Does race make a difference among primary care patients with alcohol problems who agree to enroll in a study of brief interventions?

Am J Addict. Fall 2000;9(4):321-30. doi: 10.1080/105504900750047373.


This study describes the severity, alcohol consumption, consequences, readiness to change, and coping behaviors of African-American and white primary care patients enrolled in a trial of brief interventions for problem drinking. In multivariate analysis, unemployment but not race was associated with clinical indicators of alcohol problems. African-Americans reported no difference in alcohol consumption and similar quality of life scores. African-American race and unemployment were both associated with increased identification and resolution of alcohol problems. There was no difference in readiness to change, but African-Americans reported more problems related to alcohol and greater use of coping behaviors to avoid drinking. African-Americans may be better equipped to manage drinking problems when they do occur due to increased familiarity with coping mechanisms.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • African Americans / psychology*
  • Alcoholism / ethnology*
  • Alcoholism / psychology
  • Alcoholism / rehabilitation
  • European Continental Ancestry Group / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Motivation
  • Outcome and Process Assessment, Health Care
  • Patient Care Team*
  • Pennsylvania
  • Primary Health Care
  • Psychotherapy, Brief*
  • Temperance / psychology*