title: Alcohol Consumption and Risk for Dependence Among Male Latino Migrant Farmworkers Compared to Latino Nonfarmworkers in North Carolina.
abstract: BACKGROUND
  Our aim was to describe alcohol consumption behavior of male Latino migrant farmworkers, compare their alcohol consumption behavior with that of other male Latino immigrants, and determine factors associated with risk for alcohol dependence among Latino immigrant workers.
  
  
  METHODS
  Cross-sectional data were drawn from baseline interviews conducted as part of a larger community-based participatory research project examining the cognitive and neurological outcomes of pesticide exposure. A total of 235 farmworkers and 212 nonfarmworkers completed interviews between May and August 2012.
  
  
  RESULTS
  Although 17.5% of the North Carolina Latino farmworkers report never having drunk alcohol, and a total of 34.5% report not having drunk alcohol in the previous 3 months, 48.5% engaged in heavy episodic drinking (HED) in the previous 3 months, and 23.8% frequently engaged in HED during this period. Farmworkers and nonfarmworkers did not differ significantly in alcohol consumption behavior. Farmworkers and nonfarmworkers did differ significantly in each component of the CAGE scale, with 37.9% of farmworkers and 16.0% of nonfarmworkers being at risk for alcohol dependence (p < 0.0001). Significant factors for being at risk for alcohol dependence were stress (odds ratio 1.06, 95% confidence interval 1.03, 1.09) and being a farmworker (odds ratio 3.58, 95% confidence interval 2.12, 6.06). Being married reduced the risk of alcohol dependence (odds ratio 0.45, 95% confidence interval 0.23, 0.87).
  
  
  CONCLUSIONS
  Latino farmworkers and nonfarmworkers consume relatively large amounts of alcohol and engage in HED at relatively high rates. Latino farmworkers have very high rates of risk for alcohol dependence. Policy changes and public health interventions are needed to address these concerns for a population that is vital to the agricultural economy.
authors: Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina.|Center for Worker Health, Wake Forest School of Medicine, Winston-Salem, North Carolina.
authors: Thomas A
authors: TA
authors: Arcury
authors: Division of Public Health Sciences, Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina.
authors: Jennifer W
authors: JW
authors: Talton
authors: Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina.|Center for Worker Health, Wake Forest School of Medicine, Winston-Salem, North Carolina.
authors: Phillip
authors: P
authors: Summers
authors: Center for Worker Health, Wake Forest School of Medicine, Winston-Salem, North Carolina.|Division of Public Health Sciences, Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina.
authors: Haiying
authors: H
authors: Chen
authors: Department of Radiology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
authors: Paul J
authors: PJ
authors: Laurienti
authors: Center for Worker Health, Wake Forest School of Medicine, Winston-Salem, North Carolina.|Division of Public Health Sciences, Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, North Carolina.
authors: Sara A
authors: SA
authors: Quandt
mesh_terms: D000328:Adult; D000368:Aged; D000428:Alcohol Drinking / Q000009:adverse effects* / Q000453:epidemiology / Q000208:ethnology; D000437:Alcoholism / Q000453:epidemiology / Q000208:ethnology / Q000209:etiology*; D000067565:Farmers / Q000523:psychology / Q000706:statistics & numerical data*; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009657:North Carolina / Q000453:epidemiology; D012307:Risk Factors; D014171:Transients and Migrants / Q000523:psychology / Q000706:statistics & numerical data*
keywords: Alcohol Dependence; Farmworkers; Heavy Episodic Drinking; Immigrant Workers; Latinos