(Press-News.org) Mexico is a nearby destination where younger U.S. residents can legally drink heavily.
However, high levels of drinking on the U.S. side are not always linked to recent travel to Mexico.
New findings show that higher levels of drinking among U.S.-Mexico border youth are closely linked to their patterns of bar attendance, but not to how they think about drinking.
Due to a legal drinking age of 18 years, cheaper alcohol, and marketing tactics of local bars that specifically target youth, Mexico is an attractive and geographically nearby destination where younger U.S. residents legally drink heavily. However, levels of drinking on the U.S. side are high even among youth who did not recently travel to Mexico. A new study examined whether two factors typical of risky drinking in Mexico – bar attendance and permissive alcohol-related social-cognitions – might also explain higher drinking on the U.S. side, finding that patterns of bar attendance were strongly linked to higher drinking among U.S. border youth, but liberal social cognitions were not.
Results will be published in the November 2014 online-only issue of Alcoholism: Clinical & Experimental Research and are currently available at Early View.
"Younger age groups often travel to Mexico specifically to drink legally. This generally happens at local bars in the region, which target younger ages with all-you-can drink and ladies' night specials, and in general, by promoting a party-like atmosphere," explained Britain A. Mills, faculty associate at the University of Texas School of Public Health - Dallas as well as corresponding author for the study. "We were interested in understanding how these types of factors are related to drinking on the U.S. side of the border more generally."
"The alerts about binge drinking and alcohol-related problems like drunk driving for U.S. young adults living along the U.S.-Mexico border have correctly been concerned about youth crossing into Mexico to drink," added Karen G. Chartier, assistant professor in research in the School of Social Work at Virginia Commonwealth University. "However, the key point made by this study is that these concerns should not be limited to a focus on youth crossings into Mexico. Elevated drinking for Mexican-American young adults living along the border is also associated with more frequent bar attendance more generally on both sides of the border."
Researchers for the study collected data from representative samples of adult Mexican Americans on and off the U.S.-Mexico Border. Using data from 1,351 current drinkers, study authors used statistical models to compare drinking context – such as frequency of bar attendance – and six different social-cognitive variables, including alcohol-related attitudes, norms, motives, and beliefs, as mediators of border effects on drinking.
"We found that high levels of drinking among the border region's young adult population can be explained by how often they attend bars, but not by their overt ways of thinking about drinking – for example, their attitudes towards drinking, beliefs about alcohol's effects, or their personal reasons for drinking," said Mills, adding, "this is important because it indicates that increases in drinking among U.S. border youth are more a product of their environmental surroundings than any deliberative choice to drink more."
"This study importantly expands the focus of prevention efforts to reduce alcohol consumption by young adults in the U.S.-Mexico border region to drinking contexts on both sides of the U.S.-Mexico border," added Chartier. "Mexican Americans who were 18 to 29 years old and living on the border drank more alcohol than their counterparts living off the border, and attending and drinking in bars more frequently was associated with increased drinking in this young border group."
"On the Mexico side, policies that directly target the region's bars – for example, requiring earlier closing times – have proven effective in the past," said Mills. "These types of policy initiatives may also be effective in the U.S., but currently little is known about the distribution of bars on the U.S. side, their characteristics, their clientele, or the atmosphere they encourage. Acquiring and analyzing this type of data is a clear next step for research and will help inform policy decisions."
"This study also points to the importance of controlling young adults' access to alcohol in the effort to reduce their elevated drinking in this U.S. border region," said Chartier. "Community-level campaigns are one likely approach and may include the use of local media to call attention to the problem and efforts to regulate the number, location, and density of bars. The goal of this approach would be to target structural changes in the drinking environment that can lead to changes in youth drinking behaviors. Additionally while parents are often viewed as having a weakened influence on youth's behavior during young adulthood, there is a large and strong literature around the importance of parents being aware of their child's activities and communicating when they are concerned about those activities. This may be particularly important in this context."
INFORMATION:
Alcoholism: Clinical & Experimental Research (ACER) is the official journal of the Research Society on Alcoholism and the International Society for Biomedical Research on Alcoholism. The co-author of the ACER paper, "Cross-Border Policy Effects on Alcohol Outcomes: Drinking Without Thinking on the U.S.-Mexico Border?," was Raul Caetano of the University of Texas School of Public Health - Dallas. The study was funded by the National Institute on Alcohol Abuse and Alcoholism. This release is supported by the Addiction Technology Transfer Center Network at http://www.ATTCnetwork.org.
Researchers know that alcohol-dependent individuals (ALC) sustain neurocognitive impairment even after detoxification.
A new study examines specific domains of cognitive recovery in conjunction with smoking status.
Findings show that smoking status influenced the rate and level of neurocognitive recovery during eight months of abstinence in the ALC group.
Numerous studies have shown that individuals with an alcohol use disorder perform worse than those without one on multiple neurocognitive domains of function following detoxification from alcohol, although the level ...
Boston, MA — Switching from nonprofit to for-profit status appears to boost hospitals' financial health but does not appear to lower the quality of care they provide or reduce the proportion of poor or minority patients receiving care, according to a new study from Harvard School of Public Health (HSPH) and Brigham and Women's Hospital.
"Critics of for-profit hospitals have argued that they are worse at providing good care to patients and that therefore we should limit them," said Ashish Jha, professor of health policy and management at HSPH and senior author of ...
Medical practices in less competitive health-care markets charge more for services, according to a study conducted by researchers at the Stanford University School of Medicine and the National Bureau of Economic Research.
The study, based on U.S. health-care data from 2010, provides important new information about the effects of competition on prices for office visits paid by preferred provider organizations, known more commonly as PPOs. PPOs are the most common type of health insurance plan held by privately insured people in the United States.
The study will be ...
Searching a health service pricing website before using the service was associated with lower payments for clinical services such as advanced imaging and laboratory tests, according to a study in the October 22/29 issue of JAMA.
Recent changes in the health care insurance market have resulted in commercially insured patients bearing a greater proportion of their health care costs. As patients have an increasing responsibility to pay for their care, they will likely demand access to prices charged for that care. Several state-administered initiatives have increased price ...
Hospital conversion from nonprofit to for-profit status in the 2000s was associated with better subsequent financial health but had no relationship to the quality of care delivered, mortality rates, or the proportion of poor or minority patients receiving care, according to a study in the October 22/29 issue of JAMA.
During the past decade, there has been increasing attention to the growing number of nonprofit or public hospitals that have become for-profit. These conversions are controversial. Advocates argue that for-profit organizations bring needed resources and experienced ...
An examination of the relationship between physician competition and prices paid by private preferred provider organizations (PPOs) for common office visits finds that more competition is associated with lower prices paid to physicians in 10 large specialties, according to a study in the October 22/29 issue of JAMA.
Physicians are increasingly moving away from solo and smaller practices toward larger organizations. These changes may be beneficial if larger practices with more resources are better able to coordinate care, adopt process improvements, increase use of information ...
From the perspective of the insurers and patients, between 2009 and 2012, hospital-owned physician organizations in California incurred higher expenditures for commercial health maintenance organization enrollees for professional, hospital, laboratory, pharmaceutical and ancillary services than did physician-owned organizations, according to a study in the October 22/29 issue of JAMA.
Hospitals and multihospital systems are acquiring medical groups and physician practices as part of a strategy to build integrated delivery systems capable of providing the full range of ...
About two-thirds of FDA recalled dietary supplements analyzed still contained banned drugs at least 6 months after being recalled, according to a study in the October 22/29 issue of JAMA.
The U.S. Food and Drug Administration (FDA) initiates class I drug recalls when products have the reasonable possibility of causing serious adverse health consequences or death. Recently, the FDA has used class I drug recalls in an effort to remove dietary supplements adulterated with pharmaceutical ingredients from U.S. markets. Prior research has found that even after FDA recalls, ...
Berkeley — The trend of hospitals consolidating medical groups and physician practices in an effort to improve the coordination of patient care is backfiring and increasing the cost of patient care, according to a new study led by the University of California, Berkeley.
The counterintuitive findings, published today (Tuesday, Oct. 21) in the Journal of the American Medical Association, come as a growing number of local hospitals and large, multi-hospital systems in this country are acquiring physician groups and medical practices.
"This consolidation is meant ...
From AGU's blogs: How rain falls – not just how much – may alter landslide risk
New research finds that it's not just the amount of rain that falls on a hillside, but the pattern of rainfall that matters when trying to determine how likely a slope is to give way. This new information could improve forecasts of landslides, which are typically hard to predict, said the scientists conducting the research.
Different rainfall patterns—a short, heavy deluge, a light, steady downpour, or sporadic showers—will trigger different numbers of landslides ...