Online Program

Influence of social determinants of alcohol use among migrant workers

Monday, November 4, 2013

Nancy Shehadeh, PhD, CHES, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL
H. Virginia McCoy, PhD, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL
Muni Rubens, MBBS, MPH, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL
Background: Alcohol use is a major health issue among migrant workers. In order to address this major health risk, it is important to look at what influences this behavior by examining the elements in the environment where people live, age, and work. This study examines the impact of social determinants on alcohol use. Methods: Baseline data (n=431) from an HIV/AIDS intervention among Migrant Workers (MWs) from Immokalee, Florida was used to analyze the social determinants on alcohol use. Multivariate analysis was conducted examining age, gender, individual lifestyle factors, social and community networks, and socioeconomic, cultural, and environmental conditions as independent variables. Results: The majority of participants were single (n=350, 81.2%), males (n=312, 72.4%) with and average age of 41.56±12.39 years. The average educational level of the participants was 8.45±3.19 years. All MWs spoke either Spanish (n=216, 50.3%) or English (n=213, 49.7%). The majority was born in the U.S. (264, 61.3%) and the rest were mainly from Mexico. The multivariate analysis model identified three significant predictors of alcohol use. MWs that were male (B= -0.515, Wald *2 = 3.958, p=.047), without medical insurance (B=-0.666, Wald *2 = 5.657, p=.017), and less educated (B=0.083, Wald *2 = 6.899, p=.009) were more likely to drink 5 or more drinks a day. Conclusion: These social determinants need to be taken into account in future HIV risk reduction interventions in order to effectively reduce alcohol use among migrant workers.

Learning Areas:

Provision of health care to the public
Public health or related research
Social and behavioral sciences

Learning Objectives:
Analyze the relationship between alcohol use and the different levels of the social determinants of health. Explore how social determinants of health model incorporate factors that place migrant workers at higher risk for HIV.

Keyword(s): Alcohol Use, Migrant Workers

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author on the content I am responsible for since I have been involved in HIV risk research among migrant workers for about 3 years. I have worked under the supervision of H. V. McCoy who's expertise lies in HIV risk reduction/prevention research among migrant workers.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3299.0: HIV and substance use