e-journal
Focus on: Ethnicity and the Social and Health Harms From drinking
Alcohol consumption is differentially associated with social and health harms across u.s. ethnic groups. native americans, hispanics, and blacks are disadvantaged by alcohol-attributed harms compared with Whites and asians. Ethnicities with higher rates of risky drinking experience higher rates of drinking harms. other factors that could contribute to the different effects of alcohol by ethnicity are social disadvantage, acculturation, drink preferences, and alcohol metabolism. this article examines the relationship of ethnicity and drinking to (1) unintentional injuries, (2) intentional injuries, (3) fetal alcohol syndrome (Fas), (4) gastrointestinal diseases, (5) cardiovascular diseases, (6) cancers, (7) diabetes, and (8) infectious diseases. Reviewed evidence shows that native americans have a disproportionate risk for alcohol-related motor vehicle fatalities, suicides and violence, Fas, and liver disease mortality. hispanics are at increased risk for alcohol-related motor vehicle fatalities, suicide, liver disease, and cirrhosis mortality; and blacks have increased risk for alcohol-related relationship violence, Fas, heart disease, and some cancers. however, the
scientific evidence is incomplete for each of these harms. more research is needed on the relationship of alcohol consumption to cancers, diabetes, and hiV/aiDs across ethnic groups. studies also are needed to delineate the mechanisms that give rise to and sustain these disparities in order to inform prevention strategies.
kEY WoRDS: Alcohol consumption; alcohol-attributable fractions; alcohol burden; harmful drinking; alcohol and other drug–induced risk; risk factors; ethnicity; ethnic groups; racial groups; cultural patterns of drinking; Native Americans; Hispanics; Blacks; African Americans; Asian Americans; Whites;
Caucasians; injury; intentional injury; unintentional injury; fetal alcohol syndrome; gastrointestinal diseases; cardiovascular diseases; cancers; diabetes; infectious diseases
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