BACKGROUND & AIMS:
BACKGROUND:The Dutch multi-ethnic Healthy Life in an Urban Setting study recently showed that alcohol consumption was lower in ethnic minority groups than those of Dutch origin, but that binge drinking in drinkers of Turkish and Moroccan origin was relatively high. The aim of the current study is to examine factors that may contribute to the differences in drinking patterns and how they relate to the relationship between drinking patterns and alcohol dependence (AD) across ethnic groups.
METHODS:The rate of last year alcohol use, alcohol use patterns and AD was assessed in 4,635 Dutch, 4,317 Moroccan, 4,036 Turkish, 2,459 Ghanaian, 4,426 African Surinamese and 3,357 South-Asian Surinamese participants (both men and women) born in Amsterdam, the Netherlands.
RESULTS:Compared to the Dutch, the prevalence of (regular) drinking is substantially lower in all ethnic minority groups and regular drinkers among most ethnic minority groups have a lower adjusted risk to develop binge drinking and AD than the Dutch. For the prevalence of regular drinking, the ethnic differences are bigger than for the prevalence of current drinking. However, regular drinkers of Moroccan origin have a risk similar to the Dutch to develop binge drinking and AD; a finding that could not be explained by group differences in age, sex, religiosity, perceived discrimination, depression or guilt feelings about drinking.
DISCUSSION:The prevalence data show that current drinking is lower and that regular drinking is much lower in ethnic minorities and - with the exception of those of Moroccan origin - ethnic minority regular drinkers also have a significant lower risk to develop binge drinking or AD than regular drinkers of Dutch origin. This implies that the magnitude of problematic alcohol use is substantially smaller in ethnic minorities than in the ethnic Dutch population of Amsterdam. Unfortunately, no explanation was found for the special risk situation of regular drinkers of Moroccan origin.
背景与目标:
背景:荷兰城市环境中的多种族健康生活研究显示,少数民族人群的酒精消费量低于荷兰人群,但土耳其和摩洛哥裔饮酒者的酗酒相对较高。当前研究的目的是研究可能导致饮酒方式差异的因素,以及它们如何与跨族裔的饮酒方式与酒精依赖(AD)之间的关系相关。
方法:评估了在阿姆斯特丹出生的4,635荷兰人,4,317摩洛哥人,4,036土耳其人,2,459加纳人,4,426非洲苏里南人和3,357南亚苏里南人(男性和女性)的去年酒精使用率,酒精使用方式和AD的发生率,荷兰人。
结果:与荷兰人相比,在所有少数族裔人群中,(正常)饮酒的患病率要低得多,并且大多数少数民族人群中的经常饮酒者与荷兰人相比,发生暴饮和AD的调整后风险较低。就经常饮酒的患病率而言,种族差异要大于目前饮酒的患病率。但是,经常饮用摩洛哥起源的饮酒者与荷兰人有类似的发展狂饮和AD的风险。这一发现无法通过年龄,性别,宗教信仰,感知的歧视,沮丧或内drinking的饮酒感的群体差异来解释。
讨论:患病率数据显示,少数民族中目前的饮酒量较低,而经常饮酒的比例要低得多-除了摩洛哥血统的少数民族以外,少数民族经常饮酒的人患暴饮或AD的风险也比正常人低得多荷兰裔饮酒者。这意味着在少数民族中,有问题的酒精消费量要比在阿姆斯特丹的荷兰族裔人口要小得多。不幸的是,没有找到关于摩洛哥普通饮酒者特殊危险情况的解释。