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Journal Article

Citation

Saitz R, Heeren TC, Zha W, Hingson R. J. Subst. Use 2019; 24(1): 41-46.

Affiliation

Division of Epidemiology and Prevention Research, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD.

Copyright

(Copyright © 2019, Informa Healthcare)

DOI

10.1080/14659891.2018.1497101

PMID

30559602

PMCID

PMC6294137

Abstract

INTRODUCTION: The objective of this research was to study transitions to and from at-risk alcohol use.

METHODS: Logistic regression analyses (done 2015-2016) assessed transitions to and from past-year at-risk drinking in a representative sample of U.S. adults surveyed twice (in 2001-2 and 2004-5).

RESULTS: Among 34,653 adults, 28% reported at-risk use at time 1. Of those, 73% had at-risk use at time 2. Of those without at-risk use at time 1, 15% reported at-risk use at time 2. Positive high-risk drinking transition predictors were, at time 1, being young, male, white, childless, in good to excellent health, ever smoking, using drugs, military membership (time 1 but not 2), and becoming divorced or separated by time 2. Positive low-risk drinking transition predictors were being elderly (age ≥65), female, non-white, never smoking or using drugs, no alcohol use disorder, alcohol treatment, and, after time 1, having children.

CONCLUSIONS: Many adults transition to and from at-risk alcohol use; youth is the strongest positive predictor of transition to at-risk and not transitioning to low-risk drinking. Persons transitioning to legal drinking age are most likely to transition to high-risk and least likely to low-risk drinking.


Language: en

Keywords

Alcohol; Binge; Drinking (drinkers); prevention

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