Age and ethnic differences in the onset, persistence and recurrence of alcohol use disorder

Department of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.
Addiction (Impact Factor: 4.74). 11/2011; 107(4):756-65. DOI: 10.1111/j.1360-0443.2011.03721.x
Source: PubMed


To estimate ethnic differences in three components of alcohol use disorder and alcohol dependence course (onset, persistence and recurrence) in a developmental framework.
Longitudinal data from The National Epidemiologic Survey of Alcohol and Related Conditions (NESARC), collected using face-to-face interviews.
Civilian non-institutionalized US population aged 18 years and older, with oversampling of Hispanics, blacks and those aged 18-24 years.
Individuals who completed both NESARC assessments, were not life-long abstainers and were either white (n = 17,458), black (n = 4995), US-born Hispanic (n = 2810) or Hispanic-born outside the United States (n = 2389).
Alcohol dependence (AD) and alcohol use disorder (AUD; abuse or dependence) onset, persistence and recurrence were examined using the Alcohol Use Disorders and Associated Disabilities Interview Schedule, DSM-IV version.
Among men: relative to whites aged 18-29, AUD onset and persistence were elevated only in US-born Hispanics aged 40 years and older; odds were reduced for all non-US-born Hispanics, older whites, most blacks and US-born Hispanics aged 30-39. For AD, onset risk was elevated for all younger minority men and only reduced among non-US-born aged Hispanics 40 or older. For women: compared to young whites, non-US-born Hispanics were at decreased AUD and AD onset risk; AUD and AD onset and persistence were increased for older blacks and US-born Hispanics.
In the United States, ethnic differences in alcohol disorder transitions (onset, persistence, and recurrence) vary across age, gender and whether a broad (alcohol use disorder) or narrow (alcohol dependence) alcohol definition is used. Evidence of increased risk for some transitions in minority groups suggests that attention should be paid to the course of alcohol use disorders, and that differences in prevalence should not be assumed to reflect differences in specific transitions.

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    • "Hispanic adolescents in the United States are disproportionately more likely than their peers to use and abuse alcohol (CDC, 2012; Johnston, O'Malley, Bachman, & Schulenberg, 2013) and to subsequently develop alcohol use disorders as adults (Grant et al., 2012). Compared to non-Hispanic whites and African-Americans, Hispanics initiate alcohol use at younger ages (CDC, 2012) and tend to use alcohol and become intoxicated with substantially greater frequency during early and middle adolescence (Johnston et al., 2013). "
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    ABSTRACT: Few studies have examined the behavioral and protective correlates of alcohol use among young Hispanics. Using a national sample (N = 7,606), logistic regression and latent profile analysis (LPA) are employed to examine the relationships between alcohol use, psychosocial factors, and externalizing behavior among Hispanics during early adolescence. Early drinkers are more likely to report truancy, fighting, smoking, and drug use. LPA results revealed a three class solution. Classes identified included: psychosocial risk (41.11%), moderate protection (39.44%), and highly religious (19.44%). Alcohol use is clearly associated with externalizing behavior; however, an important degree of psychosocial and behavioral heterogeneity nevertheless exists.
    Substance Use &amp Misuse 02/2014; 49(7). DOI:10.3109/10826084.2014.880725 · 1.23 Impact Factor
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    • "Analyses by Kessler and colleagues (2005) derived from a national sample suggest that new onset of alcohol abuse and/or dependence is rare after age 50. Similarly, Grant et al. (2012), using the full-age spectrum of NESARC data found that both new onset and recurrence of AUD were lower with increased age. Covariate findings in these statistical models are consistent with the literature on alcohol and aging. "
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    ABSTRACT: Stressful life events, perceived stress, and social support relationships with consumption, at-risk drinking, and alcohol use disorder (AUD) were studied in a population-based sample of current drinkers age 60+ in the National Epidemiologic Survey of Alcohol and Related Conditions (Wave 2; 2004-2005; n = 4,360). Stressful life events were associated with AUD among men and women, and crime victimization among men only. However, greater perceived stress was associated with lower consumption among women and greater odds of AUD in men, highlighting differences in the relationship between stress and alcohol use by gender that may be the result of the stress alcohol link.
    Substance Use &amp Misuse 10/2013; 49(4). DOI:10.3109/10826084.2013.846379 · 1.23 Impact Factor
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    • "This is in line with earlier studies among Turks, Moroccans, Antilleans, Surinamese, Asian Muslims, Hindus, Sikhs, Vietnamese in Europe [5-12], those of Chinese origin or Mexican heritage, Japanese, Filipinos, Koreans and Vietnamese in the US [15-17], and Vietnamese in Australia [19]. Although prevalence of alcohol use and frequency of drinking have been generally lower among non-Western immigrants to Western countries, alcohol-related problems may be higher than or equal to such problems in the host population [9,47,48]. "
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    ABSTRACT: Alcohol drinking is a risk factor for harm and disease. A low level of drinking among non-Western immigrants may lead to less alcohol-related harm and disease. The first aim of this study was to describe frequency of drinking in two generations of immigrants in Oslo, contrasting the result to drinking frequency among ethnic Norwegians. The second aim was to study how frequency of drinking among adult immigrants was associated with social interaction with their own countrymen and ethnic Norwegians, acculturation, age, gender, socioeconomic factors and the Muslim faith. The Oslo Health Study (HUBRO) was conducted during the period 2000 to 2002 and consisted of three separate surveys: a youth study (15-16-year-olds, a total of 7343 respondents, response rate 88.3%); adult cohorts from 30 to 75 years old (18,770 respondents, response rate 46%); the five largest immigrant groups in Oslo (aged 20-60 years, a total of 3019 respondents, response rate 39.7%). Based on these three surveys, studies of frequency of drinking in the previous year (four categories) were conducted among 15-16-year-olds and their parents' generation, 30-60-year-old Iranians, Pakistanis, Turks and ethnic Norwegians. A structural equation model with drinking frequency as outcome was established for the adult immigrants. Adults and youth of ethnic Norwegian background reported more frequent alcohol use than immigrants with backgrounds from Iran, Turkey and Pakistan. Iranians reported a higher drinking frequency than Turks and Pakistanis. In the structural equation model high drinking frequency was associated with high host culture competence and social interaction, while high own culture competence was associated with low drinking frequency. Adult first-generation immigrants with a longer stay in Norway, those of a higher age, and females drank alcohol less frequently, while those with a higher level of education and work participation drank more frequently. Muslim immigrants reported a significantly lower drinking frequency than non-Muslims, although this did not apply to Iranians. The existence and growth in Western societies of immigrant groups with low-level alcohol consumption contributed to a lower level of consumption at the population level. This may imply reduced drinking and alcohol-related harm and disease even among ethnic Norwegians.
    BMC Public Health 07/2012; 12(1):535. DOI:10.1186/1471-2458-12-535 · 2.26 Impact Factor
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