Literature DB >> 31984509

The Downward Spiral: Socioeconomic Causes and Consequences of Alcohol Dependence among Men in Late Young Adulthood, and Relations to Racial/Ethnic Disparities.

Sarah E Zemore1, Camillia Lui1, Nina Mulia1.   

Abstract

BACKGROUND: While young adults are generally at highest risk for alcohol problems, not all age out of problem drinking. Evidence suggests that Blacks and Latinos age out more slowly than Whites, particularly among men. Targeting men, we investigated whether differences in lifecourse SES might explain racial/ethnic disparities in alcohol dependence in late young adulthood, along with how experiencing alcohol dependence at that life stage relates to subsequent SES.
METHODS: We used longitudinal, national data to (i) describe racial/ethnic disparities in late young adult alcohol dependence criteria (LYADC), (ii) examine whether income trajectory in early young adulthood contributes to these racial/ethnic disparities, and (iii) test whether LYADC reciprocally predicts income trajectory in early midlife. Data were from the 1979 National Longitudinal Survey of Youth (N = 3,993), which measured LYADC in 1994 (mean age = 33). Income trajectory classes were derived for early young adulthood (mean ages = 21 to 31) and, separately, early midlife (mean ages = 35 to 45). Analyses included negative binomial regressions and multinomial regressions.
RESULTS: Both Black and US-born Latino men reported more LYADC than White men. Further, membership in the persistently low and slow increase (vs. stable middle) early young adult income trajectory classes was associated with more LYADC. Multivariate analyses suggested that Black-White disparities in LYADC were explained by early young adult income trajectories, whereas Latino-White disparities in the same were explained by both early young adult income trajectories and early education. In controlled models, more LYADC predicted a higher likelihood of membership in the persistently low (vs. stable middle) income trajectory class in early midlife.
CONCLUSIONS: This study found that poorer SES in early adulthood contributes to alcohol dependence, which reciprocally contributes to poorer SES in early midlife. This cycle appears particularly likely to affect Black and US-born Latino men. Results underline the need to address socioeconomic factors in addressing racial/ethnic disparities in alcohol problems.
© 2020 by the Research Society on Alcoholism.

Entities:  

Keywords:  Alcohol; Black; Income; Latino; Socioeconomic

Year:  2020        PMID: 31984509      PMCID: PMC7081966          DOI: 10.1111/acer.14292

Source DB:  PubMed          Journal:  Alcohol Clin Exp Res        ISSN: 0145-6008            Impact factor:   3.455


  50 in total

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2.  Changing Racial/Ethnic Disparities in Heavy Drinking Trajectories Through Young Adulthood: A Comparative Cohort Study.

Authors:  Edwina Williams; Nina Mulia; Katherine J Karriker-Jaffe; Camillia K Lui
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7.  Racial/ethnic differences in 30-year trajectories of heavy drinking in a nationally representative U.S. sample.

Authors:  Nina Mulia; Katherine J Karriker-Jaffe; Jane Witbrodt; Jason Bond; Edwina Williams; Sarah E Zemore
Journal:  Drug Alcohol Depend       Date:  2016-11-03       Impact factor: 4.492

8.  Lifetime income patterns and alcohol consumption: investigating the association between long- and short-term income trajectories and drinking.

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