ABSTRACT

Adverse health attributed to alcohol use disorders (AUD) is more pronounced among black than white women. We investigated whether socioeconomic status (education and income), health care factors (insurance, alcoholism treatment), or psychosocial stressors (stressful life events, racial discrimination, alcoholism stigma) could account for black-white differences in the association between AUD and physical and functional health among current women drinkers 25 years and older (N = 8,877) in the National Epidemiological Survey on Alcohol and Related Conditions. Generalized linear regression tested how race interacted with the association between 12-month DSM-IV AUD in Wave 1 (2001–2002) and health in Wave 2 (2004–2005), adjusted for covariates (age group, alcohol consumption, smoking, body mass index, physical activity, diabetes, cardiovascular disease, and arthritis). Black women with AUD had poorer health than white women with AUD (β = −3.18, SE = 1.28, p < .05). This association was partially attenuated after adjusting for socioeconomic status, health care, and psychosocial factors (β = −2.64, SE = 1.27, p < .05). In race-specific analyses, AUD was associated with poorer health for black but not white women. Accounting for black-white differences in AUD and physical and functional health among women requires investigation beyond traditional explanatory mechanisms.

抽象的

与白人女性相比，黑人中酒精滥用障碍（AUD）引起的不良健康更为明显。我们调查了社会经济地位（教育和收入），医疗保健因素（保险，酗酒治疗）或社会心理压力源（压力性生活事件，种族歧视，酗酒污名）是否可以解释澳元与身体和身体之间的联系的黑白差异。全国酒精及相关疾病流行病学调查显示，目前25岁及以上的女性饮酒者的机能健康（N = 8,877）。广义线性回归测试了种族如何与12个月DSM-IV之间的关联相互作用调整了协变量（年龄组，饮酒，吸烟，体重指数，身体活动，糖尿病，心血管疾病和关节炎）后，第一波的澳元（2001-2002）和健康的第二波（2004-2005）。患有AUD的黑人女性比患有AUD的白人女性的健康状况较差（β = −3.18，SE = 1.28，p <.05）。在调整了社会经济地位，医疗保健和社会心理因素后，这种联系被部分削弱了（β = −2.64，SE = 1.27，p<.05）。在针对种族的分析中，澳元与黑人女性健康状况较差相关，而与白人女性无关。考虑到女性在澳元和身体及功能健康方面的黑白差异，需要进行传统解释机制之外的调查。