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Self-Change from Alcohol Problems among Racially and Ethnically Minoritized Adults: A Systematic Review.

Angela M Haeny1, Melissa R Schick1, Maria C Crouch1

  • 1Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.

Current Addiction Reports
|June 4, 2026
PubMed
Summary
This summary is machine-generated.

Many racially and ethnically minoritized adults achieve self-change from alcohol problems. However, research is limited, particularly for Black, Latine, and other groups, highlighting a need for more inclusive studies.

Keywords:
Alcohol problemsNatural recoveryRacial and ethnic minoritized adultsSelf-changeSpontaneous remission

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Area of Science:

  • Public Health
  • Addiction Research
  • Health Disparities

Background:

  • Self-change, recovery from alcohol problems without formal treatment, is common but understudied.
  • Racial and ethnic minority (REM) populations face unique challenges and may benefit from culturally specific recovery pathways.
  • Existing research on self-change predominantly focuses on White populations, leaving significant gaps in understanding for REM groups.

Purpose of the Study:

  • To systematically review the existing literature on self-change from alcohol problems among racially and ethnically minoritized adults in the U.S.
  • To identify patterns and strategies of self-change within diverse REM populations.
  • To highlight research gaps concerning self-change in underrepresented REM groups.

Main Methods:

  • Systematic literature review of studies on self-change from alcohol problems.
  • Inclusion criteria focused on racially and ethnically minoritized adults in the U.S.
  • Analysis of 15 identified articles meeting the review criteria.

Main Results:

  • The majority of studies (9) focused on self-change among American Indian and Alaska Native communities, often involving traditional healing strategies.
  • Fewer studies examined self-change among Black and Latine adults.
  • No studies provided data on self-change for Asian, Native Hawaiian, Pacific Islander, or Multiracial adults.

Conclusions:

  • Self-change research among REM adults is heavily concentrated among American Indian and Alaska Native populations.
  • There is a critical need for more research on self-change among Black, Latine, and other underrepresented REM groups.
  • Future research should explore the influence of factors like racial identity on self-change processes within diverse REM communities.