Evidence map›Paper›PMID 28129438›Full record

ArticleAlcoholism, clinical and experimental research2017

Association Between Lifetime Posttraumatic Stress Disorder and Past Year Alcohol Use Disorder Among American Indians/Alaska Natives and Non-Hispanic Whites.

Marc A Emerson, Roland S Moore, Raul Caetano

Abstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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  18. Historical trauma and substance use among American Indian people with current substance use problems.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Marc A EmersonDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Roland S MoorePrevention Research Center, Pacific Institute for Research and Evaluation, Oakland, California.ORCID 0000-0003-1072-2755
Raul CaetanoPrevention Research Center, Pacific Institute for Research and Evaluation, Oakland, California.
Institute for Research and Evaluation · USUniversity of North Carolina at Chapel Hill · US

Funding

Strategies for Preventing Underage Drinking and Other Substance Use in Native American Tribal CommunitiesR01AA023755 · NIAAA · PACIFIC INSTITUTE FOR RES AND EVALUATION · PI MOORE, ROLAND S · 2016 to 2020
$3.4M
Preventing Underage Drinking by Southwest California IndiansR01AA016479 · NIAAA · PACIFIC INSTITUTE FOR RES AND EVALUATION · PI MOORE, ROLAND S · 2010 to 2013
$2.8M
Preventing Underage Drinking by Southwest California Indians: Building CapacityU01AA016479 · NIAAA · PACIFIC INSTITUTE FOR RES AND EVALUATION · PI MOORE, ROLAND S · 2006 to 2009
$2.6M
NIAAA NIH HHS R01 AA016479NIAAA NIH HHS R01 AA023755NIAAA NIH HHS U01 AA016479
6 · The paper itself

Abstract

backgroundPosttraumatic stress disorder (PTSD) and alcohol use disorder disproportionately impact certain populations including American Indians/Alaska Natives (AIAN). While PTSD and alcohol use disorder have been studied both separately and in tandem, less is known about the association in AIAN. The objective was to examine the association between lifetime PTSD and past year alcohol use disorder among AIAN and non-Hispanic Whites (NHW).

methodsData come from the 2012 to 2013 U.S. National Epidemiologic Survey on Alcohol and Related Conditions-III. We used logistic regression to estimate odds of AUD among adults with and without PTSD by race.

resultsA total of 19,705 participants, of whom 511 were AIAN and 19,194 were NHW, were included in this study. The percentage of PTSD among AIAN was 22.9% (n = 117) compared to 11.7% (n = 2,251) in NHW (p-value <0.0001). The percentage of past year alcohol use disorder among AIAN was 20.2% (n = 103) compared to 14.2% (n = 2,725) in NHW (p-value <0.0001). The percentage of comorbid past year alcohol use disorder with lifetime PTSD among AIAN was 6.5% (n = 33) compared to 2.4% (n = 457) in NHW (p-value <0.0001). Regarding the joint distribution of PTSD and AUD, AIAN men have greater than 3 times the percentage compared to NHW men (9.5% vs. 3.1%). When stratifying by race (after adjusting for age, sex, depression, and education), among AIAN, the odds of past year alcohol use disorder with (vs. without) lifetime PTSD were 1.76 (95% CI 1.07, 2.90) and among NHW, the odds were 1.59 (95% CI 1.41, 1.80).

conclusionsPTSD is significantly associated with alcohol use disorder in the study populations. Despite a lack of pre-PTSD measures of alcohol use disorder, these findings show a trend indicating that AIAN exposed to PTSD are more burdened with alcohol use disorder compared to NHW in the general U.S. POPULATION:

Indexed as

Alcohol-Related DisordersAmerican Indian or Alaska NativeStress Disorders, Post-TraumaticStress, PsychologicalWhiteAdultFemaleHealth SurveysHumansMaleMiddle AgedRetrospective StudiesAIANAlcohol Use DisordersAmerican Indians and Alaska NativesNESARC-IIIPTSD

Identifiers

PMID28129438
PMCPMC5332276
OpenAlexW2583046631

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.