Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-04T21:54:03.015Z Has data issue: false hasContentIssue false

Alcohol use disorders among the Yami aborigines in Taiwan

An inter-ethnic comparison

Published online by Cambridge University Press:  02 January 2018

Shen-Ing Liu
Affiliation:
Department of Psychiatry, Mackay Memorial Hospital, Taipei
Andrew T. A. Cheng*
Affiliation:
Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan
*
Professor Andrew T. W. Cheng. Division of Epidemiology and Public Health. Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan. Fax: 886-2-785-3569

Abstract

Background

Alcohol use disorders (AUDs) among the Yami aborigines in Taiwan were investigated and compared with four other Taiwanese aboriginal groups.

Method

A sample survey was conducted using a semi-structured clinical interview for AUDs among 252 subjects, aged 15 and above, from two Yami villages on Orchid Island.

Results

The prevalences of DSM–III–R and DSM–IV alcohol use disorders were 13.1% and 10.3% by one year, and 17.5% and 15.2% by lifetime, respectively with a male excess. The risk for AUDs in Yami men was significantly associated with a lower educational level, a non-married status, and the length of stay in mainland Taiwan. A protective effect of Christian belief was evident for lifetime risk for AUDs.

Conclusions

The lower prevalences of AUDs in Yami than in other aboriginal groups in Taiwan might be explained by social isolation of the former, and differences in drinking tradition, availability of alcohol, biological vulnerability, and the extent of acculturation between these groups.

Type
Papers
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington. DC: APA.Google Scholar
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). Washington. DC: APA.Google Scholar
Anthony, J. C. Folstein, M. Romanoski, A. J. et al (1985) Comparison of the lay Diagnostic Interview Schedule and a standardized psychiatric diagnosis. Archives of General Psychiatry, 41, 667675.Google Scholar
Bartko, J. J. & Carpenter, W. T. Jr (1976) On the methods and theory of reliability. Journal of Nervous and Mental Diseases, 163, 307317.CrossRefGoogle ScholarPubMed
Chen, C. C. (1992) Aldehyde Dehydrogenase Deficiency, Flush Patterns, and Prevalence of Alcoholism: Interethnic Comparison. MD thesis. Okayama University Medical School, Japan.Google Scholar
Chen, W. J. Loh, E. W. Hsu, Y. P. P. et al (1996) Alcohol-metabolizing genes and alcoholism among Taiwanese Han men: independent effect of ADH2, ADH3, and ALDH2. British Journal of Psychiatry, 168, 762767.Google Scholar
Chen, W. J. Lu, M. L. Hsu, Y. P. P. et al (1997) Dopamine D2 receptor gene and alcoholism among four aboriginal groups and Han in Taiwan. American Journal of Medical Genetics (Neuropsychiatric Genetics), 74, 129136.Google Scholar
Cheng, T. A. & Hsu, M. (1992) A community study of mental disorders among four aboriginal groups in Taiwan. Psychological Medicine, 22, 255263.CrossRefGoogle ScholarPubMed
Cheng, T. A. & Hsu, M. (1993) Sex differences in minor psychiatric morbidity among three aboriginal groups in Taiwan: the effects of lineage. Psychological Medicine, 23, 949956.CrossRefGoogle ScholarPubMed
Cheng, T. A. & Chen, W. J. (1995) Alcoholism among four aboriginal groups in Taiwan: high prevalence and their implications. Alcoholism: Clinical and Experimental Research, 19, 8191.Google Scholar
Gordon, A. J. (1978) Ethnicity and alcohol use. Medical Anthropology, 2, 3152.Google Scholar
Heizer, J. E. Canino, G. J. Yeh, E. K. et al (1990) Alcoholism – North America and Asia: A comparison of population surveys with the Diagnostic Interview Schedule. Archives of General Psychiatry, 47, 313319.Google Scholar
Hill, T. W. (1978) Ethnohistory and alcohol studies. Anthropological Research, 34, 442467.Google Scholar
Hsu, Y. P. P. Loh, E. W. Chen, W. J. et al (1998) MAO genes and alcoholism among Chinese and aborigines in Taiwan. American Journal of Psychiatry, 153, 12091211.Google Scholar
Karno, M. Hough, R. L. Burnam, A. et al (1987) Lifetime prevalence of specific psychiatric disorders among Mexican Americans and non-Hispanic whites in Los Angeles. Archives of General Psychiatry, 44, 695701.Google Scholar
Lomnitz, L. (1978) Alcohol and culture: The historical evolution of drinking patterns among the Mapuche. In Cross-Cultural Approaches to the Study of Alcohol (eds Everett, M. W. Waddell, J. O. & Heath, D. B.), pp. 175198. Paris: The Hague.Google Scholar
Rin, H. & Lin, T. Y. (1962) Mental illness among Formosan aborigines as compared with the Chinese in Taiwan. Journal of Mental Science, 108, 134146.CrossRefGoogle ScholarPubMed
Wei, H. L. & Liu, P. H. (1962) Social Structure of the Yami, Botel Tobago. Institute of Ethnology Monograph I, Academia Sinica: Taipei.Google Scholar
World Health Organization (1993) The ICD-10 Classification of Mental and Behavioral Disorders: Diagnostic Criteria for Research. Geneva: World Health Organization.Google Scholar
Yamamoto, J. Silva, J. A. Sasao, T. et al (1993) Alcoholism in Peru. American Journal of Psychiatry, 150, 10591062.Google ScholarPubMed
Yu, G. H. (1991) Ritual, Society and Culture Among the Yami. PhD thesis, University of Michigan.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.