ArticleAlcoholism, clinical and experimental research2016
Factors Explaining Variation in Alcohol Use Disorder Prevalence Across Border and Nonborder Communities in Texas.
Article in Alcoholism, clinical and experimental research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 18 citations in OpenAlex.
- Drinking in Mexico by Whites and Hispanics on and off the US/Mexico border in California.Journal of ethnicity in substance abuse · 2023Article
- Neighborhood Contexts and Alcohol Use Disorder Among Mexican Americans Living in the US-Mexico Border Region.Alcohol and alcoholism (Oxford, Oxfordshire) · 2022Article
- Trends and correlates of spatially aggregated alcohol-involved crashes among Whites and Hispanics in California.Alcoholism, clinical and experimental research · 2022Article
- Alcohol- and Drug-Related Mortality Among Adults Within and Outside the U.S.-Mexico Border Region.Journal of studies on alcohol and drugs · 2022Article
- Understanding differences in prescription drug misuse between two Texas border communities.Ethnicity & health · 2021Article
- Limited treatment accessibility: Implications for alcohol treatment disparities among Mexican Americans living in the U.S.-Mexico border region.Journal of substance abuse treatment · 2021Article
- Neighborhood Context and Drug Use Among Mexican Americans on and off the U.S.-Mexico Border.Journal of studies on alcohol and drugs · 2020Article
- The Future of Research on Alcohol-Related Disparities Across U.S. Racial/Ethnic Groups: A Plan of Attack.Journal of studies on alcohol and drugs · 2018Article
- Hazardous drinking and exposure to interpersonal and community violence on both sides of the U.S. -Mexico border.Hispanic journal of behavioral sciences · 2017Article
- Age at Immigration and Substance Use and Problems Among Males and Females at the U.S.-Mexico Border.Journal of studies on alcohol and drugs · 2017Article
- Area-level disadvantage and alcohol use disorder in northern Mexico.Drug and alcohol dependence · 2017Article
- Alcohol Use Patterns and DSM-5 Alcohol Use Disorder on Both Sides of the U.S.-Mexico Border.Alcoholism, clinical and experimental research · 2017Article
- Drug use on both sides of the US-Mexico border.Salud publica de MexicoArticle
- Prevalence and correlates of arrests or stops for drunk driving on both sides of the U.S.-Mexico border.Journal of ethnicity in substance abuseArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundU.S. border populations have been found to be at high risk for alcohol problems. However, results from the U.S.-Mexico Study on Alcohol and Related Conditions (UMSARC) revealed surprisingly large variation in alcohol outcomes even among Texas border sites, with alcohol use disorder (AUD) prevalence ~1.5 to 1.6 times greater in the border city of Laredo compared to both San Antonio and the border site of McAllen/Brownsville. Because a better understanding of this variation is important to identifying environmental influences on AUD, we developed and tested a conceptual model addressing variation in AUD prevalence across Texas UMSARC sites.
methodsSurveys involved in-person, household interviews with Mexican-origin residents of the Texas border cities Laredo (n = 751) and McAllen/Brownsville (n = 814), with San Antonio as an off-border comparison (n = 771). Interviews assessed past-year DSM-5 AUD; past-year heavy drinking; coping and enhancement motives; and 7 indicators of substance use climate and stress exposure hypothesized to mediate site effects. Analyses, conducted separately by gender, included regressions and structural equation modeling with Mplus.
resultsPreliminary analyses revealed that site effects on AUD prevalence were, unexpectedly, exclusive to men, and that Laredan men were similar to McAllen/Brownsville men on demographics, acculturation, and cross-border mobility. However, sites differed dramatically on most of the hypothesized risk factors. Structural equation models confirmed that site effects on AUD were partially mediated via effects of site on indicators of a permissive climate (i.e., permissive drinking norms, high drug availability) and stress exposures (i.e., high exposure to violence/crime, low family support), and via downstream effects on drinking motives and heavy drinking.
conclusionsFindings of very high rates of past-12-month AUD among Laredan men (35%) suggest the possibility of significant heterogeneity even within demographically similar border areas and underline the need for additional study of the border region. Findings regarding our conceptual model suggest that this model may constitute a useful initial framework for future research on alcohol problems at the border. However, additional research using representative samples is needed to confirm and expand this model to comprehensively address relevant individual and community factors.
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