At-Risk Drinking in US Adults with Health Conditions: Differences by Gender, Race, and Ethnicity in the National Survey of Drug Use and Health, 2015-2019.

Publisher: Springer International Publishing Country of Publication: Switzerland NLM ID: 101628476 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2196-8837 (Electronic) Linking ISSN: 21968837 NLM ISO Abbreviation: J Racial Ethn Health Disparities Subsets: MEDLINE

Original Publication: [Cham] : Springer International Publishing

Ethnicity*/statistics & numerical data ; Alcohol Drinking*/ethnology ; Alcohol Drinking*/epidemiology ; Hypertension*/ethnology ; Hypertension*/epidemiology ; Health Surveys* ; Diabetes Mellitus*/ethnology ; Diabetes Mellitus*/epidemiology ; Racial Groups*/statistics & numerical data; Humans ; Middle Aged ; Male ; Female ; Adult ; United States/epidemiology ; Young Adult ; Adolescent ; Aged ; Sex Factors ; Chronic Disease/ethnology ; Chronic Disease/epidemiology ; Prevalence ; Neoplasms/ethnology ; Neoplasms/epidemiology ; Heart Diseases/ethnology ; Heart Diseases/epidemiology

Few studies in the US address alcohol consumption patterns in adults with chronic health conditions, and little is known about race and ethnicity differences. This study examined at-risk drinking prevalence rates among US adults with hypertension, diabetes, heart condition or cancer and assessed differences by gender and, among adults aged 50 and older, by race and ethnicity. We used data from the 2015-2019 National Survey on Drug Use and Health (N = 209,183) to estimate (1) prevalence rates and (2) multivariable logistic regression models predicting odds of at-risk drinking among adults with hypertension, diabetes, heart condition, or cancer, compared to adults with none of these conditions. To examine subgroup differences, analyses were stratified by gender (ages 18-49 and ages 50 +) and by gender and race and ethnicity for adults ages 50 + . Results showed that all adults with diabetes and women ages 50 + with heart conditions in the full sample had lower odds of at-risk drinking relative to their counterparts without any of the four conditions. Men ages 50 + with hypertension had greater odds. In race and ethnicity assessments among adults ages 50 + , only non-Hispanic White (NHW) men and women with diabetes and heart conditions had lower odds, and NHW men and women and Hispanic men with hypertension had greater odds of at-risk drinking. There were differential associations of at-risk drinking with demographic and lifestyle indicators across race and ethnicity groups. These findings underscore tailored efforts in community and clinical settings to reduce at-risk drinking in subgroups with health condition diagnoses.
(© 2023. W. Montague Cobb-NMA Health Institute.)

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P50 AA005595 United States AA NIAAA NIH HHS; P50AA005595 United States AA NIAAA NIH HHS; P50AA005595 United States AA NIAAA NIH HHS

Keywords: At-risk drinking; Cancer; Diabetes; Health conditions; Heart condition; Hypertension

Date Created: 20230523 Date Completed: 20240517 Latest Revision: 20240603

20240603

PMC10729902

10.1007/s40615-023-01621-6

37219733