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Windows of Opportunity: Fundamental Concepts for Understanding Alcohol-Related Disparities Experienced by Young Blacks in the United States

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Abstract

This paper presents a theoretical framework for conceptualizing alcohol-related disparities experienced by young Blacks in the United States. The framework highlights areas of risk and opportunity as they relate to the development of alcohol use and alcohol-related problems. In this paper, life course development theory serves as a guide for identifying a critical period in the development of alcohol-related disparities and it serves to guide the identification of opportunities to prevent or attenuate this health outcome. We also highlight concepts from ecosocial theory, resilience theory, and prevention science that advance our understanding of risk and protective factors for the social problems that young Blacks experience related to alcohol use.

We conclude with suggestions for designing studies that range from etiology to preventive interventions. We also recommend methodologies that allow for more nuanced understandings of the etiology and prevention of alcohol use and alcohol-related problems experienced by young Blacks than have been available to date.

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References

  • Abrams, D., & Niuara, R. (1987). Social learning theory. In H. Blane, Leonard, K. E. (Ed.), Psychological theories of drinking and alcoholism (pp. 131–172). New York: The Guilford Press.

    Google Scholar 

  • Alaniz, M. (1998). Alcohol availability and targeted advertising in racial/ethnic minority communities. Alcohol Health & Research World, 22(4), 286–289.

    CAS  Google Scholar 

  • Andersen, A. (2004). The life-course approach to research on heavy alcohol drinking. Addiction, 99, 1489–1490.

    Article  PubMed  Google Scholar 

  • Bailey, S. (1999). The measurement of problem drinking in young adulthood. Journal of Studies on Alcohol, 60(2), 234–244.

    CAS  PubMed  Google Scholar 

  • Bailey, S., & Rachal, J. (1993). Dimensions of adolescent problem drinking. Journal of Studies on Alcohol, 54, 555–565.

    CAS  PubMed  Google Scholar 

  • Ben-Shlomo, Y., & Kuh, D. (2002). A life course approach to chronic disease epidemiology: Conceptual models, empirical challenges and interdisciplinary perspectives. International Journal of Epidemiology, 31, 285–293.

    Article  PubMed  Google Scholar 

  • Bersamin, M., Paschall, M., & Flewelling, R. (2005). Ethnic differences in relationships between risk fators and adolescent binge drinking: A national study. Prevention Science, 6(2), 127–137.

    Article  PubMed  Google Scholar 

  • Biglan, A. (1995). Choosing a paradigm to guide prevention research and practice. Drugs and Society, 8(3/4), 149–160.

    Google Scholar 

  • Bowie, J., Ensminger, M., & Robertson, J. (2006). Alcohol-use problems in young black adults: Effects of religiosity, social resources, and mental health. Journal of Studies on Alcohol, 67, 44–53.

    PubMed  Google Scholar 

  • Bronfenbrenner, U., & Evans, G. (2000). Developmental science in the 21st century: Emerging questions, theoretical models, research designs and empirical findings. Social Development, 9(1), 115–125.

    Article  Google Scholar 

  • Brook, J., Whiteman, M., Balka, E., Win, P. T., & Gursen, M. D. (1997). African-american and puerto rican drug use: A longitudinal study. Journal of American Academy of Child and Adolescent Psychiarty, 36(9), 1260–1268.

    Article  CAS  Google Scholar 

  • Brown, S., & Tapert, S. (2003). Health consequences of adolescent alcohol involvement. In R. Bonnie & M. O’Connell (Eds.), Reducing underage drinking: A collective responsibility (pp. 383–401). Washington, DC: The National Academies Press.

    Google Scholar 

  • Brown, T., Parks, G., Zimmerman, R., & Phillips, C. (2001). The role of religion in predicting adolescent alcohol use and problem drinking. Journal of Studies on Alcohol, 62, 696–705.

    CAS  PubMed  Google Scholar 

  • Caetano, R. (1997). Prevalence, incidence, and stability of drinking problems among whites, blacks and hispanics: 1984–1992. Journal of Studies on Alcohol, 58, 565–572.

    CAS  PubMed  Google Scholar 

  • Caetano, R., & Clark, C. (1998). Trends in alcohol-related problems among whites, blacks, and hispanics: 1984–1995. Alcoholism: Clinical and Experimental Research, 22(2), 534–538.

    Article  CAS  Google Scholar 

  • Caetano, R., & Clark, C. (2000). Hispanics, blacks and whites driving under the influence of alcohol: Results from the 1995 national alcohol survey. Accident Analysis and Prevention, 32, 57–64.

    Article  CAS  PubMed  Google Scholar 

  • Caetano, R., Clark, C., & Tam, T. (1998). Alcohol consumption among racial/ethnic minorities: Theory and research. Alcohol World: Health & Research, 22(4), 233–241.

    CAS  Google Scholar 

  • Caetano, R., Cunradi, C. B., Clark, C. L., & Schafer, J. (2000). Intimate partner violence and drinking patterns among white, black, and hispanic couples in the U.S. Journal of Substance Abuse, 11(2), 123–138.

    Article  CAS  PubMed  Google Scholar 

  • Caetano, R., & Kaskutas, L. (1995). Changes in drinking patterns among whites, blacks and hispanics, 1984–1992. Journal of Studies on Alcohol, 56, 558–565.

    CAS  PubMed  Google Scholar 

  • Campbell, C., Weisner, C., & Sterling, S. (2006). Adolescents entering chemical dependency treatment in private managed care: Ethnic differences in treatment initiation and retention. Journal of Adolescent Health, 38, 343–350.

    Article  PubMed  Google Scholar 

  • Catanzaro, S., & Laurent, J. (2004). Perceived family support, negative mood regulation expectancies, coping, and adolescent alcohol use: Evidence of mediation and moderation effects. Addictive Behaviors, 29, 1779–1797.

    Article  PubMed  Google Scholar 

  • Cates, W. (1995). Prevention science: The umbrella discipline. American Journal of Preventive Medicine, 11(4), 211–212.

    Google Scholar 

  • Chen, C., Dufour, M., & Yi, H. (2004/2005). Alcohol consumption among young adults ages 18-24 in the united states: Results from the 2001-2002 nesarc survey. Alcohol Research & Health, 28(4), 269–280.

    Google Scholar 

  • Coie, J., Watt, N., West, S., Hawkins, J. D., Asarnow, J., Markman, H., et al. (1993). The science of prevention: A conceptual framework and some directions for a national research program. American Psychologist, 48(10), 1013–1022.

    Article  CAS  PubMed  Google Scholar 

  • Collins, R. L. (1995). Issues of ethnicity in research on the prevention of substance abuse. In G. J. Botvin, S. Schinke, & M. A. Orlandi (Eds.), Drug abuse prevention with multiethnic youth (pp. 28–45). Thousand Oaks: Sage Publications.

    Google Scholar 

  • Crawford, E., Moore, C., & Ahl, V. (2004). The roles of risk perception and borderline and antisocial personality characteristics in college alcohol use and abuse. Journal of Applied Social Psychology, 34(7), 1371–1394.

    Article  Google Scholar 

  • Curran, P. (2000). A latent curve framework for the study of developmental trajectories in adolescence. In J. Rose, L. Chassin, C. C. Presson, & S. J. Sherman (Ed.), Multivariate applications in substance use research: New methods for news questions (pp. 1–42). Mahwah: Lawrence Erlbaum Associates.

    Google Scholar 

  • Daley, M. (2005). Race, managed care, and the quality of substance abuse treatment. Administration and Policy in Mental Health, 32(4), 457–476.

    Article  PubMed  Google Scholar 

  • Davis, R., Cook, D., & Cohen, L. (2005). A community resilience approach to reducing ethnic and racial disparities in health. American Journal of Public Health, 95(12), 2168–2173.

    Article  PubMed  Google Scholar 

  • Dawson, D. (1998). Beyond black, white, and hispanic: Race, ethnic origin and drinking patterns in the united states. Journal of Substance Abuse, 10(4), 321–339.

    Article  CAS  PubMed  Google Scholar 

  • Elder, G. (1998). The life course and human development. In R. Lerner (Ed.), Handbook of child psychology, volume 1: Theoretical models of human development (pp. 939–991). New York: Wiley.

    Google Scholar 

  • Ellickson, P., McGuigan, K., Adams, V., Bell, R., & Hays, R. (1996). Teenagers and alcohol misuse in the united state: By any definition, it’s a big problem. Addiction, 91(10), 1489–1503.

    Article  CAS  PubMed  Google Scholar 

  • Epstein, J., Botvin, G., Baker, E., & Diaz, T. (1999). Impact of social influences and problem behavior on alcohol use among inner-city hispanic and black adolescents. Journal of Studies on Alcohol, 60, 595–604.

    CAS  PubMed  Google Scholar 

  • Epstein, J., Williams, C., & Botvin, G. (2002). How universal are social influences to drink and problem behaviors for alcohol use? A test comparing urban african-american and caribean-american adolescents. Addictive behaviors, 27, 75–86.

    Article  PubMed  Google Scholar 

  • Flay, B. R., & Petraitis, J. (1991). Methodological issues in drug use prevention research: Theoretical foundations. NIDA Research Monograph, 107, 81–109.

    CAS  PubMed  Google Scholar 

  • Fu, Q., Heath, A., Bucholz, K., Nelson, E., Goldberg, J., Lyons, M., et al. (2002). Shared genetic risk of major depression, alcohol dependence, and marijuana dependence. Archives of General Psychiatry, 59, 1125–1132.

    Article  PubMed  Google Scholar 

  • Godette, D. (2004). The development of problem drinking among young blacks. Chapel Hill: Department of Health Behavior and Health Education, University of North Carolina.

    Google Scholar 

  • Hawkins, J., Catalano, R., & Miller, J. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psychological Bulletin, 112, 64–105.

    Article  CAS  PubMed  Google Scholar 

  • Hawkins, J. D., Graham, J. W., Maguin, E., Abbott, R., Hill, K. G., & Catalano, R. F. (1997). Exploring the effects of age of alcohol use initiation and psychosocial risk factors on subsequent alcohol misuse. Journal of Studies on Alcohol, 58, 280–290.

    CAS  PubMed  Google Scholar 

  • Hays, R., & Ellickson, P. L. (1996). What is adolescent alcohol misuse in the united states according to the experts? Alcohol and Alcoholism, 31(3), 297–303.

    CAS  PubMed  Google Scholar 

  • Herd, D. (1985). The epidemiology of drinking patterns and alchol-related problems among us blacks. In D. Spiegler, D. Tate, S. Aitken, & C. Christian (Ed.), Alcohol use among U.S. Ethnic minorities (Vol. 18, pp. 3–45). Rockville: US DHHS.

    Google Scholar 

  • Herd, D. (1987). Rethinking black drinking. Britsh Journal of Addiction, 82, 219–223.

    Article  CAS  Google Scholar 

  • Herd, D. (1994). Predicting drinking problems among black and white men: Results from a national survey. Journal of Studies on Alcohol 55, 61–71.

    Google Scholar 

  • Herd, D. (1996). The influence of religious affiliation on sociocultural predictors of drinking among black and white americans. Substance Use & Misuse, 31(1), 35–63.

    CAS  Google Scholar 

  • Hirschi, T. (1969). Causes of delinquency. Berkeley: University of California Press.

    Google Scholar 

  • Jessor, R. (1987). Problem-behavior theory, psychosocial development, and adolescent problems drinking. British Journal of Addiction, 82, 331–342.

    Article  CAS  PubMed  Google Scholar 

  • Jessor, R., Donovan, J., & Costa, F. (1991). Beyond adolescence: Problem behavior and young adult development. New York: Cambridge University Press.

    Google Scholar 

  • Johnson, J., & Wiechelt, S. (2004). Introduction to the special issue on resilience. Substance Use & Misuse, 39(5), 657–670.

    Article  Google Scholar 

  • Jones-Webb, R. (1998). Drinking patterns and problems among african-americans: Recent findings. Alcohol World: Health & Research, 22(4), 260–264.

    CAS  Google Scholar 

  • Kandel, D. (1975). Stages in adolescent involvement in drug use. Science, 190(4217), 912–914.

    Article  CAS  PubMed  Google Scholar 

  • Kaplan, H. (1999). Toward an understanding of resilience: A critical review of definitions and models. In M. Glantz & J. Johnson (Eds.), Resilience and development: Positive life adaptations (pp. 17–83). New York: Kluwer Academic/Plenum Publishers.

    Google Scholar 

  • Kellam, S., Koretz, D., & Moscicki, E. (1999). Core elements of developmental epidemiologically based prevention research. American Journal of Community Psychology, 27(4), 463–482.

    Article  CAS  PubMed  Google Scholar 

  • Krieger, N. (1994). Epidemiology and the web of causation: Has anyone seen the spider? Social Science & Medicine, 39(7), 887–903.

    Article  CAS  Google Scholar 

  • Krieger, N. (2001). A glossary for social epidemiology. Journal of Epidemiolgy and Community Health, 55, 693–700.

    Article  CAS  Google Scholar 

  • Krieger, N. (2005). Embodiment: A conceptual glossary for epidemiology. Journal of Epidemiolgy and Community Health, 59, 350–355.

    Article  Google Scholar 

  • LaVeist, T., & Wallace, J. (2000). Health risk and inequitable distribution of liquor stores in african american neighborhood. Social Science & Medicine, 51, 613–617.

    Article  CAS  Google Scholar 

  • Macintyre, S., & Ellaway, A. (2000). Ecological approaches: Rediscovering the role of physical and social environment. In L. Berkman & I. Kawachi (Eds.), Social epidemiology (pp. 332–348). New York: Oxford University Press.

    Google Scholar 

  • Martin, J., Tuch, S., & Roman, P. (2003). Problem drinking patterns among african americans: The impacts of reports of discrimination, perceptions of predjudice, and “risky” coping. Journal of Health and Social Behavior, 44, 408–425.

    Article  PubMed  Google Scholar 

  • National Center for Chronic Disease Prevention and Health Promotion. (2005, July 14, 2005). Alcohol related icd codes. from http://apps.nccd.cdc.gov/ARDI/AboutARDICrosswalk.htm

  • National Institute on Alcohol Abuse and Alcoholism. (2001). Forecast for the future: Strategic plan to address health disparities. Rockville: National Institues of Health.

    Google Scholar 

  • Newes-Adeyi, G., Chen, C., Williams, G., & Faden, V. (2005). Surveillance report #74: Trends in underage drinking in the united states, 1991-2003. In NIAAA (Ed.), US Department of Health and Human Services National Institutes of Health.

  • Oetting, E., & Donnermeyer, J. (1998). Primary socialization theory: The etiology of drug use and deviance. I. Substance Use & Misuse, 33(4), 995–1026.

    Article  CAS  Google Scholar 

  • Paschall, M., Flewelling, R. L., & Faulkner, D. L. (2000). Alcohol misuse in young adulthood: Effects of race, educational attainment, and social context. Substance Use & Misuse, 35(11), 1485–1506.

    CAS  Google Scholar 

  • Petraitis, J., Flay, B. R., Miller, T. Q., Torpy, E. J., & Greiner, B. (1998). Illicit substance use among adolescents: A matrix of prospective predictors. Subst Use Misuse, 33(13), 2561–2604.

    Article  CAS  PubMed  Google Scholar 

  • Phinney, J., & Landin, J. (1998). Research paradigms for studying ethnic minority families within and across groups. In V. McLoyd, & L. Steinberg (Ed.), Studying minority adolescents: Conceptual, methodological, and theoretical issues (pp. 89–109). Mahwah: Lawrence Erlbaum Associates.

    Google Scholar 

  • Quigley, L., & Marlatt, G. (1996). Drinking among young adults. Alcohol World: Health & Research, 20(3), 185–191.

    Google Scholar 

  • Richardson, G. (2002). The metatheory of resilience and resiliency. Journal of Clinical Psychology, 58, 307–321.

    Article  PubMed  Google Scholar 

  • Rolf, J. (1999). Resilience: An interview with norman garmezy. In M. Glantz & J. Johnson (Eds.), Resilience and development: Positive life adaptations. New York: Kluwer Academic/Plenum Publishers.

    Google Scholar 

  • Rubin, R., Billingsley, A., & Caldwell, C. (1994). The role of the black church in working with black adolescents. Adolescence, 29(114), 251–266.

    CAS  PubMed  Google Scholar 

  • Runyan, D., Hunter, W., Socolar, R., Amaya-Jackson, L., English, D., Landsverk, J., et al. (1998). Children who prosper in unfavorable environments: The relationship to social capital. Pediatrics, 101(1), 12–18.

    Article  CAS  PubMed  Google Scholar 

  • Schulenberg, J., Maggs, J. L., & Hurrelmann, K. (Ed.). (1997). Health risks and developmental transitions during adolescence. New York: Cambridge University Press.

    Google Scholar 

  • Shanahan, M. (2000). Pathways to adulthood in changing societies: Variability and mechanisms in life course perspective. Annual Rev. Sociol., 26, 667–692.

    Article  Google Scholar 

  • Sonn, C., & Fisher, A. (1998). Sense of community: Community resilient responses to oppression and change. Journal of Community Psychology, 26(5), 457–472.

    Article  Google Scholar 

  • Strunin, L. (1999). Drinking perceptions and drinking behaviors among urban black adolescents. Journal of Adolescent Health, 25, 264–275.

    Article  CAS  PubMed  Google Scholar 

  • Strunin, L. (2001). Assessing alcohol consumption: Developments from qualitative research methods. Social Science & Medicine, 53, 215–226.

    Article  CAS  Google Scholar 

  • Strunin, L., & Demissie, S. (2001). Cultural identification and alcohol use among “black” adolescents. Substance Use & Misuse, 36(14), 2025–2041.

    Article  CAS  Google Scholar 

  • Substance Abuse and Mental Health Services Administration. (2004a). Alcohol dependence or abuse and age at first use. Rockville, MD.

  • Substance Abuse and Mental Health Services Administration. (2004b). Results from the 2003 national survey on drug use and health: National findings. In OAS (Ed.):US Department of Health and Human Services.

  • Wallace, J., Brown, T., Bachman, J., & LaVeist, T. (2003). The influence of race and religion on abstinence from alcohol, cigarettes and marijuana among adolescents. Journal of Studies on Alcohol, 64, 843–848.

    PubMed  Google Scholar 

  • Wallace, J., & Forman, T. (1998). Religion’s role in promoting health and reducing risk among american youth. Health Education & Behavior, 25(6), 721–741.

    Google Scholar 

  • Wallace, J., & Muroff, J. (2002). Preventing substance abuse among african american children and youth: Race differences in risk factor exposure and vulnerability. The Journal of Primary Prevention, 22(3), 235–261.

    Article  Google Scholar 

  • Welte, J., & Barnes, G. (1987). Alcohol use among adolescent minority groups. Journal of Studies on Alcohol, 48(4), 329–366.

    CAS  PubMed  Google Scholar 

  • Winters, K., & Henly, G. (1988). Assessing adolescents who abuse chemicals: The chemical dependency adolescent assessment project. In E. Rahdert, & J. Grabowski (Ed.), Adolescent drug abuse: Analyses of treatment research (Vol. 77, pp. 4–18). Rockville: National Institute on Drug Abuse.

    Google Scholar 

  • Wu, L., & Ringwalt, C. (2005). Use of substance abuse services by young uninsured american adults. Psychiatric Services, 56(8), 946–953.

    Article  PubMed  Google Scholar 

  • Zamboanga, B. (2005). Alcohol expectancies and drinking behaviors in mexican american college students. Addictive Behaviors, 30, 673–684.

    Article  PubMed  Google Scholar 

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Acknowledgements

Preparation of this paper was supported by the National Institute on Alcohol Abuse & Alcoholism grant P60 AA013759-02s2 and the W.K. Kellogg Scholars in Health Disparities program. We also thank Susan Ennett and the two blind reviewers for comments on earlier versions of this work.

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Correspondence to Dionne C. Godette.

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Godette, D.C., Headen, S. & Ford, C.L. Windows of Opportunity: Fundamental Concepts for Understanding Alcohol-Related Disparities Experienced by Young Blacks in the United States. Prev Sci 7, 377–387 (2006). https://doi.org/10.1007/s11121-006-0044-3

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