Alcohol-related consequences and the intention to seek care in treatment naïve women and men with severe alcohol use disorder.

Alcohol consequences Alcohol use disorder Community sample Sex differences Treatment intention Treatment utilization

Journal

Addictive behaviors
ISSN: 1873-6327
Titre abrégé: Addict Behav
Pays: England
ID NLM: 7603486

Informations de publication

Date de publication:
08 2022
Historique:
received: 20 01 2022
revised: 18 03 2022
accepted: 11 04 2022
pubmed: 29 4 2022
medline: 11 5 2022
entrez: 28 4 2022
Statut: ppublish

Résumé

Research on treatment utilization for alcohol use disorder (AUD) is based primarily on clinical samples and community samples of low AUD severity that may not need formal care. Using a community sample of adults with untreated but severe AUD symptoms, we tested the hypothesis that alcohol-related consequences, but not alcohol consumption levels, are associated with the intention to seek AUD treatment, examined associations of specific types of alcohol-related consequences with intention, and explored sex differences in these associations. The sample was recruited using social media ads for a randomized controlled trial to test a brief intervention to promote AUD treatment seeking. This report is based on analysis of baseline data collected prior to treatment intervention. Multiple linear regressions examined associations of measures of alcohol consumption, alcohol-related consequences broadly, and specific alcohol-related consequences with the intention to seek treatment. Moderating effects of sex on associations were explored. Subjects (n = 349) averaged 41 years of age, 48% were female, 6% were Latinx, 80% were white, 15% were Black, and 92% met criteria for severe AUD. Alcohol consumption measures were not associated with intention to seek treatment whereas interpersonal- and intrapersonal- consequences were associated with intention. Sex served as a moderator, with intrapersonal consequences (e.g., sad mood) showing a stronger association with intention in women and social responsibility consequences (particularly financial) associated with intention in men. Select alcohol-related consequences may be keys to understanding increased intention to seek AUD treatment including intrapersonal consequences in women and financial consequences in men.

Identifiants

pubmed: 35483181
pii: S0306-4603(22)00103-4
doi: 10.1016/j.addbeh.2022.107337
pmc: PMC9717617
mid: NIHMS1850602
pii:
doi:

Types de publication

Journal Article Randomized Controlled Trial Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

107337

Subventions

Organisme : NIAAA NIH HHS
ID : R01 AA026815
Pays : United States
Organisme : NIMH NIH HHS
ID : T32 MH020061
Pays : United States
Organisme : NIAAA NIH HHS
ID : R37 AA025212
Pays : United States
Organisme : NIAAA NIH HHS
ID : K08 AA021745
Pays : United States

Informations de copyright

Copyright © 2022 Elsevier Ltd. All rights reserved.

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Auteurs

Kenneth R Conner (KR)

Department of Emergency Medicine, University of Rochester Medical Center, 601 Elmwood Avenue, Box 655C, Rochester, NY 14642, USA. Electronic address: kenneth_conner@urmc.rochester.edu.

Beau Abar (B)

Department of Emergency Medicine, University of Rochester Medical Center, 601 Elmwood Avenue, Box 655C, Rochester, NY 14642, USA.

Aileen Aldalur (A)

Department of Emergency Medicine, University of Rochester Medical Center, 601 Elmwood Avenue, Box 655C, Rochester, NY 14642, USA.

Andrew Chiang (A)

Department of Emergency Medicine, University of Rochester Medical Center, 601 Elmwood Avenue, Box 655C, Rochester, NY 14642, USA. Electronic address: andrew_chiang@urmc.rochester.edu.

Morica Hutchison (M)

Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Boulevard, Rochester, NY 14642, USA. Electronic address: morica_hutchison@urmc.rochester.edu.

Stephen A Maisto (SA)

Department of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY 13244, USA. Electronic address: samaisto@syr.edu.

Tracy Stecker (T)

College of Nursing, Medical University of South Carolina, 99 Jonathan Lucas Street, Room 431, Charleston, SC 29425, USA. Electronic address: stecker@musc.edu.

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