Correlates of Alcohol-Related Treatment Among American Indians and Alaska Natives with Lifetime Alcohol Use Disorder
Correlates of Alcohol-Related Treatment Among American Indians and Alaska Natives with Lifetime Alcohol Use Disorder
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DOI：
10.1111/acer.13907
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发表时间：
2019-01-01
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影响因子：
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通讯作者：
Caetano, Raul
中科院分区：
文献类型：
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作者：
Emerson, Marc A.;Moore, Roland S.;Caetano, Raul
描述社会人口学和选定的精神疾病模式，并估计寻求酒精治疗的相关性，美国印第安人和阿拉斯加原住民（AIAN）和非西班牙裔白人（NHW）与终身酒精使用障碍（AUD）。方法数据来自2012年至2013年美国全国酒精及相关疾病流行病学调查-III。我们回顾性地确定了参与者，他们完成了关于终生AUD、种族/民族以及寻求酒精治疗或AUD帮助的信息。我们使用了一个广义线性模型与对数链接和泊松分布估计患病率比（PR）的成年人与DSM-5终身AUD。我们包括以下相关因素：种族/民族，性别，年龄，个人年收入，婚姻状况，教育，城市/农村状况，美国地区，任何非法药物使用障碍，尼古丁使用障碍，以及选择情绪，焦虑，人格和创伤相关障碍。结果AIAN中AUD的终生患病率为46.6%。在患有终生AUD的AIAN中，33.8%寻求酒精相关治疗。在患有终生AUD的个体中，与NHW相比，AIAN与更多的酒精相关治疗寻求相关（调整后的PR = 1.41 [95%CI 1.26至1.58]）。在患有AUD的AIAN中，男性和年龄35至64岁是寻求AUD治疗或帮助的统计学显著相关因素。结论患有AUD的AIAN寻求酒精治疗的比例相对高于NHW。在患有终生AUD的个体中，存在显著的人口统计学和精神疾病治疗相关性，表明某些群体不太可能寻求酒精相关问题的治疗或帮助。在患有AUD的AIAN中，这些相关性可能反映了寻求酒精相关治疗的不同模式，这可以为该人群提供更有效的治疗推广工作。
Background To describe sociodemographic and selected psychiatric disorder patterns and estimate correlates of seeking alcohol treatment among American Indians and Alaska Natives (AIAN) and non-Hispanic Whites (NHW) with lifetime alcohol use disorder (AUD). Methods Data come from the 2012 to 2013 U.S. National Epidemiologic Survey on Alcohol and Related Conditions-III. We retrospectively identified participants who completed information on lifetime AUD, race/ethnicity, and seeking alcohol treatment or help for AUD. We used a generalized linear model with a log link and Poisson distribution to estimate prevalence ratios (PRs) among adults with DSM-5 lifetime AUD. We included the following correlates: race/ethnicity, sex, age, personal annual income, marital status, education, urban/rural status, U.S. region, any illegal drug use disorder, nicotine use disorder, and select mood-, anxiety-, personality-, and trauma-related disorders. Results Among AIAN, the prevalence of lifetime AUD was 46.6%. Among AIAN with lifetime AUD, 33.8% sought alcohol-related treatment. Among individuals with lifetime AUD, AIAN were associated with greater alcohol-related treatment-seeking compared to NHW (adjusted PR = 1.41 [95% CI 1.26 to 1.58]). Among AIAN with AUD, being male and age 35 to 64 were statistically significant correlates of seeking treatment or help for AUD. Conclusions A relatively higher proportion of AIAN than NHW with AUDs sought alcohol treatment. Among individuals with lifetime AUD, significant demographic and psychiatric disorder correlates of treatment are present, showing that certain groups are less likely to seek treatment or help for alcohol-related issues. Among AIAN with AUD, these correlates may reflect distinct patterns of seeking alcohol-related treatment, which can inform more effective treatment promotion efforts with this population.