Onset of alcohol use disorder among alcohol initiates by race/ethnicity.
Onset of alcohol use disorder among alcohol initiates by race/ethnicity.
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DOI：
10.1016/j.alcohol.2021.08.002
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发表时间：
2021-12
期刊：
影响因子：
--
通讯作者：
McDonell MG
中科院分区：
文献类型：
--
作者：
Alcover KC;Lyons AJ;Oluwoye O;Muse ID;Kelly ME;McDonell MG
酒精使用障碍（AUD）的患病率因种族/民族而异。目前尚不清楚从首次饮酒到发展AUD的快速转变是否因种族和民族而异。在这项研究中，我们调查了首次饮酒者中AUD发作的种族/民族差异，并确定了种族/民族群体AUD发作的特定预测因素。研究人群为12岁及以上的非住院美国居民。在2015-2018年全国药物使用和健康调查中抽取的四个全国代表性概率样本（n~ 70，000/年）中，我们确定了9，381名在调查前1-12个月内开始饮酒的人。估计整个样本启动后AUD的概率，然后进行种族/民族分层。二元和多元逻辑回归模型被用来确定酒精初始的AUD发病的预测因素。酒精启动者中AUD的总体发生率估计值为3.7%（95% CI = 3.0%，4.6%）。不同人种/种族组之间的AUD发生率无显著差异。药物使用、药物使用障碍和重性抑郁发作是所有饮酒者中AUD发作的重要预测因素。然而，这些预测因素在非西班牙裔/拉丁裔黑人个体中并不显著。除了非西班牙裔/拉丁裔黑人外，药物使用和药物使用障碍是酒精引发的AUD发作的强预测因子。这些发现加强了关注酒精和其他药物共同使用的重要性，以及进一步调查种族/族裔群体之间风险特征差异的必要性。
Prevalence of alcohol use disorders (AUD) varies across racial/ethnic groups. It remains unclear whether rapid transition from first-time alcohol use to developing AUD varies by race and ethnicity. In this study, we investigate racial/ethnic differences in AUD onset among first-time alcohol drinkers and identify specific predictors of AUD onset by racial/ethnic group. The study population was non-institutionalized US residents aged 12 and older. Within four nationally representative probability samples (n~70,000/year) drawn from the 2015-2018 National Surveys on Drug Use and Health, we identified 9,381 individuals who initiated alcohol use within 1-12 months prior to the survey. The probability of AUD after initiation was estimated for the entire sample, followed by racial/ethnic group stratification. Bivariate and multivariate logistic regression models were used to identify predictors of AUD onset among alcohol initiates. The overall incidence estimate of AUD among alcohol initiates was 3.7% (95% CI = 3.0%, 4.6%). There was no significant variation in the incidence of AUD between racial/ethnic groups. Drug use, drug use disorders, and major depressive episode were significant predictors of AUD onset among all alcohol initiates. However, these predictors were not significant among non-Hispanic/Latinx Black individuals. Drug use and drug use disorders were strong predictors of AUD onset among alcohol initiates, except among non-Hispanic/Latinx Black individuals. These findings strengthen the importance of focusing on the co-use of alcohol and other drugs and the need to further investigate the risk profile differences between racial/ethnic groups.
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影响因子：
2.3
作者：
Anthony, James C.;Warner, Lynn A.;Kessler, Ronald C.
通讯作者：
Kessler, Ronald C.
影响因子：
4.2
作者：
Cheng, Hui G.;Chandra, Madhur;Anthony, James C.
通讯作者：
Anthony, James C.
DOI：
10.1111/j.1530-0277.2008.00806.x
发表时间：
2008-12
期刊：
Alcoholism, clinical and experimental research
影响因子：
--
作者：
Dawson DA;Goldstein RB;Chou SP;Ruan WJ;Grant BF
通讯作者：
Grant BF
影响因子：
3.1
作者：
Cheng, Hui G.;Lopez-Quintero, Catalina;Anthony, James C.
通讯作者：
Anthony, James C.
影响因子：
4.2
作者：
Alvanzo, Anika A. H.;Storr, Carla L.;Crum, Rosa M.
通讯作者：
Crum, Rosa M.