Associations Between a History of Binge Drinking During Adolescence and Self-Reported Responses to Alcohol in Young Adult Native and Mexican Americans

Ehlers, Cindy L.; Stouffer, Gina M.; Gilder, David A.

doi:10.1111/acer.12466

Cited by 16 publications

(16 citation statements)

References 55 publications

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“…The lifetime prevalence of substance dependence in this sample and associations with acculturation stress and other comorbid mental disorders has been previously reported (Criado and Ehlers, 2007; Criado et al, 2013; Ehlers and Phillips, 2007; Ehlers et al, 2009, 2010, 2011, 2012, 2014; Gilder et al, 2007; Norden-Krichmar et al, 2014). Specifically, lifetime diagnoses of alcohol dependence, substance dependence, and anxiety disorders were associated with elevations in acculturation stress.…”

Section: Introductionsupporting

confidence: 59%

Lifetime history of traumatic events in a young adult Mexican American sample: Relation to substance dependence, affective disorder, acculturation stress, and PTSD

Ehlers

Kim

Gilder

et al. 2016

Journal of Psychiatric Research

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Mexican Americans comprise one of the most rapidly growing populations in the United States, and within this population, trauma and post-traumatic stress disorder (PTSD) are associated with physical and mental health problems. Therefore, efforts to delineate factors that may uniquely contribute to increased likelihood of trauma, PTSD, and substance use disorders over the lifetime in Mexican Americans are important to address health disparities and to develop treatment and prevention programs. Six hundred fourteen young adults (age 18–30 yrs) of Mexican American heritage, largely second generation, were recruited from the community and assessed with the Semi-Structured Assessment for the Genetics of Alcoholism and an acculturation stress scale. More males (51.2%) reported experiencing traumas than females (41.1%), however, a larger proportion of females received a PTSD diagnosis (15%) than males (8%). Alcohol dependence and affective disorders, but not anxiety disorders, antisocial disorders, nicotine, marijuana, or stimulant dependence, were significantly comorbid with PTSD. Endorsing higher levels of acculturation stress was also significantly associated with both trauma exposure and a diagnosis of PTSD. Logistic regression revealed that female gender, having an affective disorder, alcohol dependence, higher levels of acculturation stress, and lower levels of education were all predictors of PTSD status. Additionally, alcohol dependence generally occurred after the PTSD diagnosis in early adulthood in this high-risk population. These studies suggest that treatment and prevention efforts should particularly focus on young adult second generation Mexican American women with higher levels of acculturation stress, who may be at higher risk for PTSD, affective disorder, and alcohol dependence following trauma exposure.

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Section: Introductionsupporting

confidence: 59%

Lifetime history of traumatic events in a young adult Mexican American sample: Relation to substance dependence, affective disorder, acculturation stress, and PTSD

Ehlers

Kim

Gilder

et al. 2016

Journal of Psychiatric Research

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“…The present study is similar to previous research which reported that a history of self-reported health status could facilitate increased reporting of alcohol use [14]. Another study conducted by Wellman, Contreras, Dugas, and O'Loughlin [36] found a correlation between negative self-reported health status and increased alcohol use in young adults.…”

Section: Discussionsupporting

confidence: 91%

“…Others have shown that consuming alcohol at an early age is correlated with risk propensity for suicide, violence, delinquency, and other unproductive behaviors [11,12]. Also, individuals who start drinking prior to age 21 tend to be more likely to engage in alcohol use than those who delay consuming alcohol until at least age 21 [13,14]. In addition, early alcohol initiation predicts vulnerability for current, recurrent and lifetime alcohol use disorders [15].…”

Section: Introductionmentioning

confidence: 99%

Social Determinants of Alcohol Use and Heaving Episodic Drinking Among Hispanic Young Adults

King¹,

Frank²,

Vidourek³

et al. 2018

J Behav Health

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Background: Although there are numerous preventive measures in the literature, a vast percentage of Hispanic young adults continue to engage in alcohol use and heavy episodic drinking. The purpose of the study was to examine social determinants of recent alcohol use and heavy episodic drinking among Hispanic young adults 18-25 years of age. Methods: In 2016, a secondary analysis (N = 3,452) was performed of 2012 National Survey on Drug Use and Health data. A series of logistic regression analyses were performed to determine whether recent alcohol use and heavy episodic drinking differed based on sex, education level, family income, employment status, location of residence (type of metro area), self-reported health status, first use of alcohol before age 21, first use of tobacco before age 21 and first use of marijuana before age 21. Results: Regarding alcohol use, 51.8% of Hispanic young adults reported that they had consumed alcohol in the past month and 35.0% reported that they had engaged in heavy episodic drinking. Hispanic young adults at highest risk for recent alcohol use were male, had some college or more, had high family income, were employed, lived in a large metropolitan area, had excellent/very good health status, and had early initiation of substance use. Those at highest risk for heavy episodic drinking were male, were employed, and had early initiation of substance use. Conclusion:The present study found that a sizeable percentage of Hispanic young adults are involved in recent alcohol use and heavy episodic drinking. Since Hispanic young adults are disproportionately at risk for substance use and scarce resources are available to effectively address the needs of this population, further interventions are warranted. Findings may aid prevention scientists in developing, implementing and evaluating alcohol use programs for this population.

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“…7,13,22–27 The purpose of the present set of analyses was to investigate: (1) the prevalence of, and levels of drinking (quantity and frequency) in, the 3 DSM-5 AUDs (mild moderate, severe) in the two populations evaluated and (2) the clinical course of AUD as defined by the age of onset, occurrence, sequence, and progression of 36 alcohol-related life events, in non-treatment seeking young adult Mexican and Native American males and females. Additionally, we evaluated whether the sequence of occurrence of these AUD associated life events differed depending on whether the individual had a diagnosis of mild, moderate, or severe AUD.…”

Section: Introductionmentioning

confidence: 99%

The clinical course of DSM-5 alcohol use disorders in young adult native and Mexican Americans

et al. 2015

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Background and Objectives To determine if the clinical course of DSM-5 alcohol use disorders (AUD) in select populations of young adults (18–30 yrs) differed based on gender, diagnostic severity (mild, moderate, severe) and ethnicity. Methods Native Americans (NA) and Mexican Americans (MA) (n= 1129) were recruited from the community and completed a structured diagnostic interview. Participants with DSM-5 AUDs were compared based on gender, severity of the disorder (mild, moderate, severe), and ethnicity for differences in drinking levels, as well the clinical course of AUD as defined by the occurrence and sequence of 36 alcohol-related life events. Results Seventy percent of the NA men, 64% of the NA women, 56% of the MA men, and 42% of the MA women met lifetime diagnostic criteria for a DSM-5 AUD. NA reported more alcohol-related life events and at an earlier age than MA. A high degree of similarity in the clinical course was found between men and women and between those with severe or moderate disorder, but not with those with mild disorder. Conclusions NA had higher drinking levels and more alcohol problems at an earlier age than MA. A similar clinical course was seen based on gender and ethnicity in these young adults, but not based on diagnostic severity. Scientific Significance The DSM-5 mild AUD category differs from the moderate and severe categories on drinking history, clinical course, gender and ethnic distribution. Mild AUD may not be in the same clinical continuum as moderate and severe AUD in these populations.

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Associations Between a History of Binge Drinking During Adolescence and Self-Reported Responses to Alcohol in Young Adult Native and Mexican Americans

Cited by 16 publications

References 55 publications

Lifetime history of traumatic events in a young adult Mexican American sample: Relation to substance dependence, affective disorder, acculturation stress, and PTSD

Lifetime history of traumatic events in a young adult Mexican American sample: Relation to substance dependence, affective disorder, acculturation stress, and PTSD

Social Determinants of Alcohol Use and Heaving Episodic Drinking Among Hispanic Young Adults

The clinical course of DSM-5 alcohol use disorders in young adult native and Mexican Americans

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