TY - JOUR
T1 - Ethnic differences in the effect of drug use and drug dependence on brief motivational interventions targeting alcohol use
AU - Field, Craig A.
AU - Cochran, Gerald
AU - Caetano, Raul
N1 - Funding Information:
Funding for the parent study to this project was provided by National Institute on Alcohol Abuse and Alcoholism , P.I.: Caetano, R., NIAAA, R01 013824 . The NIAAA had no further role in study design; in the collection, analysis and interpretation of data; or in the decision to submit this paper for publication.
PY - 2012/11/1
Y1 - 2012/11/1
N2 - Background: We examined the effects of baseline drug use and dependence on alcohol use outcomes following brief motivational intervention for at-risk drinking (BMI-ETOH). Methods: HLM models were developed to test the interaction of drug use and dependence with BMI-ETOH for alcohol use among Hispanic (n= 539), Caucasian (n= 667), and Black (n= 287) patients admitted to a Level-1 trauma center who screened positive for alcohol misuse. Results: Analyses of an interaction of drug dependence and BMI-ETOH at baseline showed significant positive effects among Hispanics but not Caucasians or Blacks at six- and 12-months for percent days abstinent (6-month: B= 0.27, SE = 0.10, p= 0.006; 12-month: B= 0.41, SE = 0.11, p<. 0.001), volume per week (6-month: B= -1.91, SE = 0.77, p= 0.01; 12-month: B= -2.71, SE = 0.86, p= 0.002), and maximum amount consumed (6-month: B= -1.08, SE = 0.46, p= 0.02; 12-month: B= -1.62, SE = 0.52, p= 0.002). Conclusions: Baseline drug dependence did not negatively impact drinking outcomes. Among Hispanics, those with drug dependence at baseline who received a BMI-ETOH demonstrated consistent improvements across drinking outcomes. While the effects of drug use at baseline on drinking outcomes following BMI-ETOH varied by type of drug used and ethnicity, additional research is required.
AB - Background: We examined the effects of baseline drug use and dependence on alcohol use outcomes following brief motivational intervention for at-risk drinking (BMI-ETOH). Methods: HLM models were developed to test the interaction of drug use and dependence with BMI-ETOH for alcohol use among Hispanic (n= 539), Caucasian (n= 667), and Black (n= 287) patients admitted to a Level-1 trauma center who screened positive for alcohol misuse. Results: Analyses of an interaction of drug dependence and BMI-ETOH at baseline showed significant positive effects among Hispanics but not Caucasians or Blacks at six- and 12-months for percent days abstinent (6-month: B= 0.27, SE = 0.10, p= 0.006; 12-month: B= 0.41, SE = 0.11, p<. 0.001), volume per week (6-month: B= -1.91, SE = 0.77, p= 0.01; 12-month: B= -2.71, SE = 0.86, p= 0.002), and maximum amount consumed (6-month: B= -1.08, SE = 0.46, p= 0.02; 12-month: B= -1.62, SE = 0.52, p= 0.002). Conclusions: Baseline drug dependence did not negatively impact drinking outcomes. Among Hispanics, those with drug dependence at baseline who received a BMI-ETOH demonstrated consistent improvements across drinking outcomes. While the effects of drug use at baseline on drinking outcomes following BMI-ETOH varied by type of drug used and ethnicity, additional research is required.
KW - Brief motivational intervention
KW - Drug dependence
KW - Drug use
KW - Race/ethnicity
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U2 - 10.1016/j.drugalcdep.2012.04.009
DO - 10.1016/j.drugalcdep.2012.04.009
M3 - Article
C2 - 22578530
AN - SCOPUS:84867865109
SN - 0376-8716
VL - 126
SP - 21
EP - 26
JO - Drug and Alcohol Dependence
JF - Drug and Alcohol Dependence
IS - 1-2
ER -