Effects of Religion and Racial Identity on Substance

Total Page:16

File Type:pdf, Size:1020Kb

Effects of Religion and Racial Identity on Substance Racial Identity and Religiousness: Role of Religion and Racial Identity on Substance Use In African American College Students Item Type Dissertation Authors Mailey, Chaz D Download date 30/09/2021 10:39:33 Link to Item http://hdl.handle.net/10484/1880 CURRICULUM VITAE Chaz Mailey EDUCATION 2011 Indiana State University Terre Haute, Indiana Psy.D. Candidate Clinical Psychology 2007 Ball State University, Muncie, Indiana M.S., Sport and Exercise Psychology 2004 Wabash College, Crawfordsville, Indiana B.A., Psychology SUPERVISED CLINICAL EXPERIENCE 2010–2011 Veterans Administration Illiana Health Care System Danville, Illinois Pre-Doctoral Psychology Intern 2009–2010 Veterans Administration Illiana Health Care Systems Danville, Illinois Graduate Therapist 2008–2010 The Center for Children’s Services Danville, Illinois Graduate Therapist 2007–2009 Indiana State University Psychology Clinic Terre Haute, Indiana Graduate Clinician AFFILIATIONS AND MEMBERSHIPS Member, Psychology Graduate Student Organization, Indiana State University Student Member of the American Psychology Association RACIAL IDENTITY AND RELIGIOUSNESS: ROLE OF RELIGION AND RACIAL IDENTITY ON SUBSTANCE USE IN AFRICAN AMERICAN COLLEGE STUDENTS _________________________ A Dissertation Presented to The College of Graduate and Professional Studies Department of Psychology Indiana State University Terre Haute, Indiana ________________________ In Partial Fulfillment of the Requirements for the Degree of Doctor of Psychology ______________________ By Chaz D. Mailey August 2011 Chaz Mailey 2011 Keywords: College Students, Racial Identity, Religiosity, Substance Use COMMITTEE MEMBERS Committee Chair: Thomas Johnson, Ph.D. Professor Indiana State University Committee Member: Patrick Bennett, Ph.D. Associate Professor Indiana State University Committee Member: Liz O’Laughlin Ph.D. Associate Professor Indiana State University ii ABSTRACT The present study sought to explore the relationships between Black racial identity, religiosity, and substance use in African American college students. Religiosity has commonly been identified as a protective factor against substance use for many ethnic groups, and historically religion has played a significant role in the lives of African Americans. Surprisingly, some research suggests that while important, religiosity may not be as strong of a protective factor against abuse or excessive consumption of substances for African Americans as it is for other ethnicities (Amey, Albrect, & Miller, 1996). It has been suggested that for African Americans, a strong ethnic identity can help moderate drinking (Klonoff & Landrine, 1999; Pugh & Bry, 2007). One hundred and eighty-four African American students recruited from three Midwestern predominantly White universities, one Midwestern predominantly Black university and one Historically Black Southern university completed an online questionnaire consisting of the Cross Racial Identity Scale (CRIS); the Religious Involvement subscale from the Brief Multidimensional Measure of Religion and Spirituality (BMMRS), measures of alcohol and marijuana use, and the Young Adult Alcohol Problems Screening Test (YAAPST). As hypothesized, racial identity and religiousness/spirituality were related with substance use in African American college students. The secondary hypothesis that black racial identity would be a better predictor of substance use than would religiousness/spirituality was not supported. For African American students in the current sample, religiosity was a better predictor of substance use than was Black racial identity. However, several differential relationships were observed iii between males and females. Overall, the study contributes support to the literature regarding how Black racial identity and religiosity influence substance use in African Americans. Limitations, significant findings, and possible directions for future research are presented. iv ACKNOWLEDGEMENTS First of all I would like to thank my family who always encouraged me to work as hard as I could to achieve whatever I had set out to do. They are so proud that I decided to go on to obtain my doctoral degree and I cannot thank them enough for all of the support, both emotional and financial that I received from them. A special thanks to my dissertation committee, Dr. Liz O’Laughlin, Dr. Patrick Bennett, and Dr. Thomas Johnson for their guidance and support as I have attempted to become a professional in the field of clinical psychology. I would especially like to express my thanks and gratitude to my dissertation chair, Dr. Thomas Johnson who initially piqued my interest in the field of substance use and racial identity. He understands that I am not a researcher at heart and has demonstrated incredible patience and has been so supportive throughout this entire dissertation process. Particularly when I was afraid I would not be able to get the number of participants I needed. I also want to thank the people at Illiana Healthcare Systems for giving me the opportunity to have time to work diligently only my dissertation and all their words of encouragement. Most of all I want to thank my beautiful wife and best friend on the entire planet Emily Mailey. She is the very foundation upon which I can stand and words cannot begin to express how truly grateful I am for her and all that she has done to help me get through these past five years of school, most specifically the last 3 months when she helped me with my statistical analysis. You are the reason I am doing what I am doing and I love you so much for all of your support and encouragement. On those days that looked bleakest, you were there to lift me up. v TABLE OF CONTENTS COMMITTEE MEMBERS ................................................................................................ ii ABSTRACT... .................................................................................................................... iii ACKNOWLEDGMENTS .................................................................................................. v LIST OF TABLES ............................................................................................................. ix I. INTRODUCTION ...................................................................................................1 II. LITERATURE REVIEW ........................................................................................4 Substance Use/Abuse in College Students ..................................................4 Religion in the Lives of African Americans ................................................8 Racial and Ethnic Identity ..........................................................................12 African American/Black Racial Identity ...................................................13 African Americans and Substance Use ......................................................22 Religiousness, Spirituality, and Substance Use .........................................25 Summary and Critique ...............................................................................29 Statement of the Problem and Hypotheses ................................................32 III. METHODS ............................................................................................................34 Participants/Recruitment ............................................................................34 Measures ....................................................................................................37 Procedures ..................................................................................................42 Confidentiality and Informed Consent of the Participants ........................43 vi Debriefing ..................................................................................................45 IV. RESULTS ..............................................................................................................46 Analysis Plan .............................................................................................46 Descriptive Statistics ..................................................................................47 Primary Analyses .......................................................................................49 V. DISCUSSION ........................................................................................................57 Religious/Spiritual Involvement and Substance Use .................................57 Cross Racial Identity Scale and Substance Use .........................................60 Hypothesis Two .........................................................................................65 Other Findings ...........................................................................................67 Implications................................................................................................70 Limitations .................................................................................................73 Suggestions for Future Research ...............................................................75 REFERENCES ..................................................................................................................78 APPENDICES ...................................................................................................................84 A. Consent Form ....................................................................................................85 B. Consent Form: Incentive/Drawing ....................................................................87
Recommended publications
  • Objective Hope: Assessing the Effectiveness of Faith-Based Organizations: a Review of the Literature
    Objective Hope: Assessing the Effectiveness of Faith-Based Organizations: A Review of the Literature by Byron R. Johnson with Ralph Brett Tompkins and Derek Webb ISR exists to initiate, support, and conduct research on religion, involving scholars and projects spanning the intellectual spectrum: history, psychology, sociology, economics, anthropology, political science, theology, and religious studies. Our mandate extends to all religions, everywhere, and throughout history. It also embraces the study of religious effects on such things as prosocial behavior, family life, economic development, and social conflict. While always striving for appropriate scientific objectivity, our scholars treat religion with the respect that sacred matters require and deserve. This research was released in 2002 as a CRRUCS Report at the University of Pennsylvania and is being re-issued as a Baylor ISR Report at Baylor University in 2008. Objective Hope: Assessing the Effectiveness of Faith-Based Organizations: A Review of the Literature Byron R. Johnson, Ph.D. Co-Director, Baylor Institute for Studies of Religion Professor of Sociology, Baylor University Senior Fellow, The Witherspoon Institute Ralph Brett Tompkins and Derek Webb in memoriam This report is dedicated to the memory of Dr. David B. Larson, the pioneering leader of faith factor research. His legacy will not know an end. objective hope 3 table of contents 5 Foreword 7 Executive Summary 8 Introduction 10 Research Examining the Relationship Between Religion and Health Outcomes Hypertension Mortality
    [Show full text]
  • Religious Factors Associated with Alcohol Involvement: Results From
    Drug and Alcohol Dependence 135 (2014) 37–44 Contents lists available at ScienceDirect Drug and Alcohol Dependence jo urnal homepage: www.elsevier.com/locate/drugalcdep Religious factors associated with alcohol involvement: Results from the Mauritian Joint Child Health Project a,b,∗ a c d,e,f Susan E. Luczak , Carol A. Prescott , Cyril Dalais , Adrian Raine , g a Peter H. Venables , Sarnoff A. Mednick a Department of Psychology, SGM 501, University of Southern California, Los Angeles, CA 90089-1061, USA b Department of Psychiatry, 3350 La Jolla Village Drive, University of California, San Diego, La Jolla, CA 92161-2002, USA c Joint Child Health Project, 75 Celicourt Antelme, Quatre Bornes, Mauritius d Department of Criminology, University of Pennsylvania, 3718 Locust Walk, Philadelphia, PA 19104-6286, USA e Department of Psychology, University of Pennsylvania, 3720 Walnut Street, Philadelphia, PA 19104-6241, USA f Department of Psychiatry, University of Pennsylvania, 423 Guardian Drive, Philadelphia, PA 19104-6021, USA g Department of Psychology, University of York, Heslington, York YO10 5DD, UK a r t i c l e i n f o a b s t r a c t Article history: Background: The purpose of this study was to examine religious factors associated with alcohol involve- Received 10 August 2013 ment in Mauritius. The three main religions on the island, Hinduism, Catholicism, and Islam, promote Received in revised form different views of the appropriate use of alcohol. Based on reference group theory, we hypothesized that 23 September 2013 both the content of a religion’s alcohol norms and an individual’s religious commitment would relate to Accepted 18 October 2013 alcohol use behavior.
    [Show full text]
  • Religiousness and Post-Release Community Adjustment Graduate Research Fellowship – Final Report
    The author(s) shown below used Federal funds provided by the U.S. Department of Justice and prepared the following final report: Document Title: Religiousness and Post-Release Community Adjustment Graduate Research Fellowship – Final Report Author(s): Melvina T. Sumter Document No.: 184508 Date Received: September 25, 2000 Award Number: 99-IJ-CX-0001 This report has not been published by the U.S. Department of Justice. To provide better customer service, NCJRS has made this Federally- funded grant final report available electronically in addition to traditional paper copies. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. “Religiousness and Post-Release Community Adjustment” Graduate Research Fellowship - Final Report Melvina T. Sumter This document is a research report submitted to the U.S. Department of Justice. This report has not been published by the Department. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. THE FLORIDA STATE UNIVERSITY SCHOOL OF CRIMINOLOGY AND CRIMINAL JUSTICE RELIGIOUSNESS AND POST-RELEASE COMMUNITY ADJUSTMENT BY MELVINA T. SUMTER A Dissertation submitted to the School of Criminology and Criminal Justice in partial fulfillment of the requirements for the degree of Doctorate of Philosophy Degree Awarded: . Fall Semester, 1999 Copyright 0 1999 Melvina T. Sumter All Rights Reserved This document is a research report submitted to the U.S. Department of Justice. This report has not been published by the Department.
    [Show full text]
  • The Approach of Quakers to Substance Use and Gambling Helena Chambers Quaker Action on Alcohol and Drugs, [email protected]
    Quaker Studies Volume 14 | Issue 1 Article 5 2010 Modern Testimonies: The Approach of Quakers to Substance use and Gambling Helena Chambers Quaker Action on Alcohol and Drugs, [email protected] Follow this and additional works at: http://digitalcommons.georgefox.edu/quakerstudies Part of the Christian Denominations and Sects Commons, and the Social and Behavioral Sciences Commons Recommended Citation Chambers, Helena (2010) "Modern Testimonies: The Approach of Quakers to Substance use and Gambling," Quaker Studies: Vol. 14: Iss. 1, Article 5. Available at: http://digitalcommons.georgefox.edu/quakerstudies/vol14/iss1/5 This Article is brought to you for free and open access by Digital Commons @ George Fox University. It has been accepted for inclusion in Quaker Studies by an authorized administrator of Digital Commons @ George Fox University. For more information, please contact [email protected]. QUAKER STUDIES QUAKER STUDIES 14/1 (2009) [93-107] ISSN 1363-013X �TAILS Department of Economic and Social published widely on various aspects of �ss history. He is the author of Social 2003), Thejoseph Rowntree Charitable tit Education 1904-1954 (2004) and St g with Robin Pearson (University of MODERN TESTIMONIES: THE APPROACH OF r) on a study of early British and Irish QUAKERS TO SUBSTANCE USE AND GAMBLING and Social History, Lilybank House, Helena Chambers Glasgow G12 8RT, Scotland. Gloucester, England ABSTRACT This article outlines a study into Quaker attitudes and behaviours in relation to the testimony of abstinence and moderation and that regarding gambling and speculation. The background to the Quaker testimonies is summarised, and relevant research in the substances/gambling fields about denominational influences on personal behaviours is briefly outlined.
    [Show full text]
  • Religiousness and Alcohol Use: Exploring the Role of Descriptive Drinking Norms
    University of Kentucky UKnowledge University of Kentucky Doctoral Dissertations Graduate School 2007 RELIGIOUSNESS AND ALCOHOL USE: EXPLORING THE ROLE OF DESCRIPTIVE DRINKING NORMS Emily H. Brechting University of Kentucky, [email protected] Right click to open a feedback form in a new tab to let us know how this document benefits ou.y Recommended Citation Brechting, Emily H., "RELIGIOUSNESS AND ALCOHOL USE: EXPLORING THE ROLE OF DESCRIPTIVE DRINKING NORMS" (2007). University of Kentucky Doctoral Dissertations. 516. https://uknowledge.uky.edu/gradschool_diss/516 This Dissertation is brought to you for free and open access by the Graduate School at UKnowledge. It has been accepted for inclusion in University of Kentucky Doctoral Dissertations by an authorized administrator of UKnowledge. For more information, please contact [email protected]. ABSTRACT OF DISSERTATION Emily H. Brechting The Graduate School University of Kentucky 2007 RELIGIOUSNESS AND ALCOHOL USE: EXPLORING THE ROLE OF DESCRIPTIVE DRINKING NORMS _____________________________________________ ABSTRACT OF DISSERTATION _____________________________________________ A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the College of Arts and Sciences at the University of Kentucky By Emily H. Brechting Lexington, Kentucky Director: Dr. Charles R. Carlson, Professor of Psychology Lexington, Kentucky 2007 Copyright © Emily H. Brechting 2007 ABSTRACT OF DISSERTATION RELIGIOUSNESS AND ALCOHOL USE: EXPLORING THE ROLE
    [Show full text]
  • A Choice of Illusions: Belief, Relativism, and Modern Literature
    A Choice of Illusions: Belief, Relativism, and Modern Literature Alastair Morrison Submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Graduate School of Arts and Sciences Columbia University 2015 © 2015 Alastair Morrison All rights reserved ABSTRACT A Choice of Illusions: Belief, Relativism, and Modern Literature Alastair Morrison This dissertation considers how defenses of traditional faith in Britain have adapted to new frontiers of cultural relativism and religious difference. Its contention is that poetry has become central to such defenses. Relativistic thinking would seem to dispose against metaphysical belief; poetry, as a parallel claimant for cultural and expressive particularity, and as a sensuously non-empirical rhetorical medium, offers a way of muffling the dissonance that might otherwise arise from positioning difference and particularity as pretext for claims of universal truth. This study traces formal and rhetorical innovations from the Victorian crisis of faith forward to literary modernism, with a brief conclusion contemplating related developments in more contemporary poetry and religious thought in Britain. Table of Contents Acknowledgements ii 1. Introduction: Belief, Relativism, and Modern Literature 1 i. works cited 11 2. Unction on the Tightrope: Religion as Culture in Victorian Britain 12 ii. works cited 60 3. T.E. Hulme: What Choice in Illusion? 63 iii. works cited 94 4. To Do the Right Thing for the Wrong Reason: The Justification of T.S. Eliot 96 iv. works cited 131 5. David Jones: Cultures in Parenthesis 134 v. works cited 164 6. Conclusion: Poetry and Postsecularism 166 vi. works cited 173 i Acknowledgements It is chastening to think how different this study might be were it not for the generous contributions others have made to it.
    [Show full text]
  • Culture and Alcohol Use in India Pratima Murthy
    Review Article Culture and alcohol use in India Pratima Murthy Abstract. Both the use of alcohol and its proscription are known in ancient as well as in contemporary India. From early times, consumption was strongly influenced by social caste and class, and many religions proscribed its use. The availability of alcohol increased disproportionately following the advent of the East India Company and the early excise policies of the government. The early twentieth century witnessed a great demand for prohibition, but the excise revenues from alcohol sales soon largely reversed this trend. Liberalization and modernization have also been associated with an increase in alcohol consumption, which in turn has blurred social and religious distinctions to an extent. Alcohol use in India is still viewed from different lenses – as a public health problem, as a social scourge as well as a social necessity. In contemporary India, a cultural understanding of alcohol use and misuse and its health and societal implications necessitates its understanding both from a traditional, multi-religious, multi-cultural viewpoint, as well as in the context of a nation in rapid socio-cultural and economic transition. Keywords: alcohol, India, culture, traditional use, contemporary use, public health. WCPRR March 2015: 27-39. © 2015 WACP ISSN: 1932-6270 INTRODUCTION Cultural influences on the consumption of alcohol have always been of interest and relevance in both individualistic and collectivist cultures. In contemporary times, cultural studies of the use of alcohol have important implications for the medical problems of alcoholism (Mandlebaum, 1965). Cultural beliefs and attitudes may also have a bearing on treatment processes that address harmful alcohol use.
    [Show full text]
  • Pastoral Care of Families, Including Alcoholics and Problem Drinkers an Interview with the Rev
    Pastoral Care of Families, Including Alcoholics and Problem Drinkers An interview with the Rev. David A. Works President of The North Conway Institute By The Rev. John E. Soleau, NCI Consultant JES: David, in pastoral care, why do you focus on families rather than on alcoholics? DAW: I think the average cleric is likely to see the rest of the family, but may never see the member with the alcoholism problem. So my focus for the last 35 years has been on pastoral care of families, including alcoholics and problem drinkers. JES: From your long experience of trying to minister to people with substance abuse problems, will you give us an example of just how you would deal with a situation? DAW: It generally starts off with a telephone call from a cleric, a doctor, a lawyer, a banker, or a family member. A lot of time and hard work are saved when such a referral by a professional person comes well before we encounter the problem drinker. After the initial call, a long period of preparation often takes place, anything from a week to two years. During that time I try to build a working relationship with, say, the spouse of the alcoholic, to see what the strengths and weaknesses of the relationship are. It can be a long, expensive, and frustrating proposition. Now, here's a specific case that will show you just what I mean. Three years ago the partner of a very prominent businessman in a neighboring state called me for help. It took almost three years of working with his wife and with his partner to reach the point where the person could be confronted with his drinking problem and appropriate referral for hospitalization could be made.
    [Show full text]
  • Religiosity and Exposure to Users in Explaining Illicit Drug Use Among Emerging Adults
    J Relig Health (2014) 53:658–674 DOI 10.1007/s10943-012-9660-3 ORIGINAL PAPER Religiosity and Exposure to Users in Explaining Illicit Drug Use among Emerging Adults Joseph J. Palamar • Mathew V. Kiang • Perry N. Halkitis Published online: 1 November 2012 Ó Springer Science+Business Media New York 2012 Abstract Religiosity is a protective factor against illicit drug use, but further investi- gation is needed to delineate which components of religiosity are protective against use. A racially diverse sample (N = 962) was surveyed about religiosity, exposure to users, and recent use of marijuana, powder cocaine, ecstasy, and nonmedical use of opioids and amphetamine. Results suggest that identifying as Agnostic increased odds of use for each of the five drugs; however, this effect disappeared when controlling for religious impor- tance and attendance. High levels of religious attendance were protective against recent use of marijuana and cocaine, but protective effects diminished when controlling for exposure to users, which was a robust predictor of use of every drug. Religion is a protective mechanism against drug use, but this effect may diminish in light of exposure to users. Alternative preventative methods need to be directed toward individuals who are not religious or are highly exposed to users. Keywords Religiosity Á Drug use Á Drug exposure Á Drug use prevention Á Emerging adults Introduction Illicit drug use is a leading public health issue in the United States. Use is often associated with adverse health consequences and the majority of adults in the United States feel that illicit drug use is morally wrong (Blendon and Young 1998); however, use remains pre- valent with 67 % of adults having used an illicit drug by 25 years of age (Johnston et al.
    [Show full text]
  • Religious Rhetoric and References in Contemporary Beer Branding Julie Kappelman [email protected]
    University of Puget Sound Sound Ideas Summer Research 2013 Not Just Sex That Sells: Religious Rhetoric and References in Contemporary Beer Branding Julie Kappelman [email protected] Follow this and additional works at: http://soundideas.pugetsound.edu/summer_research Part of the Advertising and Promotion Management Commons, Christianity Commons, and the Rhetoric Commons Recommended Citation Kappelman, Julie, "Not Just Sex That Sells: Religious Rhetoric and References in Contemporary Beer Branding" (2013). Summer Research. Paper 203. http://soundideas.pugetsound.edu/summer_research/203 This Article is brought to you for free and open access by Sound Ideas. It has been accepted for inclusion in Summer Research by an authorized administrator of Sound Ideas. For more information, please contact [email protected]. Abstract: Although explicit references to religion are rare in the marketplace, pictorial representations and rhetoric evocative of religious figures and concepts manifest a unique strategy in contemporary American beer branding. By reflecting societal views, prejudices, and preferences, advertising provides an enclosed narrative of how people think and in turn illustrates the way in which society is structured . This phenomenon discredits the assumption of a strict separation between the secular and the sacred. Beers with religious connotations do not monopolize the market but they do constitute a significant phenomenon in the modern beer industry. Religious references in beer branding often participate in the commodified authentic and cultivate an image of a nostalgic past through idyllic portrayals of monastic brewing. Alternately, beer branding via religion may employ irreverent, blasphemous, or offensive representations. Both the idealized and the indicting representations acknowledge a disparity between the real and the ideal in society.
    [Show full text]
  • Spirituality and Alcohol Consumption in a General Population
    Rowan University Rowan Digital Works Theses and Dissertations 9-17-2013 Spirituality and alcohol consumption in a general population Nicole Keenan Follow this and additional works at: https://rdw.rowan.edu/etd Part of the Psychiatric and Mental Health Commons Recommended Citation Keenan, Nicole, "Spirituality and alcohol consumption in a general population" (2013). Theses and Dissertations. 209. https://rdw.rowan.edu/etd/209 This Thesis is brought to you for free and open access by Rowan Digital Works. It has been accepted for inclusion in Theses and Dissertations by an authorized administrator of Rowan Digital Works. For more information, please contact [email protected]. SPIRITUALITY AND ALCOHOL CONSUMPTION IN A GENERAL POPULATION by Nicole Marie Keenan A Thesis Submitted to the Department of Psychology College of Science and Math In partial fulfillment of the requirement For the degree of Master of Arts in Clinical Mental Health Counseling at Rowan University May 2013 Thesis Chair: Matthew Miller, Psy.D. Dedication I would like to dedicate this manuscript to my fellow Rowan University Clinical Mental Health Counseling 2013 graduates Acknowledgements I would like to express my appreciation to Dr. Matthew Miller for his guidance and support throughout this entire thesis process. Secondly, I'd like to thank my roommate Jenny Delorme for her emotional support and empathic understanding. iv Abstract Nicole Marie Keenan SPIRITUALITY, GENDER AND ALCOHOL CONSUMPTION IN A GENERAL POPULATION 2012/2013 Matthew Miller, Psy.D. Master of Arts in Clinical Mental Health Counseling This study examined the relationship between spirituality and alcohol consumption in a general population because spirituality is important when it comes to the treatment and continued recovery from addiction.
    [Show full text]
  • Ethnicity and Alcohol
    EthnicityChapter heading and alcohol A review of the UK literature Rachel Hurcombe July 2010 Mariana Bayley Anthony Goodman This literature review draws together recorded drinking patterns among minority ethnic groups in the UK over the last 15 years and considers the evidence for service provision and support. A recommendation in implementing the Government’s alcohol strategy, Safe. Sensible. Social. is to assess the need for and develop provision for black and minority ethnic groups. This need is heightened by the growing minority ethnic population and changes in consumption levels that may emerge over generations. The review explores differences in drinking patterns by ethnicity and the cultural and social contexts around which the use of alcohol is established and maintained. This review: • describes drinking levels as reported in national surveys and local research; • considers processes and infl uences that help to explain why drinking rates among ethnic groups in a new country may change over time; • examines help-seeking, support and service provision for minority ethnic groups; • examines the extent to which services are equipped to respond to the needs of minority ethnic groups. www.jrf.org.uk ChapterContents heading List of fi gures and tables 3 Executive summary 4 1 Introduction 7 2 Drinking patterns 15 3 Drinking cultures 37 4 Service provision and access 52 5 Conclusions and further research 65 Notes 69 References 70 Appendix 1: UK literature search results 77 Appendix 2: International literature search results 78 Appendix
    [Show full text]