title: Insight into alcohol-related problems and its associations with severity of alcohol consumption, mental health status, race, and level of acculturation in southern Taiwanese indigenous people with alcoholism.
abstract: OBJECTIVE
  While not well known in the West, Taiwan has a substantial indigenous population, and this population has rapidly developed alcohol problems. This study examined the level of insight into alcohol-related problems and its associations with the severity of alcohol consumption, mental health status, race, and the level of acculturation among indigenous populations with alcohol problems in southern Taiwan.
  
  
  METHODS
  A total of 332 indigenes, whose total Alcohol Use Disorders Identification Test (AUDIT) score was equal to 8 or higher, were interviewed. The associations between the level of insight into alcohol-related problems and the severity of alcohol drinking on the AUDIT, mental health status on the Chinese Health Questionnaire-12 (>or= 4 vs. < 4), race (Bunun vs. non-Bunun), and the level of acculturation on the Taiwan Aboriginal Acculturation Scale were examined using logistic regression models.
  
  
  RESULTS
  The results of this study found that 72.6% of the participants had poor insight into alcohol-related problems and no participant had good insight. Participants who had more severe alcohol drinking or poor mental health were more likely to have a higher level of insight into alcohol-related problems. Participants who were non-Bunun were also more likely to have a higher level of insight into alcohol-related problems, but the level of acculturation was not associated with the level of insight into alcohol-related problems.
  
  
  CONCLUSIONS
  These findings suggest that most alcoholic indigenes in southern Taiwan have poor insight into their own alcohol-related problems. Cultural specific interventions targeting and improving the indigenes' insight into alcohol-related problems are needed.
authors: Department of Psychiatry, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors: Cheng-Fang
authors: CF
authors: Yen
authors: Ray C
authors: RC
authors: Hsiao
authors: Richard
authors: R
authors: Ries
authors: Shu-Chun
authors: SC
authors: Liu
authors: Chi-Fen
authors: CF
authors: Huang
authors: Yu-Ping
authors: YP
authors: Chang
authors: Ming-Lung
authors: ML
authors: Yu
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology* / Q000208:ethnology; D019973:Alcohol-Related Disorders / Q000453:epidemiology* / Q000208:ethnology; D000437:Alcoholism / Q000453:epidemiology* / Q000208:ethnology; D044466:Asian People / Q000208:ethnology; D001364:Awareness; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008603:Mental Health / Q000706:statistics & numerical data; D008875:Middle Aged; D011594:Psychometrics; D012720:Severity of Illness Index; D013624:Taiwan / Q000453:epidemiology; D055815:Young Adult