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Chunk #7 — Greater Negative Consequences Related to Alcohol Use among African Americans Compared to European Americans

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Less drinking, yet more problems: understanding African American drinking and related problems.
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Frequent and heavy use of alcohol has been related to several negative social, mental, and physical health outcomes, such as increased violent behavior (Rodney, Mupier, & Crafter, 1996), criminal offenses (Greenfield, 1998), legal problems (Caetano, 1997; Herd, 1997b; Jones-Webb, Hsiao, Hannan, & Caetano, 1997b), family and interpersonal problems (Caetano, 1997; Jones-Webb et al., 1997b; Mulia et al., 2009), and alcohol-related injuries and illness (Greenfield, 2001; Jones-Webb, 1998; Yoon et al., 2001). Moreover, higher average volumes of alcohol consumption are associated with increased risk for the following major chronic diseases: mouth and oropharyngeal cancer, oesophageal cancer, liver cancer, breast cancer, unipolar major depression, epilepsy, alcohol use disorders, hypertensive disease, hemorrhagic stroke, and cirrhosis of the liver (Rhem et al., 2003). Coronary heart disease (CHD) and both unintentional and intentional injuries were found to depend on patterns of drinking in addition to average volume of alcohol consumption (Rhem et al., 2003). In addition, alcohol dependence has also been linked to chronic health conditions, higher rates of alcohol-related mortality (Dawson, 2000; Rehm et al., 2003**(name)), and acute and chronic social consequences (Drummond, 1990).