Impact of early, weekly drinking on latent classes of alcohol involvement progression and recovery: Evidence from the NESARC Waves 1 and 2

Introduction: Early drinkers have been found to have higher risk of developing alcohol use disorder; however, the association of early drinking with progression to problematic alcohol involvement that does not meet disorder criteria (i.e., subclinical problems) or to severe stages of alcohol involve...

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Main Authors: Kerry M. Green, Beth A. Reboussin, Carla L Storr, Ramin Mojtabai, Ryoko Susukida, Andrea S. Young, Bernadette A. Cullen, Amanda Luken, Masoumeh Amin-Esmaeili, Rosa M. Crum
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Addictive Behaviors Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352853222000050
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author Kerry M. Green
Beth A. Reboussin
Carla L Storr
Ramin Mojtabai
Ryoko Susukida
Andrea S. Young
Bernadette A. Cullen
Amanda Luken
Masoumeh Amin-Esmaeili
Rosa M. Crum
author_facet Kerry M. Green
Beth A. Reboussin
Carla L Storr
Ramin Mojtabai
Ryoko Susukida
Andrea S. Young
Bernadette A. Cullen
Amanda Luken
Masoumeh Amin-Esmaeili
Rosa M. Crum
author_sort Kerry M. Green
collection DOAJ
description Introduction: Early drinkers have been found to have higher risk of developing alcohol use disorder; however, the association of early drinking with progression to problematic alcohol involvement that does not meet disorder criteria (i.e., subclinical problems) or to severe stages of alcohol involvement, sex-specific associations, and relationship of early drinking with alcohol recovery have rarely been investigated. Methods: Using data from Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), we applied latent transition analyses to investigate the impact of weekly drinking before age 18 on alcohol progression and recovery operationalized as three classes of alcohol involvement using abuse and dependence indicators. We analyzed data separately for male (n = 12,276) and female (n = 14,750) drinkers and applied propensity score methods to address confounding. Results: We observed significant associations between early, weekly drinking and alcohol involvement class membership at Wave 1 for both males and females. For males, early, weekly drinking was also associated with greater odds of transitioning from moderate to severe alcohol problems (aOR = 3.19, 95% CI = 1.72, 5.35). For females, early, weekly drinking predicted the transition from no to severe problems (aOR = 2.98, 95% CI = 1.11–8.00). Contrary to our hypothesis, early, weekly drinking was associated with greater likelihood of transition from severe to no problems for males (aOR = 3.23, 95% CI = 1.26, 8.26). Discussion: Frequent, early drinking seems to be an important indicator of drinking progression with differential associations by sex. This information is useful to identify those at greater risk of progressing to severe drinking problems to intervene appropriately.
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spelling doaj.art-e8791dc7000c435c9c894c8dfdb5dc0e2022-12-22T03:30:36ZengElsevierAddictive Behaviors Reports2352-85322022-06-0115100410Impact of early, weekly drinking on latent classes of alcohol involvement progression and recovery: Evidence from the NESARC Waves 1 and 2Kerry M. Green0Beth A. Reboussin1Carla L Storr2Ramin Mojtabai3Ryoko Susukida4Andrea S. Young5Bernadette A. Cullen6Amanda Luken7Masoumeh Amin-Esmaeili8Rosa M. Crum9Department of Behavioral and Community Health, University of Maryland School of Public Health, 4200 Valley Drive, College Park, MD 20742, USA; Corresponding author at: Department of Behavioral and Community Health, University of Maryland School of Public Health, 4200 Valley Drive, College Park, MD 20742, USA.Department of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC 27157, USADepartment of Family and Community Health, University of Maryland Baltimore School of Nursing, 655 West Lombard Street, Baltimore 21201, USADepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA; Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD 21205, USADepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USADepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA; Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD 21205, USADepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA; Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD 21205, USADepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USADepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA; Iranian National Center for Addiction Studies (INCAS), Tehran University of Medical Sciences, No. 486, South Karegar Avenue, Tehran, IranDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA; Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 2024 East Monument Street, Baltimore, MD 21287, USAIntroduction: Early drinkers have been found to have higher risk of developing alcohol use disorder; however, the association of early drinking with progression to problematic alcohol involvement that does not meet disorder criteria (i.e., subclinical problems) or to severe stages of alcohol involvement, sex-specific associations, and relationship of early drinking with alcohol recovery have rarely been investigated. Methods: Using data from Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), we applied latent transition analyses to investigate the impact of weekly drinking before age 18 on alcohol progression and recovery operationalized as three classes of alcohol involvement using abuse and dependence indicators. We analyzed data separately for male (n = 12,276) and female (n = 14,750) drinkers and applied propensity score methods to address confounding. Results: We observed significant associations between early, weekly drinking and alcohol involvement class membership at Wave 1 for both males and females. For males, early, weekly drinking was also associated with greater odds of transitioning from moderate to severe alcohol problems (aOR = 3.19, 95% CI = 1.72, 5.35). For females, early, weekly drinking predicted the transition from no to severe problems (aOR = 2.98, 95% CI = 1.11–8.00). Contrary to our hypothesis, early, weekly drinking was associated with greater likelihood of transition from severe to no problems for males (aOR = 3.23, 95% CI = 1.26, 8.26). Discussion: Frequent, early drinking seems to be an important indicator of drinking progression with differential associations by sex. This information is useful to identify those at greater risk of progressing to severe drinking problems to intervene appropriately.http://www.sciencedirect.com/science/article/pii/S2352853222000050Age of OnsetAlcohol Use DisorderLatent Transition AnalysesPopulation-Based DataSex Differences
spellingShingle Kerry M. Green
Beth A. Reboussin
Carla L Storr
Ramin Mojtabai
Ryoko Susukida
Andrea S. Young
Bernadette A. Cullen
Amanda Luken
Masoumeh Amin-Esmaeili
Rosa M. Crum
Impact of early, weekly drinking on latent classes of alcohol involvement progression and recovery: Evidence from the NESARC Waves 1 and 2
Addictive Behaviors Reports
Age of Onset
Alcohol Use Disorder
Latent Transition Analyses
Population-Based Data
Sex Differences
title Impact of early, weekly drinking on latent classes of alcohol involvement progression and recovery: Evidence from the NESARC Waves 1 and 2
title_full Impact of early, weekly drinking on latent classes of alcohol involvement progression and recovery: Evidence from the NESARC Waves 1 and 2
title_fullStr Impact of early, weekly drinking on latent classes of alcohol involvement progression and recovery: Evidence from the NESARC Waves 1 and 2
title_full_unstemmed Impact of early, weekly drinking on latent classes of alcohol involvement progression and recovery: Evidence from the NESARC Waves 1 and 2
title_short Impact of early, weekly drinking on latent classes of alcohol involvement progression and recovery: Evidence from the NESARC Waves 1 and 2
title_sort impact of early weekly drinking on latent classes of alcohol involvement progression and recovery evidence from the nesarc waves 1 and 2
topic Age of Onset
Alcohol Use Disorder
Latent Transition Analyses
Population-Based Data
Sex Differences
url http://www.sciencedirect.com/science/article/pii/S2352853222000050
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