Abstract
The association of high alcohol use and acculturation and/or migration among Puerto Ricans in the United States has not been studied. Two population-based cross-sectional surveys carried out by trained lay interviewers were analyzed. A total of 1,267 PR/US and 1,656 PR/PR aged 20–64 years were interviewed. The prevalence of any alcohol consumption for PR/US was 45.9% and for PR/PR was 51.2% (p < .001). High levels of depressive symptoms were associated with alcohol use for PR/PR only after controlling for sex, age and education. In contrast, for the PR/US, high levels of depressive symptoms were associated with alcohol use. In this study PR/PR have higher levels of alcohol use and more heavy drinkers than the PR/US. The findings of this study clearly demonstrate the importance and need for this kind of cross-cultural research to better understand the mental health status of migratory populations.