Evidence map›Paper›PMID 31984526›Full record

ArticleAlcoholism, clinical and experimental research2020

Characterization of Service Use for Alcohol Problems Across Generations and Sex in Adults With Alcohol Use Disorder.

Jessica L Bourdon, Rebecca Tillman, Meredith W Francis, Danielle M Dick, Mallory Stephenson, Chella Kamarajan, Howard J Edenberg, John Kramer, Samuel Kuperman, Kathleen K Bucholz and 1 more

Abstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Alcohol use disorder, psychiatric comorbidities, marriage and divorce in a high-risk sample.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022
    Article
  8. Article
  9. Integrating time into stigma and health research.Nature reviews psychology · 2022
    Review
  10. Article
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

11 authors.

Jessica L BourdonFrom the, Washington University in St. Louis, (JLB, RT, MWF, KKB, VVM), St. Louis, Missouri.ORCID 0000-0002-7291-1431
Rebecca TillmanFrom the, Washington University in St. Louis, (JLB, RT, MWF, KKB, VVM), St. Louis, Missouri.
Meredith W FrancisFrom the, Washington University in St. Louis, (JLB, RT, MWF, KKB, VVM), St. Louis, Missouri.
Danielle M DickVirginia Commonwealth University, (DMD, MS), Richmond, Virginia.ORCID 0000-0002-1636-893X
Mallory StephensonVirginia Commonwealth University, (DMD, MS), Richmond, Virginia.
Chella KamarajanSUNY Downstate Health Sciences University, (CK), Brooklyn, New York.ORCID 0000-0003-2291-6880
Howard J EdenbergIndiana University School of Medicine, (HJE), Indianapolis, Indiana.ORCID 0000-0003-0344-9690
John KramerUniversity of Iowa, (JK, SK), Iowa City, Iowa.ORCID 0000-0002-1321-7087
Samuel KupermanUniversity of Iowa, (JK, SK), Iowa City, Iowa.
Kathleen K BucholzFrom the, Washington University in St. Louis, (JLB, RT, MWF, KKB, VVM), St. Louis, Missouri.
Vivia V McCutcheonFrom the, Washington University in St. Louis, (JLB, RT, MWF, KKB, VVM), St. Louis, Missouri.

Funding

Subject CollectionU10AA008401 · NIAAA · SUNY DOWNSTATE MEDICAL CENTER · PI JESSICA E SALVATORE · 1989 to 2026
$162.7M
National Centralized Repository for Alzheimer's Disease and Related Dementias (NCRAD)U24AG021886 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI TATIANA M. FOROUD · 2002 to 2026
$119.8M
Research Training: Psychiatric &Statistical GeneticsT32MH020030 · NIMH · VIRGINIA COMMONWEALTH UNIVERSITY · PI HERMINE H MAES, MICHAEL CHURTON NEALE · 1999 to 2026
$6.7M
Transdisciplinary Training in Addictions ResearchT32DA015035 · NIDA · WASHINGTON UNIVERSITY · PI Leopoldo J Cabassa, Patricia A Cavazos-Rehg · 2002 to 2026
$5.3M
NIAAA NIH HHS U10 AA008401NIA NIH HHS U24 AG021886NIDA NIH HHS T32 DA015035NIMH NIH HHS T32 MH020030
6 · The paper itself

Abstract

backgroundThere are gaps in the literature on service use (help-seeking and treatment utilization) for alcohol problems among those with alcohol use disorder (AUD). First, policy changes and cultural shifts (e.g., insurance) related to AUD have occurred over the last few decades, making it important to study generational differences. Second, multiple studies have found that females receive fewer services than males, and exploring whether these sex differences persist across generations can inform public health and research endeavors. The current study examined service use for alcohol problems among individuals with AUD. The aims were as follows: (i) to describe service use for alcohol problems; (ii) to assess generational differences (silent [b. 1928 to 1945], boomer [b. 1946 to 1964], generation X [b. 1965 to 1980], millennial [b. 1981 to 1996]) in help-seeking and treatment utilization; and (iii) to examine sex differences across generations.

methodsData were from affected family members of probands who participated in the Collaborative Study on the Genetics of Alcoholism (N = 4,405). First, frequencies for service use variables were calculated across generations. Pearson chi-square and ANOVA were used to test for differences in rates and types of service use across generations, taking familial clustering into account. Next, Cox survival modeling was used to assess associations of generation and sex with time to first help-seeking and first treatment for AUD, and time from first onset of AUD to first help-seeking and first treatment. Interactions between generation and sex were tested within each Cox regression.

resultsSignificant hazards were found in all 4 transitions. Overall, younger generations used services earlier than older generations, which translated into higher likelihoods of these behaviors. Regardless of generation, younger females were less likely to use services than males.

conclusionsThere are generational and sex differences in service use for alcohol problems among individuals with AUD. Policy and clinical implications are discussed.

Indexed as

Help-Seeking BehaviorAdultAge FactorsAlcoholismCohort EffectFamilyFemaleHumansMaleMiddle AgedPatient Acceptance of Health CareSex FactorsAlcohol Use DisorderGenerationService UseSex Differences

Identifiers

PMID31984526
PMCPMC7069784

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.