TY - JOUR PY - 2013// TI - Prospective correlates of drinking cessation: variation across the life course JO - Addiction A1 - Dawson, Deborah A. A1 - Goldstein, Rise B. A1 - Grant, Bridget F. SP - 712 EP - 722 VL - 108 IS - 4 N2 - AIMS: To assess age variation in correlates of drinking cessation. DESIGN: Prospective study of a U.S. general population sample. SETTING: Face-to-face household interviews. PARTICIPANTS: Past-year ≥monthly drinkers interviewed at baseline and 3-year follow-up (n=14,885). MEASUREMENTS: Baseline values and selected changes over follow-up in alcohol consumption, alcohol use disorder (AUD), sociodemographic and health characteristics, other substance use and psychiatric comorbidity were used to predict drinking cessation in three age groups FINDINGS: Correlates of drinking cessation varied over the life course, with pregnancy/presence of an infant, nicotine or drug use disorder, incident AUD, cluster A personality disorder, liver disease and incident retirement being important at younger ages and high-school graduation, family income ≥$70,000, volume of ethanol intake, Asian race/ethnicity, mood disorder and incident cardiovascular disease being significant at older ages. Age-invariant correlates included smoking cessation over follow-up, OR=2.82 (95% CI=1.62-4.92) to 3.45 (2.20-5.39); college education, OR=0.42 (0.27-0.65) to 0.54 (0.36-0.83); Black and Hispanic race/ethnicity, OR = 1.74 (1.18-2.29) to 1.88 (1.21-2.93) and 1.58 (1.11-1.25) to 1.73 (0.83-3.63), respectively, and months since last drink, OR=1.24 (1.13-1.36) to1.29 (1.19-1.39). CONCLUSIONS: Factors associated with ceasing alcohol use in US adults appear to differ over the life course, reflecting age variation in both their prevalence and impact and supporting the importance of role transitions and health problems (the "sick quitter" effect). The most consistent correlates of drinking cessation included factors reflecting ability/inability to give up potentially addictive substances and factors associated with perceived acceptability of drinking and subgroup-specific drinking contexts that might facilitate/impede continued drinking.

Language: en

LA - en SN - 0965-2140 UR - http://dx.doi.org/10.1111/add.12079 ID - ref1 ER -