Immigrant Arab Americans and alcohol use: longitudinal study.

English proficiency is associated with alcohol use in some immigrants groups, but little is known about its association among Arab Americans. Ethnographic work suggests gender, religion, education, and age influence prevalence of alcohol use among Arab Americans. Two years prospective study of recent Iraqi refugees and non-Iraqi Arab immigrants in Michigan using bilingual surveys and interviewers. At Time 1, prevalence of lifetime alcohol use was 20.5 % with males, Christians, better educated, older, and those with greater proficiency in English more likely to report ever drank. At Time 2, lifetime prevalence of drinking had increased to 34.0 %. In analysis of male new drinkers, risk factors were Christian, older age and greater proficiency in English. This study confirms drinking among recent immigrant Arab Americans varies by subgroups and suggests English proficiency may contribute to the increase in prevalence over time.