AustralieFrV1, Main, Exploration, bibRecord, 008556

Sociodemographic Predictors of Transitions across Stages of Alcohol Use, Disorders and Remission in the National Comorbidity Survey-Replication

Identifieur interne : 008556 ( Main/Exploration ); précédent : 008555; suivant : 008557

Sociodemographic Predictors of Transitions across Stages of Alcohol Use, Disorders and Remission in the National Comorbidity Survey-Replication

Auteurs : Amanda Kalaydjian [États-Unis] ; Joel Swendsen [France] ; Wai-Tat Chiu [États-Unis] ; Lisa Dierker [États-Unis] ; Louisa Degenhardt [Australie] ; Meyer Glantz [États-Unis] ; Kathleen R. Merikangas [États-Unis] ; Nancy Sampson [États-Unis] ; Ronald Kessler [États-Unis]

Source :

Comprehensive psychiatry [ 0010-440X ] ; 2008.

RBID : PMC:2933383

Abstract

BACKGROUND

Although much is known about risk factors for the initiation of alcohol use, abuse and dependence, few population-based studies have examined the predictors of transitions across these stages.

AIM

To examine the sociodemographic predictors of transitions across six stages of alcohol use in the National Comorbidity Survey Replication (NCS-R) a nationally representative household survey of the U.S. population.

METHODS

A lifetime history of alcohol use, regular use (at least 12 drinks in a year), DSM-IV alcohol abuse and dependence with abuse was collected in 5692 NCS-R respondents using the WHO Composite International Diagnostic Interview (CIDI), Version 3.0.

RESULTS

Lifetime prevalence estimates were 91.7% for lifetime alcohol use, 72.9% for regular use, 13.2% for abuse, and 5.4% for dependence with abuse. Male sex, young age, non-Hispanic White race/ethnicity, low education, student status, and never being married predicted the onset of alcohol use, the transition from use to regular use, and from regular use to abuse. An early age of onset of alcohol use also predicted the latter transition. The transition from abuse to dependence was associated with an early age of onset of regular alcohol use, being previously married, and student status. Remission was predicted by young age, and a later age of onset of alcohol abuse.

CONCLUSION

The reduced number and magnitude of factors associated with transitions to dependence and remission suggests qualitatively different risk factors at these stages relative to other stages of progression. Further knowledge is needed concerning the mechanisms underlying these differences in order to guide selective and indicated prevention programs.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2933383

DOI: 10.1016/j.comppsych.2008.09.012
PubMed: 19486727
PubMed Central: 2933383

Affiliations:

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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>BACKGROUND</title>
<p id="P1">Although much is known about risk factors for the initiation of alcohol use, abuse and dependence, few population-based studies have examined the predictors of transitions <italic>across</italic>
 these stages.</p>
</sec>
<sec id="S2"><title>AIM</title>
<p id="P2">To examine the sociodemographic predictors of transitions across six stages of alcohol use in the National Comorbidity Survey Replication (NCS-R) a nationally representative household survey of the U.S. population.</p>
</sec>
<sec sec-type="methods" id="S3"><title>METHODS</title>
<p id="P3">A lifetime history of alcohol use, regular use (at least 12 drinks in a year), DSM-IV alcohol abuse and dependence with abuse was collected in 5692 NCS-R respondents using the WHO Composite International Diagnostic Interview (CIDI), Version 3.0.</p>
</sec>
<sec id="S4"><title>RESULTS</title>
<p id="P4">Lifetime prevalence estimates were 91.7% for lifetime alcohol use, 72.9% for regular use, 13.2% for abuse, and 5.4% for dependence with abuse. Male sex, young age, non-Hispanic White race/ethnicity, low education, student status, and never being married predicted the <bold>onset of alcohol use</bold>
, the transition from <bold>use to regular use</bold>
, and from <bold>regular use to abuse</bold>
. An early age of onset of alcohol use also predicted the latter transition. The transition from <bold>abuse to dependence</bold>
 was associated with an early age of onset of regular alcohol use, being previously married, and student status. <bold>Remission</bold>
 was predicted by young age, and a later age of onset of alcohol abuse.</p>
</sec>
<sec id="S5"><title>CONCLUSION</title>
<p id="P5">The reduced number and magnitude of factors associated with transitions to dependence and remission suggests qualitatively different risk factors at these stages relative to other stages of progression. Further knowledge is needed concerning the mechanisms underlying these differences in order to guide selective and indicated prevention programs.</p>
</sec>
</div>
</front>
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<name sortKey="Chiu, Wai Tat" sort="Chiu, Wai Tat" uniqKey="Chiu W" first="Wai-Tat" last="Chiu">Wai-Tat Chiu</name>
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<country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Degenhardt, Louisa" sort="Degenhardt, Louisa" uniqKey="Degenhardt L" first="Louisa" last="Degenhardt">Louisa Degenhardt</name>
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Sociodemographic Predictors of Transitions across Stages of Alcohol Use, Disorders and Remission in the National Comorbidity Survey-Replication

Sociodemographic Predictors of Transitions across Stages of Alcohol Use, Disorders and Remission in the National Comorbidity Survey-Replication

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