title: Identification with mainstream culture and preference for alternative alcohol treatment approaches in a community sample.
abstract: Although various treatment approaches are available for alcohol problems, less than 25% of individuals with alcohol use disorders obtain treatment. The purpose of this study is to evaluate interest in attending alternative alcohol treatments, such as meditation and acupuncture, compared to Alcoholics Anonymous (AA). A community sample of 156 adult participants concerned about their drinking were recruited through flyers and newspaper advertisements to complete a Web-based survey assessing identification with mainstream culture, sexual identity, and likelihood to attend alternative alcohol treatments. Participants reported higher likelihood of attending alternative treatments as compared to AA, and lesbian, gay, and bisexual participants (28.2% of the sample) were more likely to attend alternative treatments than heterosexual participants. A series of regression analyses were conducted to test whether the relationship between sexual identity and likelihood to attend alternative treatments was mediated by identification with mainstream culture. Participants who were less strongly identified with mainstream culture, regardless of sexual identity, reported higher likelihood of attending alternative treatments. These findings highlight that, for certain subgroups of the population, alternative treatments for alcohol misuse are appealing and suggest the need for future research testing the efficacy of alternative treatments for alcohol problems.
authors.affiliation: University of Washington, Box 354944, Seattle, WA 98195-0650, USA. tiara@u.washington.edu
authors.forename: Tiara M
authors.initials: TM
authors.lastname: Dillworth
authors.forename: Debra
authors.initials: D
authors.lastname: Kaysen
authors.forename: Heidi D
authors.initials: HD
authors.lastname: Montoya
authors.forename: Mary E
authors.initials: ME
authors.lastname: Larimer
mesh_terms: D026881:Acupuncture / Q000379:methods; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000428:Alcohol Drinking / Q000523:psychology / Q000628:therapy; D019973:Alcohol-Related Disorders / Q000208:ethnology / Q000523:psychology / Q000628:therapy*; D000436:Alcoholics Anonymous; D001213:Asian / Q000706:statistics & numerical data; D000529:Complementary Therapies / Q000379:methods*; D005260:Female; D006306:Health Surveys; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D020407:Internet; D008297:Male; D019122:Meditation / Q000379:methods; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D012044:Regression Analysis; D019529:Sexuality; D011795:Surveys and Questionnaires; D044465:White People / Q000706:statistics & numerical data; D055815:Young Adult