142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

311016
Effects of economic disruptions in the economy on alcohol use and problems: Why do Blacks fare worse?

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Rhonda Jones-Webb, DrPH , Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN
Katherine J. Karriker-Jaffe, PhD , Alcohol Research Group, Public Health Institute, Emeryville, CA
Sarah Zemore, PhD , Alcohol Research Group, Public Health Institute, Emeryville, CA
Nina Mulia, DrPH , Alcohol Research Group, Public Health Institute, Emeryville, CA
In an earlier study, we found job loss related to the 2008-2009 Recession was associated with increased alcohol problems, especially among Blacks.  In this study, we explore how job loss during economic downturns leads to increased alcohol consumption and problems, and why Blacks who lose their jobs during economic downturns might be at increased risk of alcohol problems.  We hypothesized 1) job loss would be associated with psychological distress, increased drunkenness (i.e., drinking to cope, or escapist drinking) and alcohol use disorders (AUDs); and 2) family support and racial stigma would moderate effects of job loss on distress, especially among Blacks and Hispanics.  Using data from the 2010 National Alcohol Survey (telephone survey of 1,111 Black, 964 Hispanic and 3133 White adults), we conducted simultaneous path modeling in Mplus to test mediation and moderation hypotheses. Hypotheses were partially supported.  In the overall sample, although job loss was associated with higher levels of distress, distress was not related to drunkenness. Among individuals who lost their jobs, those who reported low levels of family support reported higher levels of distress.  Racial stigma did not moderate the effects of job loss on distress. In contrast to findings in the overall sample, distress was significantly associated with increased drunkenness among Blacks, which in turn was associated with AUD.  This indirect effect was similar for Hispanics, although only marginally significant. Job loss due to downturns in the economy appears to be an important stressor experienced by Blacks and Hispanics that increases risk for AUD.

Learning Areas:

Epidemiology
Public health or related public policy

Learning Objectives:
Identify how disruptions in the economy affect drinking behavior Explain why disruptions in the economy have more adverse drinking consequences for Blacks than Whites Describe a conceptual framework for understanding why disruptions in the economy affect drinking behavior differently among Blacks, Hispanics and Whites

Keyword(s): Alcohol Use, Minority Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal or co-principal investigator of multiple federally funded grants on alcohol epidemiology. My areas of research focuses on alcohol epidemiology and policy with a special focus on race, class, and neighborhood influences.
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.