Exploring patterns of alcohol use and alcohol use disorder among Asian Americans with a finer lens
National survey data suggest Asian Americans (AA) are less likely to consume alcohol and develop AUD than Americans in other groups. However, it is common for AA to be born outside of the US and carry gene variants that alter alcohol metabolism, both of which can lead to lower levels of alcohol invo...
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| Veröffentlicht in: | Drug and alcohol dependence 2024-04, Vol.257, p.111120, Article 111120 |
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| creator | Zhang, Haitao Ruan, W. June Chou, S. Patricia Saha, Tulshi D. Fan, Amy Z. Huang, Boji White, Aaron M. |
| description | National survey data suggest Asian Americans (AA) are less likely to consume alcohol and develop AUD than Americans in other groups. However, it is common for AA to be born outside of the US and carry gene variants that alter alcohol metabolism, both of which can lead to lower levels of alcohol involvement. The current study examined differences in alcohol use and AUD between AA and other groups before and after controlling for birth location and gene variants.
Past year alcohol measures were examined from adults 18+ (N=22,848) in the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions III before and after controlling for birth location (inside or outside of the US) and gene variants (ALDH2*2 and ADH1B*2/ADH1B*3). Gender gaps in alcohol measures also were assessed.
Before adjustments, AA were less likely than White Americans to drink in the previous year (OR=0.50, 95% CI 0.41–0.62), binge (OR=0.68, 95% CI 0.52–0.88), engage in frequent heavy drinking (OR=0.55, 95% CI 0.42–0.73), and reach criteria for AUD (OR=0.71, 95% CI 0.53–0.94). After controlling for birth location and gene variants, AA remained less likely to drink in the past year (OR=0.54, 95% CI 0.41–0.70) but all other differences disappeared. Gender gaps were only observed for AA born outside of the US, highlighting the importance of experience rather than racial category per se.
Findings indicate that heterogeneity among AA leads to spurious generalizations regarding alcohol use and AUD and challenge the model minority myth.
•Overall, Asian Americans consume less alcohol and are less likely to develop AUD than other groups.•Many Asian Americans are born outside of the US and carry gene variants associated with lower levels alcohol use and AUD.•After controlling for birth location and gene variants, differences in most drinking measures and AUD disappeared.•Findings challenge the model minority stereotype with regard to alcohol use and AUD among Asian Americans. |
| doi_str_mv | 10.1016/j.drugalcdep.2024.111120 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2932017957</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0376871624000413</els_id><sourcerecordid>2932017957</sourcerecordid><originalsourceid>FETCH-LOGICAL-c319t-d865f8f6120012b6deb03b043f7d58b1412e9811ef870e8d852bb8cbbb77371e3</originalsourceid><addsrcrecordid>eNqFkMlOwzAQhi0EglJ4BeQjlxTbWewcS8UmVeICZ8vLBFwlcbATlrfHVVnEibmMRvr-Gc2HEKZkQQmtLjYLG6Yn1RoLw4IRVixoKkb20IwKXmeEFNU-mpGcV5ngtDpCxzFuSKqqJofoKBcFYbwsZkhfvQ-tD65_woMaRwh9xL7BabV_9i2eImDV2z-zddEHCwGrzqfYMjrV42UHwRmV0m9ufMYKN65PSAt9PEEHjWojnH71OXq8vnpY3Wbr-5u71XKdmZzWY2ZFVTaiqdIbhDJdWdAk16TIG25LoWlBGdSCUmgEJyCsKJnWwmitOc85hXyOznd7h-BfJoij7Fw00LaqBz9FyeqcEcrrkidU7FATfIwBGjkE16nwISmRW8NyI38Ny61huTOcomdfVybdgf0JfitNwOUOgPTrq4Mgo3HQG7AugBml9e7_K5-Zn5HT</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2932017957</pqid></control><display><type>article</type><title>Exploring patterns of alcohol use and alcohol use disorder among Asian Americans with a finer lens</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Zhang, Haitao ; Ruan, W. June ; Chou, S. Patricia ; Saha, Tulshi D. ; Fan, Amy Z. ; Huang, Boji ; White, Aaron M.</creator><creatorcontrib>Zhang, Haitao ; Ruan, W. June ; Chou, S. Patricia ; Saha, Tulshi D. ; Fan, Amy Z. ; Huang, Boji ; White, Aaron M.</creatorcontrib><description>National survey data suggest Asian Americans (AA) are less likely to consume alcohol and develop AUD than Americans in other groups. However, it is common for AA to be born outside of the US and carry gene variants that alter alcohol metabolism, both of which can lead to lower levels of alcohol involvement. The current study examined differences in alcohol use and AUD between AA and other groups before and after controlling for birth location and gene variants.
Past year alcohol measures were examined from adults 18+ (N=22,848) in the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions III before and after controlling for birth location (inside or outside of the US) and gene variants (ALDH2*2 and ADH1B*2/ADH1B*3). Gender gaps in alcohol measures also were assessed.
Before adjustments, AA were less likely than White Americans to drink in the previous year (OR=0.50, 95% CI 0.41–0.62), binge (OR=0.68, 95% CI 0.52–0.88), engage in frequent heavy drinking (OR=0.55, 95% CI 0.42–0.73), and reach criteria for AUD (OR=0.71, 95% CI 0.53–0.94). After controlling for birth location and gene variants, AA remained less likely to drink in the past year (OR=0.54, 95% CI 0.41–0.70) but all other differences disappeared. Gender gaps were only observed for AA born outside of the US, highlighting the importance of experience rather than racial category per se.
Findings indicate that heterogeneity among AA leads to spurious generalizations regarding alcohol use and AUD and challenge the model minority myth.
•Overall, Asian Americans consume less alcohol and are less likely to develop AUD than other groups.•Many Asian Americans are born outside of the US and carry gene variants associated with lower levels alcohol use and AUD.•After controlling for birth location and gene variants, differences in most drinking measures and AUD disappeared.•Findings challenge the model minority stereotype with regard to alcohol use and AUD among Asian Americans.</description><identifier>ISSN: 0376-8716</identifier><identifier>ISSN: 1879-0046</identifier><identifier>EISSN: 1879-0046</identifier><identifier>DOI: 10.1016/j.drugalcdep.2024.111120</identifier><identifier>PMID: 38402754</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Acetaldehyde ; ADH1B ; Adult ; Alcohol ; Alcohol Dehydrogenase ; Alcohol Drinking - epidemiology ; Alcohol Drinking - genetics ; Alcoholism - epidemiology ; Alcoholism - genetics ; Aldehyde Dehydrogenase, Mitochondrial ; ALDH2 ; Asian ; Asian American ; Ethanol ; Humans ; International birth ; White</subject><ispartof>Drug and alcohol dependence, 2024-04, Vol.257, p.111120, Article 111120</ispartof><rights>2024</rights><rights>Copyright © 2024. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c319t-d865f8f6120012b6deb03b043f7d58b1412e9811ef870e8d852bb8cbbb77371e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.drugalcdep.2024.111120$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38402754$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Haitao</creatorcontrib><creatorcontrib>Ruan, W. June</creatorcontrib><creatorcontrib>Chou, S. Patricia</creatorcontrib><creatorcontrib>Saha, Tulshi D.</creatorcontrib><creatorcontrib>Fan, Amy Z.</creatorcontrib><creatorcontrib>Huang, Boji</creatorcontrib><creatorcontrib>White, Aaron M.</creatorcontrib><title>Exploring patterns of alcohol use and alcohol use disorder among Asian Americans with a finer lens</title><title>Drug and alcohol dependence</title><addtitle>Drug Alcohol Depend</addtitle><description>National survey data suggest Asian Americans (AA) are less likely to consume alcohol and develop AUD than Americans in other groups. However, it is common for AA to be born outside of the US and carry gene variants that alter alcohol metabolism, both of which can lead to lower levels of alcohol involvement. The current study examined differences in alcohol use and AUD between AA and other groups before and after controlling for birth location and gene variants.
Past year alcohol measures were examined from adults 18+ (N=22,848) in the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions III before and after controlling for birth location (inside or outside of the US) and gene variants (ALDH2*2 and ADH1B*2/ADH1B*3). Gender gaps in alcohol measures also were assessed.
Before adjustments, AA were less likely than White Americans to drink in the previous year (OR=0.50, 95% CI 0.41–0.62), binge (OR=0.68, 95% CI 0.52–0.88), engage in frequent heavy drinking (OR=0.55, 95% CI 0.42–0.73), and reach criteria for AUD (OR=0.71, 95% CI 0.53–0.94). After controlling for birth location and gene variants, AA remained less likely to drink in the past year (OR=0.54, 95% CI 0.41–0.70) but all other differences disappeared. Gender gaps were only observed for AA born outside of the US, highlighting the importance of experience rather than racial category per se.
Findings indicate that heterogeneity among AA leads to spurious generalizations regarding alcohol use and AUD and challenge the model minority myth.
•Overall, Asian Americans consume less alcohol and are less likely to develop AUD than other groups.•Many Asian Americans are born outside of the US and carry gene variants associated with lower levels alcohol use and AUD.•After controlling for birth location and gene variants, differences in most drinking measures and AUD disappeared.•Findings challenge the model minority stereotype with regard to alcohol use and AUD among Asian Americans.</description><subject>Acetaldehyde</subject><subject>ADH1B</subject><subject>Adult</subject><subject>Alcohol</subject><subject>Alcohol Dehydrogenase</subject><subject>Alcohol Drinking - epidemiology</subject><subject>Alcohol Drinking - genetics</subject><subject>Alcoholism - epidemiology</subject><subject>Alcoholism - genetics</subject><subject>Aldehyde Dehydrogenase, Mitochondrial</subject><subject>ALDH2</subject><subject>Asian</subject><subject>Asian American</subject><subject>Ethanol</subject><subject>Humans</subject><subject>International birth</subject><subject>White</subject><issn>0376-8716</issn><issn>1879-0046</issn><issn>1879-0046</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMlOwzAQhi0EglJ4BeQjlxTbWewcS8UmVeICZ8vLBFwlcbATlrfHVVnEibmMRvr-Gc2HEKZkQQmtLjYLG6Yn1RoLw4IRVixoKkb20IwKXmeEFNU-mpGcV5ngtDpCxzFuSKqqJofoKBcFYbwsZkhfvQ-tD65_woMaRwh9xL7BabV_9i2eImDV2z-zddEHCwGrzqfYMjrV42UHwRmV0m9ufMYKN65PSAt9PEEHjWojnH71OXq8vnpY3Wbr-5u71XKdmZzWY2ZFVTaiqdIbhDJdWdAk16TIG25LoWlBGdSCUmgEJyCsKJnWwmitOc85hXyOznd7h-BfJoij7Fw00LaqBz9FyeqcEcrrkidU7FATfIwBGjkE16nwISmRW8NyI38Ny61huTOcomdfVybdgf0JfitNwOUOgPTrq4Mgo3HQG7AugBml9e7_K5-Zn5HT</recordid><startdate>20240401</startdate><enddate>20240401</enddate><creator>Zhang, Haitao</creator><creator>Ruan, W. June</creator><creator>Chou, S. Patricia</creator><creator>Saha, Tulshi D.</creator><creator>Fan, Amy Z.</creator><creator>Huang, Boji</creator><creator>White, Aaron M.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20240401</creationdate><title>Exploring patterns of alcohol use and alcohol use disorder among Asian Americans with a finer lens</title><author>Zhang, Haitao ; Ruan, W. June ; Chou, S. Patricia ; Saha, Tulshi D. ; Fan, Amy Z. ; Huang, Boji ; White, Aaron M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c319t-d865f8f6120012b6deb03b043f7d58b1412e9811ef870e8d852bb8cbbb77371e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Acetaldehyde</topic><topic>ADH1B</topic><topic>Adult</topic><topic>Alcohol</topic><topic>Alcohol Dehydrogenase</topic><topic>Alcohol Drinking - epidemiology</topic><topic>Alcohol Drinking - genetics</topic><topic>Alcoholism - epidemiology</topic><topic>Alcoholism - genetics</topic><topic>Aldehyde Dehydrogenase, Mitochondrial</topic><topic>ALDH2</topic><topic>Asian</topic><topic>Asian American</topic><topic>Ethanol</topic><topic>Humans</topic><topic>International birth</topic><topic>White</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Haitao</creatorcontrib><creatorcontrib>Ruan, W. June</creatorcontrib><creatorcontrib>Chou, S. Patricia</creatorcontrib><creatorcontrib>Saha, Tulshi D.</creatorcontrib><creatorcontrib>Fan, Amy Z.</creatorcontrib><creatorcontrib>Huang, Boji</creatorcontrib><creatorcontrib>White, Aaron M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Drug and alcohol dependence</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Haitao</au><au>Ruan, W. June</au><au>Chou, S. Patricia</au><au>Saha, Tulshi D.</au><au>Fan, Amy Z.</au><au>Huang, Boji</au><au>White, Aaron M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exploring patterns of alcohol use and alcohol use disorder among Asian Americans with a finer lens</atitle><jtitle>Drug and alcohol dependence</jtitle><addtitle>Drug Alcohol Depend</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>257</volume><spage>111120</spage><pages>111120-</pages><artnum>111120</artnum><issn>0376-8716</issn><issn>1879-0046</issn><eissn>1879-0046</eissn><abstract>National survey data suggest Asian Americans (AA) are less likely to consume alcohol and develop AUD than Americans in other groups. However, it is common for AA to be born outside of the US and carry gene variants that alter alcohol metabolism, both of which can lead to lower levels of alcohol involvement. The current study examined differences in alcohol use and AUD between AA and other groups before and after controlling for birth location and gene variants.
Past year alcohol measures were examined from adults 18+ (N=22,848) in the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions III before and after controlling for birth location (inside or outside of the US) and gene variants (ALDH2*2 and ADH1B*2/ADH1B*3). Gender gaps in alcohol measures also were assessed.
Before adjustments, AA were less likely than White Americans to drink in the previous year (OR=0.50, 95% CI 0.41–0.62), binge (OR=0.68, 95% CI 0.52–0.88), engage in frequent heavy drinking (OR=0.55, 95% CI 0.42–0.73), and reach criteria for AUD (OR=0.71, 95% CI 0.53–0.94). After controlling for birth location and gene variants, AA remained less likely to drink in the past year (OR=0.54, 95% CI 0.41–0.70) but all other differences disappeared. Gender gaps were only observed for AA born outside of the US, highlighting the importance of experience rather than racial category per se.
Findings indicate that heterogeneity among AA leads to spurious generalizations regarding alcohol use and AUD and challenge the model minority myth.
•Overall, Asian Americans consume less alcohol and are less likely to develop AUD than other groups.•Many Asian Americans are born outside of the US and carry gene variants associated with lower levels alcohol use and AUD.•After controlling for birth location and gene variants, differences in most drinking measures and AUD disappeared.•Findings challenge the model minority stereotype with regard to alcohol use and AUD among Asian Americans.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>38402754</pmid><doi>10.1016/j.drugalcdep.2024.111120</doi></addata></record> |
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| subjects | Acetaldehyde ADH1B Adult Alcohol Alcohol Dehydrogenase Alcohol Drinking - epidemiology Alcohol Drinking - genetics Alcoholism - epidemiology Alcoholism - genetics Aldehyde Dehydrogenase, Mitochondrial ALDH2 Asian Asian American Ethanol Humans International birth White |
| title | Exploring patterns of alcohol use and alcohol use disorder among Asian Americans with a finer lens |
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