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The Influence of Race/ethnicity and Alcohol Use on High Blood Pressure and Diabetes

出版	Kent State University, 2014
URL	http://books.google.com.hk/books?id=KKaHDAEACAAJ&hl=&source=gbs_api

註釋Alcohol use disorders persist as a public health challenge. Few studies focus on the role that alcohol use consumption contributes to the development of medical and behavioral outcomes that may influence susceptibility to chronic diseases among minority populations, in particularly high blood pressure and diabetes. Due to the limited evidence regarding racial/ethnic differences in risk and protective factors as it relates to alcohol use disorders across the life span and chronic diseases, little is known to inform the development of effective prevention strategies. The purpose of this study was to investigate the influence of race/ethnicity and alcohol use on high blood pressure and diabetes. A secondary data analysis from the 2008-2012 US National Survey on Drug Use and Health (NSDUH) was conducted. Weighted multivariable logistic regression models tested the moderating effects of race/ethnicity on the relationship between alcohol use in the self-reported outcomes of high blood pressure and diabetes diagnoses, adjusting for known risk and protective factors. Participants' alcohol use was categorized as nondrinkers, regular drinkers, and alcohol use disorder. After adjusting for risk and protective factors, the relationship between alcohol use and high blood pressure showed some differential protective effects for Non-Hispanic White and Non-Hispanic African American categories. For the outcome diabetes, adjusted models displayed protective effects of alcohol use that varied substantially across race/ethnicity categories. These findings support a significant interaction between race/ethnicity and alcohol use on high blood pressure and diabetes diagnoses. This study highlights the social ecological approach for understanding these complex determinants of alcohol use and cardiovascular outcomes across racial/ethnic populations. Study findings emphasize the importance of training public health professionals in prevention science on racial/ethnic variations of risk and protective factors and the association between alcohol use and chronic diseases. This study offers implications for public health professionals to provide preventive screening information to patients consuming alcohol and routinely assess psychosocial factors for determining and promoting healthy lifestyle behavior change.