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Under-Researched Demographics: Heavy Episodic Drinking and Alcohol-Related Problems Among Asian Americans

Derek Kenji Iwamoto, Ph.D.; Aylin Kaya; Margaux Grivel; and Lauren Clinton

Derek Kenji Iwamoto, Ph.D., is an assistant professor; Aylin Kaya is a doctoral student; Margaux Grivel is a project manager; and Lauren Clinton is a research assistant in the Department of Psychology, University of Maryland–College Park, College Park, Maryland.

Volume 38, Issue 1 ⦁ Pages: 17-25

    Disclosures

    The authors declare that they have no competing financial interests.

    References

    Berry, J.W.; Kim, U.; Minde, T.; and Mok, D. Comparative studies of acculturative stress. International Migration Review 21(3):491–511, 1987.

    Boskind-Lodahl, M. Cinderella’s stepsisters: A feminist perspective on anorexia nervosa and bulimia. Signs 2(2):342–356, 1976.

    Bosron, W.F., and Li, T.K. Genetic polymorphism of human liver alcohol and aldehyde dehydrogenases, and their relationship to alcohol metabolism and alcoholism. Hepatology 6(3):502–510, 1986. PMID: 3519419

    Breslau, J., and Chang, D.F. Psychiatric disorders among foreign-born and US-born Asian-Americans in a US national survey. Social Psychiatry and Psychiatric Epidemiology 41(12):943–950, 2006. PMID: 16988789

    Canino, G.; Vega, W.A.; Sribney, W.M.; et al. Social relationships, social assimilation, and substance use disorders among adult Latinos in the U.S. Journal of Drug Issues 38(1):69–101, 2008. PMID: 20011228

    Chae, D.H.; Takeuchi, D.T.; and Barbeau, E.M. Alcohol disorders among Asian Americans: Associations with unfair treatment, racial/ethnic discrimination, and ethnic identification (the National Latino and Asian American Study, 2002–2003). Journal of Epidemiology and Community Health 62(11):973–979, 2008. PMID: 18854501

    Chen, X.; Unger, J.B.; Cruz, T.B.; and Johnson, C.A. Smoking patterns of Asian-American youth in California and their relationship with acculturation. Journal of Adolescent Health 24(5):321–328, 1999. PMID: 10331838

    Cheng, A.W.; Lee, C.S.; and Iwamoto, D.K. Heavy drinking, poor mental health, and substance use among Asian Americans in the NLAAS: A gender-based comparison. Asian American Journal of Psychology 3(3):160–167, 2012. PMID: 25554732

    Cook, W.K.; Bond, J.; Karriker-Jaffe, K.J.; and Zemore, S. Who’s at risk? Ethnic drinking cultures, foreign nativity, and problem drinking among Asian American young adults. Journal of Studies on Alcohol and Drugs 74(4):532–541, 2013. PMID: 23739016

    Cook, W.K.; Hofstetter, C.R.; Kang, M.; et al. Rethinking acculturation: A study of alcohol use of Korean American adolescents in Southern California. Contemporary Drug Problems 36(1–2):217–244, 2009. PMID: 22563133

    Cook, W.K.; Mulia, N.; and Karriker-Jaffe, K.J. Ethnic drinking cultures and alcohol use among Asian American adults: Findings from a national survey. Alcohol and Alcoholism 47(3):340–348, 2012. PMID: 22378829

    Courtenay, W.H. Constructions of masculinity and their influence on men’s well-being: A theory of gender and health. Social Science & Medicine 50(10):1385–1401, 2000. PMID: 10741575

    Crabb, D.W.; Matsumoto, M.; Chang, D.; and You, M. Overview of the role of alcohol dehydrogenase and aldehyde dehydrogenase and their variants in the genesis of alcohol-related pathology. Proceedings of the Nutrition Society 63(1):49–63, 2004. PMID: 15099407

    Doran, N.; Myers, M.G.; Luczak, S.E.; et al. Stability of heavy episodic drinking in Chinese- and Korean-American college students: Effects of ALDH2 gene status and behavioral undercontrol. Journal of Studies on Alcohol and Drugs 68(6):789–797, 2007. PMID: 17960296

    Duranceaux, N.C.; Schuckit, M.A.; Luczak, S.E.; et al. Ethnic differences in level of response to alcohol between Chinese Americans and Korean Americans. Journal of Studies on Alcohol and Drugs 69(2):227–234, 2008. PMID: 18299763

    Eng, M.Y.; Luczak, S.E.; and Wall, T.L. ALDH2, ADH1B, and ADH1C genotypes in Asians: A literature review. Alcohol Research & Health 30(1):22–27, 2007. PMID: 17718397

    Eriksson, C.J. The role of acetaldehyde in actions of alcohol (update 2000). Alcoholism: Clinical and Experimental Research 25(5 Suppl. ISBRA):15S–32S, 2001. PMID: 11391045

    Gee, G.C.; Delva, J.; and Takeuchi, D.T. Relationships between self-reported unfair treatment and prescription medication use, illicit drug use, and alcohol dependence among Filipino Americans. American Journal of Public Health 97(5):933–940, 2007. PMID: 16809581

    Goedde, H.W.; Agarwal, D.P.; Fritze, G.; et al. Distribution of ADH2 and ALDH2 genotypes in different populations. Human Genetics 88(3):344–346, 1992. PMID: 1733836

    Goldman, M.S.; Darkes, J.; Reich, R.R.; et al. From DNA to conscious thought: The influence of anticipatory processes on human alcohol consumption. In: Munafo, M., and Albery, I.P., Eds. Cognition and Addiction. New York: Oxford University Press, pp.147–184, 2006.

    Goldman, M.S.; Del Boca, F.K.; and Darkes, J. Alcohol expectancy theory: The application of cognitive neuroscience. Psychological Theories of Drinking and Alcoholism 2:203–246, 1999.

    Grant, B.F.; Dawson, D.A.; Stinson, F.S.; et al. The 12 month prevalence and trends in DSM-IV alcohol abuse and dependence: United States, 1991–1992 and 2001–2002. Drug and Alcohol Dependence 74(3):223–234, 2004. PMID: 15194200

    Gupta, A.; Syzmanski, D.M.; and Leong, F.T.L. The “model minority myth”: Internalized racialism of positive stereotypes as correlates of psychological distress, and attitudes toward help-seeking. Asian American Journal of Psychology 2(2):101–114, 2011.

    Hahm, H.C.; Lahiff, M.; and Guterman, N.B. Asian American adolescents’ acculturation, binge drinking, and alcohol- and tobacco-using peers. Journal of Community Psychology 32(3):295–308, 2004.

    Hahm, H.C.; Lahiff, M.; and Guterman, N.B. Acculturation and parental attachment in Asian-American adolescents’ alcohol use. Journal of Adolescent Health 33(2):119–129, 2003. PMID: 12890603

    Hendershot, C.S.; Dillworth, T.M.; Neighbors, C.; and George, W.H. Differential effects of acculturation on drinking behavior in Chinese- and Korean-American college students. Journal of Studies on Alcohol and Drugs 69(1):121–128, 2008. PMID: 18080072

    Hendershot, C.S.; Neighbors, C.; George, W.H.; et al. ALDH2, ADH1B and alcohol expectancies: Integrating genetic and learning perspectives. Psychology of Addictive Behaviors 23(3):452–463, 2009. PMID: 19769429

    Higuchi, S.; Matsushita, S.; Muramatsu, T.; Murayama, M.; and Hayashida, M. Alcohol and aldehyde dehydrogenase genotypes and drinking behavior in Japanese. Alcoholism: Clinical and Experimental Research 20(3):493–497. 1996. PMID: 8727242

    Huselid, R.F., and Cooper, M.L. Gender roles as mediators of sex differences in adolescent alcohol use and abuse. Journal of Health and Social Behavior 33(4):348–362, 1992. PMID: 1464719

    Iwamoto, D.K., and Liu, W.M. Asian American men and Asianized Attribution: Intersections of masculinity, race, and sexuality. In: Tewari, N., and Alvarez, A., Eds. Asian American Psychology: Current Perspectives. New York: Lawrence Erlbaum Associates, 2009, pp. 211–232.

    Iwamoto, D.K., and Liu, W.M. The impact of racial identity, ethnic identity, Asian values, and race-related stress on Asian Americans and Asian international college students’ psychological well-being. Journal of Counseling Psychology 57(1):79–91, 2010. PMID: 20396592

    Iwamoto, D.K.; Corbin, W.; and Fromme, K. Trajectory classes of heavy episodic drinking among Asian American college students. Addiction 105(11):1912–1920, 2010. PMID: 21040058

    Iwamoto, D.; Liu, W.M.; and McCoy, T.E. An exploratory model of substance use among Asian American women: The role of depression, coping, peer use and Asian values. Journal of Ethnicity in Substance Abuse 10(4):295–315, 2011a. PMID: 22150129

    Iwamoto, D.K. Alcohol abuse and alcohol-related problems among Asian American men. In: Liu, W.; Iwamoto, D.; and Chae, M., Eds. Culturally Responsive Counseling Interventions with Asian American Men. New York: Routledge Press, 2010, pp. 145–170.

    Iwamoto, D.K.; Cheng, A.; Lee, C.S.; et al. “Man-ing” up and getting drunk: The role of masculine norms, alcohol intoxication, and alcohol-related problems among college men. Addictive Behaviors 36(9):906–911, 2011b. PMID: 21620570

    Iwamoto, D.K.; Corbin, W.; Lejuez, C.; and MacPherson, L. College men and alcohol use: Positive alcohol expectancies as a mediator between distinct masculine norms and alcohol use. Psychology of Men & Masculinity 15(1):29, 2014. PMID: 25705133

    Iwamoto, D.; Takamatsu, S.; and Castellanos, J. Binge drinking and alcohol-related problems among U.S.-born Asian Americans. Cultural Diversity & Ethnic Minority Psychology 18(3):219–227, 2012. PMID: 22686146

    Ja, D.Y., and Aoki, B. Substance abuse treatment: Cultural barriers in the Asian American community. Journal of Psychoactive Drugs 25(1):61–71, 1993. PMID: 8483049

    Kearney, L.K.; Draper, M.; and Baron, A. Counseling utilization by ethnic minority college students. Cultural Diversity & Ethnic Minority Psychology 11(3):272–285, 2005. PMID: 16117593

    Khantzian, E.J. The self-medication hypothesis of addictive disorders: Focus on heroin and cocaine dependence. American Journal of Psychiatry 142(11):1259–1264, 1985. PMID: 3904487

    Kim, B. Acculturation and Enculturation. Thousand Oaks, CA: Sage Publications, 2007.

    Kim, B.S.; Atkinson, D.R.; and Umemoto, D. Asian cultural values and the counseling process current knowledge and directions for future research. The Counseling Psychologist 29(4):570–603, 2001.

    Kim, B.S.; Atkinson, D.R.; and Yang, P.H. The Asian Values Scale: Development, factor analysis, validation, and reliability. Journal of Counseling Psychology 46(3):342, 1999.

    Kim, S.K.; Lee, S.I.; Shin, C.J.; et al. The genetic factors affecting drinking behaviors of Korean young adults with variant aldehyde dehydrogenase 2 genotype. Psychiatry Investigation 7(4):270–277, 2010. PMID: 21253411

    Kim, S.S.; Lee, H.O.; Kiang, P.; et al. Factors associated with alcohol problems among Asian American colleges students: Gender, ethnicity, smoking and depressed mood. Journal of Substance Use 19(1–2):12–17, 2014.

    Le, C.N. Population statistics & demographics. Asian-Nation: The Landscape of Asian America, 2010. Available at: http://www.asian-nation.org/population.shtml. Accessed June 16, 2015.

    Lemle, R., and Mishkind, M.E. Alcohol and masculinity. Journal of Substance Abuse Treatment 6(4):213–222, 1989. PMID: 2687480

    Levant, R.F. The new psychology of men. Professional Psychology: Research and Practice 27(3):259–265, 1996.

    Liu, W.M., and Iwamoto, D.K. Conformity to masculine norms, Asian values, coping strategies, peer group influences and substance use among Asian American men. Psychology of Men & Masculinity 8(1):25–39, 2007.

    Luczak, S.E.; Glatt, S.J.; and Wall, T.L. Meta-analyses of ALDH2 and ADH1B with alcohol dependence in Asians. Psychological Bulletin 132(4):607–621, 2006. PMID: 16822169

    Luczak, S.E.; Wall, T.L.; Cook, T.A.; et al. ALDH2 status and conduct disorder mediate the relationship between ethnicity and alcohol dependence in Chinese, Korean, and White American college students. Journal of Abnormal Psychology 113(2):271–278, 2004. PMID: 15122947

    Lum, C.; Corliss, H.L.; Mays, V.M.; et al. Differences in the drinking behaviors of Chinese, Filipino, Korean, and Vietnamese college students. Journal of Studies on Alcohol and Drugs 70(4):568–574, 2009. PMID: 19515297

    Miller, M.J.; Yang, M.; Hui, K.; et al. Acculturation, enculturation, and Asian American college students’ mental health and attitudes toward seeking professional psychological help. Journal of Counseling Psychology 58(3):346–357, 2011. PMID: 21574693

    Mahalik, J.R.; Locke, B.D.; Ludlow, L.H.; et al. Development of the Conformity to Masculine Norms Inventory. Psychology of Men and Masculinity 4(1):3–25, 2003.

    Mahalik, J.R.; Morray, E.B.; Coonerty-Femiano, A.; et al. Development of the Conformity to Feminine Norms Inventory. Sex Roles 52(7–8):417–435, 2005.

    Nishimura, S.T.; Goebert, D.A.; Ramisetty-Mikler, S.; and Caetano, R. Adolescent alcohol use and suicide indicators among adolescents in Hawaii. Cultural Diversity & Ethnic Minority Psychology 11(4):309–320, 2005. PMID: 16478351

    Osier, M.; Pakstis, A.J.; Kidd, J.R.; et al. Linkage disequilibrium at the ADH2 and ADH3 loci and risk of alcoholism. American Journal of Human Genetics 64(4):1147–1157, 1999. PMID: 10090900

    Otsuki, T.A. Substance use, self-esteem, and depression among Asian American adolescents. Journal of Drug Education 33(4):369–390, 2003. PMID: 15237863

    Park, S.Y.; Anastas, J.; Shibusawa, T.; and Nguyen, D. The impact of acculturation and acculturative stress on alcohol use across Asian immigrant subgroups. Substance Use & Misuse 49(8):922–931, 2014. PMID: 24779491

    Park, S.Y.; Shibusawa, T.; Yoon, S.M.; and Son, H. Characteristics of Chinese and Korean Americans in outpatient treatment for alcohol use disorders: Examining heterogeneity among Asian American subgroups. Journal of Ethnicity in Substance Abuse 9(2):128–142, 2010. PMID: 20509086

    Phinney, J.S. Ethnic identity and acculturation. In: Chun, K.M.; Organista, P.B.; and Marín, G., Eds. Acculturation: Advances in Theory, Measurement, and Applied Research. Washington, DC: American Psychological Association, 2003, pp. 63–81.

    Pyke, K.D., and Johnson, D.L. Asian American women and racialized femininities. “Doing” gender across cultural worlds. Gender and Societies 17(1):33–53, 2003. doi: 10.1177/0891243202238977?

    Schwartz, S.J.; Unger, J.B.; Zamboanga, B.L.; and Szapocznik, J. Rethinking the concept of acculturation: Implications for theory and research. American Psychologist 65(4):237–251, 2010. PMID: 20455618

    Shih, R.A.; Miles, J.N.; Tucker, J.S.; et al. Racial/ethnic differences in the influence of cultural values, alcohol resistance self-efficacy, and alcohol expectancies on risk for alcohol initiation. Psychology of Addictive Behaviors 26(3):460–470, 2012. PMID: 22867294

    Substance Abuse and Mental Health Services Administration, Office of Applied Studies. The NSDUH Report: Concurrent Illicit Drug and Alcohol Use. Rockville, MD: SAMHSA, 2009.

    Szapocznik, J.; Santisteban, D.; Rio, A.; et al. Family effectiveness training: An intervention to prevent drug abuse and problem behaviors in Hispanic adolescents. Hispanic Journal of Behavioral Sciences 11(1): 4–27, 1989.

    Thai, N.D.; Connell, C.M.; and Tebes, J.K. Substance use among Asian American adolescents: Influence of race, ethnicity, and acculturation in the context of key risk and protective factors. Asian American Journal of Psychology 1(4):261–274, 2010. PMID: 25309680

    Thomasson, H.R.; Crabb, D.W.; Edenberg, H.J.; and Li, T.K. Alcohol and aldehyde dehydrogenase polymorphisms and alcoholism. Behavior Genetics 23(2):131–136, 1993. PMID: 8512527

    Unger, J.B.; Ritt-Olson, A.; Wagner, K.D.; et al. Parent-child acculturation patterns and substance use among Hispanic adolescents: A longitudinal analysis. Journal of Primary Prevention 30(3–4):293–313, 2009. PMID: 19384604

    Wall, T.L.; Shea, S.H.; Chan, K.K.; and Carr, L.G. A genetic association with the development of alcohol and other substance use behavior in Asian Americans. Journal of Abnormal Psychology 110(1):173–178, 2001. PMID: 11261392

    Wall, T.L.; Shea, S.H.; Luczak, S.E.; et al. Genetic associations of alcohol dehydrogenase with alcohol use disorders and endophenotypes in White college students. Journal of Abnormal Psychology 114(3):456–465, 2005. PMID: 16117582

    Wechsler, H.; Lee, J.E.; Kuo, M.; and Lee, H. College binge drinking in the 1990s: A continuing problem. Results of the Harvard School of Public Health 1999 College Alcohol Study. Journal of American College Health 48(5):199–210, 2000. PMID: 10778020

    Weinreich, P. Ethnic identity and enculturation/acculturation. In: Lasry, J.-C.M.; Adair, J.G.; and Dion, K.L., Eds. Latest Contribution to Cross-Cultural Psychology. Lisse, Netherlands: Swets & Zeitlinger, 1999, pp. 135–148.

    Weinreich, P. ‘Enculturation’, not ‘acculturation’: Conceptualizing and assessing identity processes in migrant communities. International Journal of Intercultural Relations 33(2):124–139, 2009.

    Whitfield, J.B. Alcohol dehydrogenase and alcohol dependence: Variation in genotype associated risk between populations. American Journal of Human Genetics 71(5):1247–1250, 2002. PMID: 12452180

    Windle, M., and Davies, P.T. Depression and heavy alcohol use among adolescents: Concurrent and prospective relations. Development and Psychopathology 11:823–844, 1999.

    Wong, Y.J.; Owen, J.; Tran, K.K.; et al. Asian American male college students’ perceptions of people’s stereotypes about Asian American men. Psychology of Men & Masculinity 13(1):75–88, 2012.

    Yokoyama, T.; Yokoyama, A.; Kato, H.; et al. Alcohol flushing, alcohol and aldehyde dehydrogenase genotype and risk for esophageal squamous cell carcinoma in Japanese men. Cancer Epidemiology, Biomarkers & Prevention 12:1227–1233. 2003. PMID: 14652286

    Yoo, H.C.; Gee, G.C.; Lowthrop, C.K.; and Robertston, J. Self-reported racial discrimination and substance use among Asian Americans in Arizona. Journal of Immigrant and Minority Health 12(5):683–690, 2010. PMID: 20012204

    Young, A.M.; Morales, M.; McCabe, S.E.; et al. Drinking like a guy: Frequent binge drinking among undergraduate women. Substance Use & Misuse 40(2):241–267, 2005. PMID: 15770887

    Young, C.B.; Fang, D.Z.; and Zisook, S. Depression in Asian-American and Caucasian undergraduate students. Journal of Affective Disorders 125(1–3):379–382, 2010. PMID: 20303181