Stressful life events and transitions in problematic alcohol use involvement among US adults. (6th December 2021)

• Record Type: Journal Article
• Authors: Storr, Carla L.; Reboussin, Beth A.; Green, Kerry M.; Mojtabai, Ramin; Susukida, Ryoko; Young, Andrea S.; Cullen, Bernadette A.; Alvanzo, Anika A. H.; Crum, Rosa M.
• Is Part Of: Substance use & misuse. Volume 56:Number 14(2021)
• Page Start: 2171
• Page End: 2180
• Publication Date: 2021-12-06
• Subjects: Alcohol use disorder -- stressful life events -- latent transition analysis -- latent class analysis -- NESARC; Narcotic habit -- Periodicals; Alcoholism -- Periodicals; Substance abuse -- Periodicals; Behavior, Addictive -- Periodicals; Sustance-Related Disorders -- Periodicals; 362.2905
• DOI: 10.1080/10826084.2021.1975748
• Languages: English
• ISSNs: 1082-6084

Abstract

Abstract: Objective: We investigated the impact of stressful life events (SLEs) for males and females on transitions in problematic alcohol involvement, both progression and recovery, over a 3-year interval. Method: Participants of both Wave 1 (2001–2002) and Wave 2 (2004–2005) of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) were stratified by sex (14, 233 males and 19, 550 females). Latent transition analysis estimated the impact of experiencing ≥3 SLE in the year preceding the Wave 1 interview on the probability of transitioning between three empirically-derived stages of alcohol involvement (patterns of alcohol use disorder [AUD] symptoms), across waves. Propensity score methods adjusted for confounding. Results: For males, three or more SLEs were associated with progression from the moderate to the severe problem stage (odds ratio [OR] = 2.23, 95% confidence interval [CI] = 1.17, 4.26). Among those in the severe problem stage, SLEs negatively impacted recovery regardless of sex. Employment/Financial SLEs were associated with a higher odds of transition from the moderate to the no problem stage (OR = 1.60, 95% CI = 1.03, 2.46) and lower odds of transitions from the severe to the moderate problem stage (OR = 0.40, 95% CI = 0.16, 0.99) among males, and from the severe to the no problem stage (OR = 0.26, 95% CI = 0.07, 0.88) among females. Conclusion: Stressful life events appear to affect transitions in alcohol involvement over time among those who already have alcohol problems, rather than impacting a transition among those without AUD problems.