Framing ethnic variations in alcohol outcomes from biological pathways to neighborhood context

Karen G. Chartier, Denise M. Scott, Tamara L. Wall, Jonathan Covault, Katherine J. Karriker-Jaffe, Britain A. Mills, Susan E. Luczak, Raul Caetano, Judith A. Arroyo

Research output: Contribution to journalReview articlepeer-review

15 Scopus citations


Background: Health disparities research seeks to eliminate disproportionate negative health outcomes experienced in some racial/ethnic minority groups. This brief review presents findings on factors associated with drinking and alcohol-related problems in racial/ethnic groups. Methods: Those discussed are as follows: (i) biological pathways to alcohol problems, (ii) gene × stress interactions, (iii) neighborhood disadvantage, stress, and access to alcohol, and (iv) drinking cultures and contexts. Results: These factors and their interrelationships are complex, requiring a multilevel perspective. Conclusions: The use of interdisciplinary teams and an epigenetic focus are suggested to move the research forward. The application of multilevel research to policy, prevention, and intervention programs may help prioritize combinations of the most promising intervention targets.

Original languageEnglish (US)
Pages (from-to)611-618
Number of pages8
JournalAlcoholism: Clinical and Experimental Research
Issue number3
StatePublished - Mar 2014


  • Alcohol
  • Associated factors
  • Ethnicity
  • Health disparities
  • Race

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Toxicology
  • Psychiatry and Mental health


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