Health Disparities in Alcohol Use Disorder

913 Words Feb 2nd, 2018 4 Pages
Rates of this disorder are higher among men (12.4%) than women (4.9%) (DSM-5, 2013). The prevalence is greatest among American Indians/Alaska Natives (AI/AN) (12.1%), followed by Caucasians (8.9%), Hispanics (7.9%), African Americans (6.9%), and Asian Americans (4.5%) (DSM-5, 2013).
AI/ANs and Caucasians have the greatest risk of AUDs relative to other ethnic groups; however, AI/ANs, African Americans and Hispanics experience higher rates of recurrent and persistent alcohol dependence (Chartier & Caetano, 2010).
The medical consequences of AUDs affect minorities disproportionately. For example, AI/AN, African Americans, and Hispanics have the greatest risk of developing liver cirrhosis, alcohol related esophageal cancer, and pancreatic cancer. Minorities also have the highest risk of fetal alcohol spectrum disorders and the highest risk of alcohol-involved suicides (Russo, Purohit, Foudin, & Salin, 2004).
Theories of Health Disparities in AUD

The apparent health disparities in AUD are multifactorial, likely affected by immigration experiences, risky drinking behaviors, racial discrimination, economic disadvantage, and variations in alcohol ­metabolizing genes (Chartier & Caetano, 2010).
Drinking patterns of minorities are influenced by stressors related to social adjustment to the dominant U.S. culture. These stressors…
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