Similarities and Differences in Alcohol & Other Drug Dependence Among Hispanic/Latino Subgroups: A Disaggregation Approach

Background: Hispanic/Latino (H/L) heritage civilians out-number all other non-White ethnic groups in the United States. When studied as one group, H/L diversity is ignored, including rates of drug misuse. This study's aim was to examine H/L diversity regarding drug dependence by disaggregating...

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Main Authors: Virmarie Correa-Fernández, Adnan M. Barazi, Madhur Chandra, James C. Anthony
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Drug and Alcohol Dependence Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772724622000993
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author Virmarie Correa-Fernández
Adnan M. Barazi
Madhur Chandra
James C. Anthony
author_facet Virmarie Correa-Fernández
Adnan M. Barazi
Madhur Chandra
James C. Anthony
author_sort Virmarie Correa-Fernández
collection DOAJ
description Background: Hispanic/Latino (H/L) heritage civilians out-number all other non-White ethnic groups in the United States. When studied as one group, H/L diversity is ignored, including rates of drug misuse. This study's aim was to examine H/L diversity regarding drug dependence by disaggregating how the burdens of active alcohol or other drug dependence (AODD) might change if we were to address syndromes drug by drug. Method: Studying non-institutionalized H/L residents from the National Surveys on Drug Use and Health (NSDUH) 2002-2013 probability samples, we utilized online Restricted-use Data Analysis System variables to identify ethnic heritage subgroups and active AODD via computerized self-interviews. We estimated case counts of AODD with analysis-weighted cross-tabulations and variances from Taylor series. Radar plots disclose AODD variations when we simulate the reductions of drug-specific AODD one by one. Results: For all H/L heritage subgroups, the most substantial AODD decline might be achieved by reducing active alcohol dependence syndromes, followed by declines of cannabis dependence. The burdens due to active syndromes attributed to cocaine and pain relievers vary somewhat across subgroups. For the Puerto Rican subgroup, our estimates reveal potentially important burden reduction if active heroin dependence can be decreased. Conclusion: A sizeable reduction in the H/L population health burden attributable to AODD syndromes might be achieved via the effective decline of alcohol and cannabis dependence among all subgroups. Future research includes a systematic replication with recent NSDUH survey data, as well as various stratifications. If replicated, the need for targeted drug-specific interventions among H/L will become unequivocal.
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spelling doaj.art-e39dc250ac6e40afb08016da31eb34112022-12-22T04:23:30ZengElsevierDrug and Alcohol Dependence Reports2772-72462022-12-015100124Similarities and Differences in Alcohol & Other Drug Dependence Among Hispanic/Latino Subgroups: A Disaggregation ApproachVirmarie Correa-Fernández0Adnan M. Barazi1Madhur Chandra2James C. Anthony3Department of Psychological, Health and Learning Sciences, University of Houston, 3657 Cullen Blvd, Room 491, Farish Hall, Houston, TX 77204-5029, United States; Corresponding author.Department of Epidemiology and Biostatistics, Michigan State University; 909 Wilson Road, Room 601, East Lansing, Michigan, 48824, United States; University of Maryland-College Park, United StatesDepartment of Epidemiology and Biostatistics, Michigan State University; 909 Wilson Road, Room 601, East Lansing, Michigan, 48824, United States; Michigan Department of Health and Human Services - WIC Division, United StatesDepartment of Epidemiology and Biostatistics, Michigan State University; 909 Wilson Road, Room 601, East Lansing, Michigan, 48824, United StatesBackground: Hispanic/Latino (H/L) heritage civilians out-number all other non-White ethnic groups in the United States. When studied as one group, H/L diversity is ignored, including rates of drug misuse. This study's aim was to examine H/L diversity regarding drug dependence by disaggregating how the burdens of active alcohol or other drug dependence (AODD) might change if we were to address syndromes drug by drug. Method: Studying non-institutionalized H/L residents from the National Surveys on Drug Use and Health (NSDUH) 2002-2013 probability samples, we utilized online Restricted-use Data Analysis System variables to identify ethnic heritage subgroups and active AODD via computerized self-interviews. We estimated case counts of AODD with analysis-weighted cross-tabulations and variances from Taylor series. Radar plots disclose AODD variations when we simulate the reductions of drug-specific AODD one by one. Results: For all H/L heritage subgroups, the most substantial AODD decline might be achieved by reducing active alcohol dependence syndromes, followed by declines of cannabis dependence. The burdens due to active syndromes attributed to cocaine and pain relievers vary somewhat across subgroups. For the Puerto Rican subgroup, our estimates reveal potentially important burden reduction if active heroin dependence can be decreased. Conclusion: A sizeable reduction in the H/L population health burden attributable to AODD syndromes might be achieved via the effective decline of alcohol and cannabis dependence among all subgroups. Future research includes a systematic replication with recent NSDUH survey data, as well as various stratifications. If replicated, the need for targeted drug-specific interventions among H/L will become unequivocal.http://www.sciencedirect.com/science/article/pii/S2772724622000993Alcohol dependencedrug dependenceHispanicLatinoradar plots
spellingShingle Virmarie Correa-Fernández
Adnan M. Barazi
Madhur Chandra
James C. Anthony
Similarities and Differences in Alcohol & Other Drug Dependence Among Hispanic/Latino Subgroups: A Disaggregation Approach
Drug and Alcohol Dependence Reports
Alcohol dependence
drug dependence
Hispanic
Latino
radar plots
title Similarities and Differences in Alcohol & Other Drug Dependence Among Hispanic/Latino Subgroups: A Disaggregation Approach
title_full Similarities and Differences in Alcohol & Other Drug Dependence Among Hispanic/Latino Subgroups: A Disaggregation Approach
title_fullStr Similarities and Differences in Alcohol & Other Drug Dependence Among Hispanic/Latino Subgroups: A Disaggregation Approach
title_full_unstemmed Similarities and Differences in Alcohol & Other Drug Dependence Among Hispanic/Latino Subgroups: A Disaggregation Approach
title_short Similarities and Differences in Alcohol & Other Drug Dependence Among Hispanic/Latino Subgroups: A Disaggregation Approach
title_sort similarities and differences in alcohol amp other drug dependence among hispanic latino subgroups a disaggregation approach
topic Alcohol dependence
drug dependence
Hispanic
Latino
radar plots
url http://www.sciencedirect.com/science/article/pii/S2772724622000993
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