Correlates of Alcohol-Related Treatment Among American Indians and Alaska Natives with Lifetime Alcohol Use Disorder.
Adult
Age Factors
Aged
Alaskan Natives
/ statistics & numerical data
Alcoholism
/ epidemiology
Comorbidity
Cross-Sectional Studies
Female
Humans
Indians, North American
/ statistics & numerical data
Male
Mental Disorders
/ epidemiology
Middle Aged
Patient Acceptance of Health Care
/ statistics & numerical data
Prevalence
Retrospective Studies
Sex Factors
White People
/ statistics & numerical data
Young Adult
Alcohol Use Disorder
Alcohol-Related Treatment
American Indians and Alaska Natives
National Epidemiologic Survey on Alcohol and Related Conditions-III
Journal
Alcoholism, clinical and experimental research
ISSN: 1530-0277
Titre abrégé: Alcohol Clin Exp Res
Pays: England
ID NLM: 7707242
Informations de publication
Date de publication:
01 2019
01 2019
Historique:
received:
23
05
2018
accepted:
11
10
2018
pubmed:
23
10
2018
medline:
31
3
2020
entrez:
23
10
2018
Statut:
ppublish
Résumé
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). 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. 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. 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.
Sections du résumé
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.
Identifiants
pubmed: 30347442
doi: 10.1111/acer.13907
pmc: PMC6318056
mid: NIHMS993662
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
115-122Subventions
Organisme : NIAAA NIH HHS
ID : P60 AA006282
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01 AA023755
Pays : United States
Informations de copyright
© 2018 by the Research Society on Alcoholism.
Références
J Stud Alcohol. 2002 Nov;63(6):673-82
pubmed: 12529067
Cultur Divers Ethnic Minor Psychol. 2012 Oct;18(4):352-362
pubmed: 22985245
Alcohol Res Health. 2010;33(1-2):152-60
pubmed: 21209793
Drug Alcohol Depend. 2015 Mar 1;148:27-33
pubmed: 25595052
Arch Gen Psychiatry. 2007 May;64(5):566-76
pubmed: 17485608
Am J Public Health. 2003 Dec;93(12):2079-85
pubmed: 14652338
Psychiatr Serv. 2009 Dec;60(12):1618-28
pubmed: 19952152
Arch Gen Psychiatry. 2005 Jan;62(1):99-108
pubmed: 15630077
Alcohol Clin Exp Res. 2017 Jan;41(1):6-19
pubmed: 28019654
Alcohol Clin Exp Res. 2007 Jan;31(1):48-56
pubmed: 17207101
J Subst Abuse Treat. 2004 Apr;26(3):237-42
pubmed: 15063919
Psychiatr Serv. 2003 Mar;54(3):363-9
pubmed: 12610245
Drug Alcohol Depend. 2011 Jan 15;113(2-3):215-21
pubmed: 20828944
Alcohol Health Res World. 1998;22(4):253-9
pubmed: 15706751
Addiction. 2006 Jun;101(6):824-34
pubmed: 16696626
Drug Alcohol Depend. 2007 Jan 12;86(2-3):214-21
pubmed: 16919401
Am J Public Health. 2004 Jan;94(1):53-9
pubmed: 14713698
Psychiatr Serv. 2008 Aug;59(8):893-901
pubmed: 18678687
Alcohol Clin Exp Res. 2017 Mar;41(3):576-584
pubmed: 28129438
Drug Alcohol Depend. 2011 Nov 1;118(2-3):375-82
pubmed: 21652154
Alcohol Clin Exp Res. 2018 Mar;42(3):578-588
pubmed: 29381219
Addiction. 2008 Feb;103(2):205-15
pubmed: 18042193
Arch Gen Psychiatry. 2007 Jul;64(7):830-42
pubmed: 17606817
Occup Environ Med. 1998 Apr;55(4):272-7
pubmed: 9624282
Psychiatr Serv. 2009 Aug;60(8):1068-74
pubmed: 19648194
J Consult Clin Psychol. 2005 Oct;73(5):819-29
pubmed: 16287382
JAMA Psychiatry. 2015 Aug;72(8):757-66
pubmed: 26039070