Online Program

Association between acculturation and binge drinking among Asian-americans

Monday, November 4, 2013

Monideepa Becerra, DrPH, MPH, CHES, School of Public Health, Loma Linda University, Loma Linda, CA
Patti Herring, PhD, RN, School of Public Health, Department of Health Promotion & Education, Loma Linda University, Loma Linda, CA
Helen Hopp Marshak, PhD, MCHES, School of Public Health, Loma Linda University, Loma Linda, CA
Jim E. Banta, PhD, MPH, School of Public Health, Health Policy and Management, Loma Linda University, Loma Linda, CA
Objective: Evaluate the association between acculturation and binge drinking among six Asian-American subgroups using the California Health Interview Survey (2007, 2009). Methods: Our study included a total of 8,826 participants, relating to an annual population estimate of 3,310,988 Asian-Americans in California. Univariate and multivariable logistic regression analyses were conducted with binge drinking as the outcome variable and language spoken at home and time in U.S. as proxy measures of acculturation. Potential interactions were further assessed. Results: A total of 1,116 Asian-Americans were identified as binge drinkers, thus reflecting an annual population estimate of 619,468 Californians. Highest binge drinking rates were among Filipinos (population estimate = 222,216) and lowest among Japanese (population estimate = 37,612). Binge drinking was positively associated with being U.S.-born for both Filipinos (OR = 3.0, p<0.05) and South-Asians (OR = 5.3, p<0.05), and bilingual Vietnamese males (OR = 2.6, p<0.05). Korean females who were either bilingual (OR = 3.0, p<0.05) or only spoke English at home (OR = 6.0, p<0.005) were also more likely to report binge drinking. On the other hand, lower odds of binge drinking were associated with being bilingual (OR = 0.44, p<0.05) or speaking only English (OR = 0.31, p<0.05) among Chinese males. Conclusion: In our study, increasing acculturation was associated with increased binge drinking among most Asian groups, with exception of Chinese males. Future studies and preventive measures should also address the cultural basis of health risk behaviors among Asian-American adults.

Learning Areas:

Public health or related research
Social and behavioral sciences

Learning Objectives:
Identify the potential association between acculturation and binge drinking among Asian-Americans. Discuss the importance of studies among Asian-American disaggregated by subgroups. Describe the current binge drinking behavior patterns among Asian-Americans, by subgroup and gender.

Keyword(s): Binge Drinking, Asian Americans

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a research assistant for several federally-funded projects that have focused on studies ranging from biological sciences to addressing health disparities. I have co-authored multiple abstracts and peer-reviewed publications, including “highly cited” designation under BMC and press release. My scientific interests include development of health education programs tailored for the Asian-American population. Currently, I collaborate with CBOs addressing health needs of South Asians, in addition to preparing manuscripts of wellness program evaluations.
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.