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Article: Binge drinking and axis I psychiatric disorders in community-dwelling middle-aged and older adults: Results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC)

TitleBinge drinking and axis I psychiatric disorders in community-dwelling middle-aged and older adults: Results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC)
Authors
Issue Date2011
PublisherPhysicians Postgraduate Press, Inc. The Journal's web site is located at http://www.psychiatrist.com
Citation
Journal Of Clinical Psychiatry, 2011, v. 72 n. 5, p. 640-647 How to Cite?
AbstractObjective: The aims of this study were to document the sociodemographic correlates of binge drinking in middleaged and older adults and to test the association of binge drinking with the occurrence of DSM-IV mood, anxiety, and alcohol use disorders; smoking; and the use of illicit drugs independently of sociodemographic variables and lifetime diagnosis of the disorder in question. Method: We conducted secondary data analyses based on a subsample of a 3-year prospective, population-based study, the National Epidemiologic Survey on Alcohol and Related Conditions, which consisted of a nationally representative sample of 13,489 American community-dwelling adults aged 50 years and above, interviewed in both 2001-2002 and 2004-2005. This survey assessed the occurrence of 11 DSM-IV mood, anxiety, and alcohol use disorders; nicotine dependence; and the use of illicit drugs during the 3-year follow-up period by using the National Institute on Alcohol Abuse and Alcoholism's Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV Version. Results: We found that, among persons aged 50 years and above, 15.6% of men and 5.7% of women reported binge drinking in the year prior to baseline assessment in 2001-2002. After adjustment was made for covariates, both men who were occasional binge drinkers and men who were frequent binge drinkers were significantly more likely than current male drinkers without binge drinking to have alcohol abuse disorder (adjusted odds ratio [AOR] = 2.90 [95% CI, 1.82-4.62] and AOR = 5.68 [95% CI, 3.79-8.51], respectively) and alcohol dependence disorder (AOR = 3.69 [95% CI, 1.75-7.75] and AOR = 9.21 [95% CI, 5.59-15.18], respectively). Similarly, after adjustment was made for covariates, both women who were occasional binge drinkers and women who were frequent binge drinkers were significantly more likely than current female drinkers without binge drinking to have alcohol abuse disorder (AOR = 4.43 [95% CI, 1.85-10.60] and AOR = 3.49 [95% CI, 1.64-7.43], respectively) and alcohol dependence disorder (AOR = 5.20 [95% CI, 1.56-17.33] and AOR = 19.47 [95% CI, 7.59-49.98], respectively). In addition, in female subjects, occasional binge drinking was associated with an increased risk of panic disorder without agoraphobia (AOR = 2.23; 95% CI, 1.01-4.91) and posttraumatic stress disorder (AOR = 2.67; 95% CI, 1.05-6.84). Conclusions: Binge drinking is strongly associated with a higher risk of alcohol use disorder in middle-aged and older adults in the United States. Results provide valuable information on the risks associated with binge drinking and suggest targets for prevention strategies for mental health in middle and old age. © Copyright 2011 Physicians Postgraduate Press, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/137526
ISSN
2014 Impact Factor: 5.498
2014 SCImago Journal Rankings: 1.852
ISI Accession Number ID
Funding AgencyGrant Number
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
National Institute on Drug Abuse
Funding Information:

None for this analysis. The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) was conducted and funded by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), with supplemental support from the National Institute on Drug Abuse.

References

 

DC FieldValueLanguage
dc.contributor.authorChou, KLen_HK
dc.contributor.authorLiang, Ken_HK
dc.contributor.authorMackenzie, CSen_HK
dc.date.accessioned2011-08-26T14:27:12Z-
dc.date.available2011-08-26T14:27:12Z-
dc.date.issued2011en_HK
dc.identifier.citationJournal Of Clinical Psychiatry, 2011, v. 72 n. 5, p. 640-647en_HK
dc.identifier.issn0160-6689en_HK
dc.identifier.urihttp://hdl.handle.net/10722/137526-
dc.description.abstractObjective: The aims of this study were to document the sociodemographic correlates of binge drinking in middleaged and older adults and to test the association of binge drinking with the occurrence of DSM-IV mood, anxiety, and alcohol use disorders; smoking; and the use of illicit drugs independently of sociodemographic variables and lifetime diagnosis of the disorder in question. Method: We conducted secondary data analyses based on a subsample of a 3-year prospective, population-based study, the National Epidemiologic Survey on Alcohol and Related Conditions, which consisted of a nationally representative sample of 13,489 American community-dwelling adults aged 50 years and above, interviewed in both 2001-2002 and 2004-2005. This survey assessed the occurrence of 11 DSM-IV mood, anxiety, and alcohol use disorders; nicotine dependence; and the use of illicit drugs during the 3-year follow-up period by using the National Institute on Alcohol Abuse and Alcoholism's Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV Version. Results: We found that, among persons aged 50 years and above, 15.6% of men and 5.7% of women reported binge drinking in the year prior to baseline assessment in 2001-2002. After adjustment was made for covariates, both men who were occasional binge drinkers and men who were frequent binge drinkers were significantly more likely than current male drinkers without binge drinking to have alcohol abuse disorder (adjusted odds ratio [AOR] = 2.90 [95% CI, 1.82-4.62] and AOR = 5.68 [95% CI, 3.79-8.51], respectively) and alcohol dependence disorder (AOR = 3.69 [95% CI, 1.75-7.75] and AOR = 9.21 [95% CI, 5.59-15.18], respectively). Similarly, after adjustment was made for covariates, both women who were occasional binge drinkers and women who were frequent binge drinkers were significantly more likely than current female drinkers without binge drinking to have alcohol abuse disorder (AOR = 4.43 [95% CI, 1.85-10.60] and AOR = 3.49 [95% CI, 1.64-7.43], respectively) and alcohol dependence disorder (AOR = 5.20 [95% CI, 1.56-17.33] and AOR = 19.47 [95% CI, 7.59-49.98], respectively). In addition, in female subjects, occasional binge drinking was associated with an increased risk of panic disorder without agoraphobia (AOR = 2.23; 95% CI, 1.01-4.91) and posttraumatic stress disorder (AOR = 2.67; 95% CI, 1.05-6.84). Conclusions: Binge drinking is strongly associated with a higher risk of alcohol use disorder in middle-aged and older adults in the United States. Results provide valuable information on the risks associated with binge drinking and suggest targets for prevention strategies for mental health in middle and old age. © Copyright 2011 Physicians Postgraduate Press, Inc.en_HK
dc.languageengen_US
dc.publisherPhysicians Postgraduate Press, Inc. The Journal's web site is located at http://www.psychiatrist.comen_HK
dc.relation.ispartofJournal of Clinical Psychiatryen_HK
dc.subject.meshAlcoholism - epidemiology-
dc.subject.meshAnxiety Disorders - epidemiology-
dc.subject.meshHealth Surveys-
dc.subject.meshMood Disorders - epidemiology-
dc.subject.meshSubstance-Related Disorders - epidemiology-
dc.titleBinge drinking and axis I psychiatric disorders in community-dwelling middle-aged and older adults: Results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC)en_HK
dc.typeArticleen_HK
dc.identifier.emailChou, KL: klchou@hku.hken_HK
dc.identifier.authorityChou, KL=rp00583en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.4088/JCP.10m06207gryen_HK
dc.identifier.pmid21294995en_HK
dc.identifier.scopuseid_2-s2.0-79959252376en_HK
dc.identifier.hkuros189276en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79959252376&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume72en_HK
dc.identifier.issue5en_HK
dc.identifier.spage640en_HK
dc.identifier.epage647en_HK
dc.identifier.isiWOS:000291240600010-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChou, KL=7201905320en_HK
dc.identifier.scopusauthoridLiang, K=37665184700en_HK
dc.identifier.scopusauthoridMackenzie, CS=9036576200en_HK

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