| Autor: |
Ransome Y; a Harvard T.H. Chan School of Public Health , Boston , Massachusetts , USA., Carty DC; b University of Michigan School of Public Health , Ann Arbor , Michigan , USA., Cogburn CD; c School of Social Work , Columbia University , New York , New York , USA., Williams DR; a Harvard T.H. Chan School of Public Health , Boston , Massachusetts , USA. |
| Jazyk: |
angličtina |
| Zdroj: |
Biodemography and social biology [Biodemography Soc Biol] 2017; Vol. 63 (3), pp. 236-252. |
| DOI: |
10.1080/19485565.2017.1335589 |
| Abstrakt: |
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. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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