Socio-demographic risk factors for alcohol and drug dependence: the 10-year follow-up of the national comorbidity survey
June 24th, 2009 Posted by: admin
Aims Continued progress in etiological research and prevention science requires more precise information concerning the specific stages at which socio-demographic variables are implicated most strongly in transition from initial substance use to dependence. The present study examines prospective associations between socio-demographic variables and the subsequent onset of alcohol and drug dependence using data from the National Comorbidity Survey (NCS) and the NCS Follow-up survey (NCS-2).Design The NCS was a nationally representative survey of the prevalence and correlates of DSM-III-R mental and substance disorders in the United States carried out in 1990[ndash]2002. The NCS-2 re-interviewed a probability subsample of NCS respondents a decade after the baseline survey. Baseline NCS socio-demographic characteristics and substance use history were examined as predictors of the first onset of DSM-IV alcohol and drug dependence in the NCS-2.Participants A total of 5001 NCS respondents were re-interviewed in the NCS-2 (87.6% of baseline sample).Findings Aggregate analyses demonstrated significant associations between some baseline socio-demographic variables (young age, low education, non-white ethnicity, occupational status) but not others (sex, number of children, residential area) and the subsequent onset of DSM-IV alcohol or drug dependence. However, conditional models showed that these risk factors were limited to specific stages of baseline use. Moreover, many socio-demographic variables that were not significant in the aggregate analyses were significant predictors of dependence when examined by stage of use.Conclusions The findings underscore the potential for socio-demographic risk factors to have highly specific associations with different stages of the substance use trajectory.
Similar Posts:
- Associations of cohort and socio-demographic correlates with transitions from alcohol use to disorders and remission in metropolitan China
- Epidemiology of Alcohol Abuse and Dependence in Rural Chinese Men
- Sexual orientation, substance use behaviors and substance dependence in the United States
- Gender differences in 16-year trends in assault- and police-related problems due to drinking
- Longitudinal changes in drug use severity and physical health-related quality of life among untreated stimulant users
- Troubled Parents, Motivated Adolescents: Predicting Motivation to Change Substance Use among Runaways
- The utility of online panel surveys versus computer-assisted interviews in obtaining substance-use prevalence estimates in the Netherlands
- Mood-Related Drinking Motives Mediate the Familial Association Between Major Depression and Alcohol Dependence
- Factors associated with substance use problem among Maryland Medicaid enrollees affected by serious mental illness
- Associations Among GABRG1, Level of Response to Alcohol, and Drinking Behaviors