Differences by gender at twelve months in a brief intervention trial among Mexican-origin young adults in the emergency department

In this study, we investigate the role of gender in prevalence and consequences of binge drinking and brief intervention outcomes among Mexican-origin young adults aged 18-30 years at the U.S.-Mexico border. We conducted a secondary analysis, stratified by gender, from a randomized controlled trial of a brief motivational intervention in a hospital emergency department. Intervention effects for males included reductions in drinking frequency, binge drinking, and alcohol-related consequences. For females the intervention was associated with reduction in drinking frequency and binge drinking but did not have a significant effect on alcohol-related consequences. Results suggest a new direction for tailoring interventions to gender.

Working the Pony

We present a model of the drinking practices of Latina immigrants who work in bars or cantinas and are compensated for drinking 8 oz beer or ponies with customers, hence working the pony. A total of 358 women recruited from 61 randomly selected cantinas were interviewed as part of a community study conducted in a metropolitan area in the U.S. Southwest. Participants reported drinking an average of 21 beers on nights they worked for ponies. Multiple regression results indicate that drinking practices are related to sociodemographic, work history, drug use, and sexual risk characteristics. The drinking of cantineras is more than 4 times higher than the heavy episodic drinking of high risk Latino male drinkers and young male restaurant workers. The findings suggest that they may be at risk of multiple health problems and could benefit from alcohol risk-reduction interventions.

Assessment of alcohol use patterns among spanish-speaking patients

OBJECTIVE

The objective of this study was to assess drinking patterns of Spanish-speaking patients using a bilingual computerized alcohol screening and brief intervention (CASI) tablet computer equipped with the Alcohol Use Disorders Identification Test (AUDIT).

METHODS

This retrospective study was conducted in a tertiary university hospital emergency department (ED) between 2006 and 2010. Data from 1816 Spanish-speaking ED patients were analyzed using descriptive statistics, the chi-square test for independence, and the Kruskal-Wallis rank sum test for comparisons using quantitative variables.

RESULTS

Overall, 15% of Spanish-speaking patients were at-risk drinkers, and 5% had an AUDIT score consistent with alcohol dependency (≥20). A higher percentage of Spanish-speaking males than females were at-risk drinkers or likely dependent. Spanish-speaking males exhibited higher frequency of drinking days per week and higher number of drinks per day compared with females. Among older patients, nondrinking behavior increased and at-risk drinkers decreased. The majority of males and females were ready to change their behavior after the CASI intervention; 61% and 69%, respectively, scored 8-10.

CONCLUSIONS

This study indicated that CASI was an effective tool for detecting at-risk and likely dependent drinking behavior in Spanish-speaking ED patients. The majority of patients were ready to change their drinking behavior. More alcohol screening and brief intervention tools should be tested and become readily accessible for Spanish-speaking patients.