers to one’s level of confidence in using or learning culturally appropriate behaviors in relation to both cultural groups (David et al., 2009).

Recent alcohol use was reported among suicides in 46 percent of Native Americans, 30 percent of Hispanics, 26 percent of Whites, 16 percent of Blacks, and 15 percent of Asians. Among those tested for alcohol, the rates of intoxication (BAC higher than or equal to 0.08) were highest for Native Americans (37 percent), followed by Hispanics (29 percent), Whites (24 percent), Blacks (14 percent), and Asians (12 percent). Age-groups identified as being at high risk for alcohol-involved suicide included Native Americans ages 30 to 39 (54 percent of suicide victims had BACs higher than or equal to 0.08), Native Americans and Hispanics ages 20 to 29 (50 percent and 37 percent, respectively), and Asians ages 10 to 19 (29 percent).

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Rates of daily heavy drinking were higher among Hispanics (33.9 percent), Native Americans (28.4 percent), and Whites (27.3 percent) compared with Blacks (22.5 percent) and Asians (19.2 percent). Weekly heavy drinking was highest among Native Americans (21.9 percent), followed by Blacks (16.4 percent), Whites (16.3 percent), Hispanics (11.8 percent), and Asians (9.8 percent). The sample for these estimates of drinking volume was the U.S. population of Whites, Blacks, and Hispanics and included abstainers. However, a study by Mulia and colleagues (2009) of current drinkers in the United States showed that Whites consumed less alcohol than Hispanics and more than Blacks. The differences between these two studies could reflect a higher rate of abstinence from alcohol among Hispanics (25.7 percent) compared with Whites (13.4 percent) in the U.S. population (Chen et al. 2006). The study that included abstainers (Caetano et al. 2010), who by definition consume zero drinks, showed higher drinking volume for Whites, whereas the study excluding abstainers (Mulia et al. 2009) reported higher volume for Hispanics.