The transition to parenthood, opportunity to drink, drinking, and alcohol use disorder.

Publisher: Elsevier Country of Publication: Ireland NLM ID: 7513587 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-0046 (Electronic) Linking ISSN: 03768716 NLM ISO Abbreviation: Drug Alcohol Depend Subsets: MEDLINE

Publication: Limerick : Elsevier
Original Publication: Lausanne, Elsevier Sequoia.

Alcoholism*/epidemiology ; Alcoholism*/diagnosis; Pregnancy ; Male ; Child ; Female ; Humans ; Marital Status ; Retrospective Studies ; Cross-Sectional Studies ; Divorce ; Alcohol Drinking/epidemiology

Background: This study used life histories from a setting of near universal marriage and childbearing (Nepal) to identify associations between both marital transitions and the transition into parenthood and alcohol use and disorder (AUD).
Methods: A retrospective, cross-sectional survey using life history calendars documented lifetime marital and childbearing histories of 4876 men and 5742 women aged 15-59 in 2016-18. The clinically validated, Nepal-specific Composite International Diagnostic Interview assessed first alcohol use opportunity, use, and disorder.
Results: Being never married increased the odds of having the opportunity to drink for men (OR=1.30, 95% CI=1.14 - 1.48, p < 0.001) and women (OR=1.24, 95% CI=1.08 - 1.43, p = 0.003) compared to being married. While men were never married, widowed, or divorced they were at a greater risk of developing AUD. The transition to parenthood significantly increased the odds of AUD onset for men (OR=1.71, 95% CI=1.12 - 2.61, p = 0.013), independent of marital transitions. For women in this setting, becoming divorced increased the odds of having their first drink (OR=1.77, 95% CI=1.14 - 2.75, p = 0.011). Giving birth to a first child also increased the odds of first opportunity to drink for women (OR=1.30, 95% CI=1.07 - 1.57, p = 0.008).
Conclusions: We found associations between marital transitions and AUD that are consistent with findings worldwide. In this setting of near universal childbearing, the transition into fatherhood increased the odds of postpartum AUD among men.
Competing Interests: Conflict of Interest Axinn, Ghimire, Cole, and Smoller report support from the National Institute of Mental Health (grant number R01MH110872); Axinn and Ghimire report support from a Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) center grant to the Population Studies Center (PSC) at the University of Michigan (grant number P2CHD041028); and Banchoff reports support from an NICHD training grant to the PSC at the University of Michigan (grant number T32HD007339) during the conduct of the study. Ghimire is also the Director of the Institute for Social and Environmental Research–Nepal (ISER-N) that collected the data for the research reported here. Ghimire’s conflict of interest management plan is approved and monitored by the Regents of the University of Michigan. Dr. Smoller is PI of a collaborative study of the genetics of depression and bipolar disorder sponsored by 23andMe for which 23andMe provides analysis time as in-kind support but no payments.
(Copyright © 2022 Elsevier B.V. All rights reserved.)

Addiction. 2021 Apr;116(4):809-818. (PMID: 32770788)
Drug Alcohol Depend. 2012 Oct 1;125(3):295-300. (PMID: 22472644)
Psychol Med. 2020 Feb;50(3):515-522. (PMID: 30854987)
AJS. 2021 May;126(6):1439-1486. (PMID: 34720111)
Dev Psychopathol. 2009 Spring;21(2):661-82. (PMID: 19338703)
Innov Clin Neurosci. 2019 May 1;16(5-6):11-14. (PMID: 31440396)
Psychol Med. 2019 Oct;49(13):2141-2148. (PMID: 30355386)
J Affect Disord. 2000 Nov;60(2):75-85. (PMID: 10967366)
Am J Psychiatry. 2016 Sep 1;173(9):911-8. (PMID: 27180900)
J Off Stat. 2012 Jun;28(2):153-171. (PMID: 23420645)
J Stud Alcohol. 1991 Sep;52(5):434-40. (PMID: 1943098)
Addict Behav. 2020 Mar;102:106128. (PMID: 31865172)
J Affect Disord. 2016 Jan 15;190:675-686. (PMID: 26590515)
Psychol Med. 2021 Dec;51(16):2825-2834. (PMID: 32476631)
J Psychiatr Res. 2018 Sep;104:235-248. (PMID: 30114665)
JAMA. 2010 May 19;303(19):1961-9. (PMID: 20483973)
Demography. 2016 Oct;53(5):1351-1375. (PMID: 27624319)
J Affect Disord. 2020 Apr 1;266:165-172. (PMID: 32056872)
Int J Methods Psychiatr Res. 2013 Mar;22(1):71-81. (PMID: 23494758)
J Health Soc Behav. 1996 Dec;37(4):339-49. (PMID: 8997889)
Int J Methods Psychiatr Res. 2006;15(4):167-80. (PMID: 17266013)
J Affect Disord. 2016 Dec;206:189-203. (PMID: 27475890)
Women Health. 2013;53(5):479-503. (PMID: 23879459)
Drug Alcohol Depend. 2019 Apr 1;197:326-334. (PMID: 30878883)
Drug Alcohol Depend. 2021 Aug 1;225:108745. (PMID: 34051548)
Drug Alcohol Depend. 2019 Dec 1;205:107669. (PMID: 31698324)
Int J Methods Psychiatr Res. 2004;13(2):93-121. (PMID: 15297906)
Am J Psychiatry. 2017 May 1;174(5):451-458. (PMID: 28103713)
Psychol Med. 2004 Aug;34(6):1001-11. (PMID: 15554571)
Am J Epidemiol. 1992 May 1;135(9):1051-9. (PMID: 1595691)
J Womens Health (Larchmt). 2009 Apr;18(4):475-86. (PMID: 19361314)
Addiction. 2009 Aug;104(8):1313-23. (PMID: 19438840)
Compr Psychiatry. 2009 Jul-Aug;50(4):299-306. (PMID: 19486727)
Alcohol Alcohol. 2019 Jan 01;54(1):87-96. (PMID: 30260382)
J Stud Alcohol Suppl. 1999 Mar;13:139-46. (PMID: 10225498)
BMC Psychiatry. 2015 Jul 14;15:158. (PMID: 26169683)
Annu Rev Clin Psychol. 2007;3:285-310. (PMID: 17716057)
Subst Use Misuse. 2011;46(9):1169-78. (PMID: 21417555)

P2C HD041028 United States HD NICHD NIH HHS; R01 HD099135 United States HD NICHD NIH HHS; R01 MH110872 United States MH NIMH NIH HHS; T32 HD007339 United States HD NICHD NIH HHS

Keywords: Alcohol use disorders; Alcohol use transitions; Marital experience; Parenthood

Date Created: 20221124 Date Completed: 20221216 Latest Revision: 20240617

20240617

PMC10314724

10.1016/j.drugalcdep.2022.109697

36423463