title: Alcohol use behaviors among indigenous migrants: a transnational study on communities of origin and destination.
abstract: The association between international and domestic migration and alcohol use among indigenous communities is poorly understood. We explored migration-related factors associated with alcohol use behaviors among an indigenous Mayan, binational population. From January to March 2012, 650 indigenous participants from the high-emigration town of Tunkás in the Mexican state of Yucatán (n = 650) residing in Mexico and California completed surveys. Multivariate logistic regression identified migration-related factors associated with alcohol use behaviors. US migration of shorter duration (<5 years) was independently associated with at-risk drinking (adjusted odds ratio (AOR) 2.34; 95% confidence interval (CI) 1.09-5.03), as was longer-duration domestic migration (≥5 years) (AOR 2.34; 95% CI 1.12-4.87). Ability to speak Maya (AOR 0.26; 95% CI 0.13-0.48) was protective against at-risk drinking. Culturally appropriate alcohol use prevention interventions are needed for domestic and international indigenous Mexican migrants to address alcohol use behavior in the context of migration.
authors.affiliation: Division of Global Public Health, Department of Medicine, University of California, San Diego, CA, USA.
authors.forename: Miguel
authors.initials: M
authors.lastname: Pinedo
authors.forename: Yasmin
authors.initials: Y
authors.lastname: Campos
authors.forename: Daniela
authors.initials: D
authors.lastname: Leal
authors.forename: Julio
authors.initials: J
authors.lastname: Fregoso
authors.forename: Shira M
authors.initials: SM
authors.lastname: Goldenberg
authors.forename: María Luisa
authors.initials: ML
authors.lastname: Zúñiga
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology* / Q000523:psychology; D000704:Analysis of Variance; D002140:California; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008297:Male; D017058:Mexican Americans / Q000523:psychology* / Q000706:statistics & numerical data; D008800:Mexico; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D044382:Population Groups / Q000523:psychology / Q000706:statistics & numerical data; D012309:Risk-Taking; D017678:Sex Distribution; D011795:Surveys and Questionnaires; D014171:Transients and Migrants / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult