Alcohol consumption and problems in the general population : findings from the 1992 National Longitudinal Alcohol Epidemiologic Survey

484 Pages·2002·33.9 MB·English

by  National Institutes of Health (U.S.)

National Institute on Alcohol Abuse and Alcoholism
Alcohol Consumption and Problems
in the General Population
From
Findings the
1992 National Longitudinal
Alcohol Epidemiologic Survey
U.S. DEPARTMENT OF HEALTH AND HUMAN SER\TCES
Public Health Senice
National InstitutesofHealth
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Alcohol Consumption and Problems in the
General Population: Findings from the
1992 National Longitudinal Alcohol
Epidemiologic Survey
NATIONAL INSTITUTES OF HEALTH
NIH LIBRARY
June 2002 SEP 1 h 2007
BLDG 10. 10 CENTER DR
BETHESDA, MD. 20892-1150
National Institutes ofHealth
National Institute on Alcohol Abuse and Alcoholism
6000 Executive Boulevard
MD
Bethesda, 20892-7003
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Acknowledgment
The National Institute on Alcohol Abuse and Alcoholism gratefully acknowledges the Census Bureau Field
Representatives who collected data for the National Longitudinal Alcohol Epidemiologic Survey (NLAES) in 1992
and those who made the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) in
2001-2002 the landmark studyit is today.
Through their dedication and generosity, the Census Bureau Field Representatives and NLAES and
NESARC participants have greatly contributed to reducing the pain and suffering ofAmericans and their families
who have struggled with alcohol, drug, and mental health problems. Their contribution to advancing science in
these areas is immeasurable.
The NLAES and NESARC also could nothave succeededwithout the 86,000 Americanswho participated in
thesurveys. Theircooperationandwillingnesstosacrifice theirtime toservethepublichealthare admirableandlaudable.
The articles appearing in this publication are copyrighted. Further
reproduction ofthese copyrighted materials is prohibited without specific
permission from the copyright holder.
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Table of Contents
FOREWORD
vii
LIST OF CONTRIBUTORS ix
INTRODUCTION
xi
CHAPTER
I
ALCOHOL CONSUMPTION PATTERNS
Subgroup Variation in U.S. Drinking Patterns:
Results ofthe 1992 National Longitudinal Alcohol Epidemiologic Study 3
Deborah A. Dawson, Bridget F. Grant, S. Patricia Chou, and Roger P. Pickering
Beyond Black, White and Hispanic:
Race, Ethnic Origin and Drinking Patterns in the United States 13
Deborah A. Dawson
Temporal Drinking Patterns andVariation in Social Consequences 25
Deborah A. Dawson
DrinkingPatterns Among Individuals With andWithout DSM-LV
Alcohol Use Disorders 37
DeborahA. Dawson
CFIAPTER 2
ALCOHOL DEPENDENCE AND ABUSE
PrevalenceofDSM-LVAlcoholAbuseand Dependence: United States, 1992 51
Bridget F. Grant, Thomas C. Harford, DeborahA. Dawson, Patricia Chou, Mary Dufour, and Roger Pickering
Prevalence and Correlates ofAlcohol Use and DSM-LVAlcohol
Dependence in the United States: Results ofthe National Longitudinal
Alcohol Epidemiologic Survey 59
Bridget F. Grant
Gender Differences in the Risk ofAlcohol Dependence: United States, 1992 71
Deborah Dawson
Age at Onset ofAlcohol Use and Its Association With DSM-LVAlcohol
Abuse and Dependence: Results From the National Longitudinal Alcohol
Epidemiologic Survey 83
Bridget F. Grant and Deborah A. Dawson
1
1992 NationalLongitudinalAlcoholEpidemiologicSurvey
Comorbidity Between DSM-IVAlcohol and Drug Use Disorders:
Results from the National Longitudinal Alcohol Epidemiologic Survey 89
Bridget F. Grant and Roger P. Pickering
Alcohol and DrugUse, Abuse, andDependenceAmongWelfare Recipients 97
Bridget F. Grant and Deborah A. Dawson
CHAPTER
3
MEDICAL CONSEQUENCES OF ALCOHOL CONSUMPTION
—
Medical Consequences ofAlcohol Consiunption United States, 1992 105
S. Patricia Chou, Bridget F. Grant, and DeborahA. Dawson
Alcoholic Beverage Preference and Risks ofAlcohol-Related Medical
Consequences: A Preliminary Report From the National Longitudinal
Alcohol Epidemiologic Survey 113
S. Patricia Chou, Bridget F. Grant, and DeborahA. Dawson
CHAPTER
4
FAMILY HISTORY OF ALCOHOL PROBLEMS
Estimates ofU.S. Children Exposed to Alcohol Abuse and Dependence
in the Family 123
Bridget F. Grant
The Impact ofa Family History ofAlcoholism on the Relationship
Between Age at Onset ofAlcohol Use and DSM-IV Alcohol Dependence:
Results From the National Longitudinal Alcohol Epidemiologic Survey 129
Bridget F. Grant
The Link Between Family History and Early OnsetAlcoholism:
Earlier Initiation ofDrinking or More Rapid Development ofDependence? 135
DeborahA. Dawson
CHAPTER
5
ALCOHOL AND DEPRESSION
Comorbidity Between DSM-IVAlcohol Use Disorders and Major
Depression: Results ofa National Survey 149
Bridget F. Grant and Thomas C. Harford
The Relationship Between DSM-IVAlcohol Use Disorders and
DSM-IVMajor Depression: Examination ofthe Primary-Secondary
Distinction in a General Population Sample 161
Bridget F. Grant, Deborah S. Hasin, and DeborahA. Dawson
Gender Differences in DSM-IVAlcohol Use Disorders and Major
Depression as Distributed in the General Population: Clinical Implications 175
Eleanor Z. Hanna and Bridget F. Grant
ii
Table ofContents
Family History ofAlcoholism and Gender: Their Combined Effects on
DSM-IVAlcohol Dependence and Major Depression 187
DeborahA. Dawson and Bridget F. Grant
Familial Aggregation ofDSM-IVAlcohol Use Disorders: Examination
ofthe Primary-Secondary Distinction in a General Population Sample 199
Bridget F. Grant and Roger Paul Pickering
CHAPTER
6
ALCOHOL AND SMOKING
Drinking as a Risk Factor for Sustained Smoking 211
Deborah A. Dawson
Age at Smoking Onset and Its Association With Alcohol Consumption
and DSM-IVAlcoholAbuse and Dependence: Results From the National
Longitudinal Alcohol Epidemiologic Survey 227
Bridget F. Grant
CHAPTER
7
DRUG DEPENDENCE AND ABUSE
Prevalence and Correlates ofDrug Use and DSM-IV Drug Dependence
in the United States: Results ofthe National Longitudinal Alcohol
Epidemiologic Survey 239
Bridget F. Grant
Age ofOnset ofDrug Use and Its Association With DSM-IV DrugAbuse
and Dependence: Results From the National Longitudinal Alcohol
Epidemiologic Survey 251
Bridget F. Grant and DeborahA. Dawson
The Relationship Between Cannabis Use and DSM-IV Cannabis Abuse and
Dependence: Results From the National Longitudinal Alcohol
Epidemiologic Survey 259
Bridget F. Grant and Roger Pickering
Parallels to Early OnsetAlcohol Use in the Relationship ofEarly Onset
SmokingWith Drug Use and DSM-IV Drug and Depressive Disorders:
Findings From the National Longitudinal Epidemiologic Survey 267
Eleanor Z. Hanna and Bridget F. Grant
CHAPTER
8
OTHERALCOHOL-RELATED PROBLEMS
Alternative Definitions ofHigh Risk for Impaired Driving: The Overlap
ofHigh Volume, Frequent Heavy Drinking andAlcohol Dependence 281
Deborah A. Dawson
1992 NationalLongitudinalAlcoholEpidemiologicSurvey
Suicidal Ideation Among the United States Drinking Population:
Results From the National Longitudinal Alcohol Epidemiologic Siu^ey 291
Bridget F. Grant and Deborah S. Hasin
Alcohol, Drugs, Fighting and Suicide Attempt/Ideation 301
DeborahA. Dawson
CHAPTER
9
TREATMENT AND ALCOHOL DEPENDENCE
Toward an Alcohol Treatment Model: A Comparison ofTreated and
Untreated Respondents With DSM-IVAlcohol Use Disorders in the
General Population 317
Bridget F. Grant
Correlates ofPast-Year Status Among Treated and Untreated Persons
With FormerAlcohol Dependence: United States, 1992 327
DeborahA. Dawson
Gender Differences in the Probability ofAlcohol Treatment 339
Deborah A. Dawson
Symptoms and Characteristics ofIndividuals With Different Types of
Recovery From DSM-IVAlcohol Dependence 351
Deborah A. Dawson
The Influence ofComorbid Major Depression and Substance Use Disorders
on Alcohol and Drug Treatment: Results ofa National Survey 363
BridgetF. Grant
Barriers to Alcoholism Treatment: Reasons for Not Seeking Treatment
in a General Population Sample 369
Bridget F. Grant
Variations in the Prevalence ofAlcohol Use Disorders and Treatment
by Insurance Status 377
Bridget Grant
CHAPTER
10
GUIDELINES FORPUBLIC HEALTH
ReducingAlcohol Use Disorders via Decreased Consumption:
A Comparison ofPopulation and High-Risk Strategies 383
Deborah A. Dawson, Loran D. Archer, and Bridget F. Grant
U.S. Low-Risk Drinking Guidelines: An Examination ofFour
Alternatives 393
DeborahA. Dawson
IV