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Hazardous drinking, alcohol use disorders, and need for treatment among Pacific Islander young adults

Bibliographic Data

ID9051987
AuthorsAndrew M Subica (0000-0001-6424-7668, Institute of Population and Public Health), Erick G Guerrero (0000-0003-3086-5710), Nia Aitaoto (0000-0003-1823-9688), Howard B Mo (0000-0001-8577-0984, Institute of Population and Public Health), Derek K Iwamoto (0000-0002-8587-9389), Derek Iwamoto, Li‐Tzy Wu (0000-0002-5909-2259, Duke University)
Year2020
Volume90
Issue5
Pages557-566
Publication date2020-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Orthopsychiatry (JOURNAL)
Journal identifiersISSN: 0002-9432 • E-ISSN: 1939-0025
PublisherAmerican Psychological Association (APA) (PUBLISHER)
DOI10.1037/ort0000456
PMID32352815
OpenAlexW3023584768
LanguageEN
Citations received6
References cited13

Pacific Islander (PI) young adults are suspected to bear heavy risk for hazardous drinking, alcohol use disorders (AUD), and alcohol-related harms. Yet, PIs remain among the most understudied racial groups in the United States-creating a lack of empirical data documenting their alcohol use problems and treatment needs. The present study presents the first known data on PI young adults' hazardous drinking, possible AUDs, alcohol-related harms, and treatment needs. Survey data were collected from 156 community-dwelling PI young adults (40% women, age 18-30 years) in 2 large PI communities: Los Angeles County and Northwest Arkansas. We screened participants for alcohol, cigarette, and marijuana use, hazardous drinking, possible AUD, alcohol-related harms, and past-year need for mental health and substance use disorder (SUD) treatment. Logistic regressions examined whether experiencing possible AUD and alcohol-related harms were associated with past-year need for treatment. PI young adults reported 78% lifetime rate of alcohol use with 56% screening positive for hazardous drinking, 49% for any possible AUD, and 40% experiencing significant alcohol-related harm (e.g., health, finances). Yet, just 25% of participants reported past-year need for SUD treatment. Although having possible AUD was not associated with perceived SUD treatment need, experiencing any alcohol-related harm associated with 4.7-13.2 times greater adjusted odds for needing treatment. Therefore, despite having low self-perceived treatment need, PI young adults experience excessive burden of hazardous drinking and alcohol-related harms. Given the profound negative social and health effects of AUDs, culturally grounded interventions should be designed to reduce PI young adults' elevated rates of hazardous drinking and alcohol-related harms. (PsycInfo Database Record (c) 2020 APA, all rights reserved)

Alcohol · Alcohol use disorder · Environmental health · Harm · Injury prevention · Logistic regression · Mental health · Occupational safety and health · Odds ratio · Poison control · Psychiatry · Psychological intervention · Suicide prevention · Young adult · Homelessness and Social Issues · Medicine · Prenatal Substance Exposure Effects · Psychology · Social Psychology · Substance Abuse Treatment and Outcomes · Gerontology

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    Open Access•Andrew M Subica, Nia Aitaoto et al.•Public Health Reports•2022

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    Open Access•Jake Ryann C Sumibcay•SSM - Qualitative Research in…•2024

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    Cindy Y Huang, Silvia Alves Nishioka et al.•American Journal of Orthopsychiatry•2022

  • Trauma and mental health in Pacific Islanders

    Open Access•Andrew M Subica, Lolofi Soakai et al.•International Journal of Social…•2024

  • Alcohol Use Disorder Risk and Protective Factors and Associated Harms Among Pacific Islander Young Adults

    Open Access•Andrew M Subica, Erick G Guerrero et al.•Journal of Racial and Ethnic…•2022

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  • Alcohol and public health

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  • Increases in Alcohol and Marijuana Use During the Transition Out of High School Into Emerging Adulthood

    Helene Raskin White, Barbara J Mcmorris et al.•Journal of Studies on Alcohol and…•2006

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  • Adolescent alcohol use and suicide indicators among adolescents in Hawaii

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    Andrew M Subica, Brandon Brown et al.•American Journal of Public Health•2020

  • Substance Use and Dependence Among Native Hawaiians, Other Pacific Islanders, and Asian Ethnic Groups in the United States

    Joseph T Sakai, Cynthia Wang et al.•Journal of Ethnicity in Substance…•2010

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Unique citing works6
Citations per year1,5
Citation span2022 - 2024 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 6

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