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Framing Ethnic Variations in Alcohol Outcomes from Biological Pathways to Neighborhood Context
Author(s) -
Chartier Karen G.,
Scott Denise M.,
Wall Tamara L.,
Covault Jonathan,
KarrikerJaffe Katherine J.,
Mills Britain A.,
Luczak Susan E.,
Caetano Raul,
Arroyo Judith A.
Publication year - 2014
Publication title -
alcoholism: clinical and experimental research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.267
H-Index - 153
eISSN - 1530-0277
pISSN - 0145-6008
DOI - 10.1111/acer.12304
Subject(s) - ethnic group , disadvantage , framing (construction) , intervention (counseling) , context (archaeology) , psychology , health equity , perspective (graphical) , social psychology , medicine , public health , sociology , political science , psychiatry , geography , computer science , nursing , archaeology , anthropology , law , artificial intelligence
Background Health disparities research seeks to eliminate disproportionate negative health outcomes experienced in some racial/ethnic minority groups. This brief review presents findings on factors associated with drinking and alcohol‐related problems in racial/ethnic groups. Methods Those discussed are as follows: (i) biological pathways to alcohol problems, (ii) gene × stress interactions, (iii) neighborhood disadvantage, stress, and access to alcohol, and (iv) drinking cultures and contexts. Results These factors and their interrelationships are complex, requiring a multilevel perspective. Conclusions The use of interdisciplinary teams and an epigenetic focus are suggested to move the research forward. The application of multilevel research to policy, prevention, and intervention programs may help prioritize combinations of the most promising intervention targets.