Alcohol Use Disorder Symptoms Reported during Midlife

Results from the Monitoring the Future Study among US Adults at Modal Ages 50, 55, and 60

Bibliographic Data

ID21646248
AuthorsMegan E Patrick (0000-0003-3594-4944, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA, corresponding author), Yuk C Pang (0000-0002-2805-7741, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA), Joy Bohyun Jang (0000-0002-9405-0820, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA), Brooke J Arterberry (0000-0003-3447-6085, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA), Yvonne M Terry‐mcelrath (0000-0003-3924-2667, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA)
Year2023
Volume58
Issue3
Pages380-388
Publication date2023-02-23
Open AccessNo
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2022.2161826
PMID36617891
OpenAlexW4313857759
LanguageEN
Citations received1
References cited43

BACKGROUND: The extent to which adolescent substance use is associated with alcohol use disorder (AUD) symptoms in midlife is not yet fully explored. METHODS: graders (1976-1987) who were surveyed again at modal ages 50 (37.8%), 55 (46.3%), or 60 (15.8%) in 2008-2019. Approximately 48.7% were male; 81.5% identified as non-Hispanic White. Weighted logistic and multinomial logistic regressions were used to examine associations between past 30-day use of cigarettes, marijuana, and alcohol at age 18, sociodemographics, and a midlife AUD symptom outcome (coded as non-drinking, drinking without AUD [endorsed ≤1 criterion], or AUD symptoms [endorsed 2+ criteria]). RESULTS: Prevalence of midlife AUD symptoms was 27.1%. Higher relative risk of reporting AUD symptoms (vs. drinking without AUD) was associated with age 18 substance use (any cigarette use [vs. no use], any marijuana use [vs. no use], binge drinking [vs. both no use and drinking at less than binge levels]), being male (vs. female), being non-Hispanic White (vs. non-Hispanic Black), and having a 4-year college degree. Higher relative risk of reporting non-drinking (vs. drinking without AUD) was associated with no 30-day alcohol use at age 18, being non-Hispanic Black or non-Hispanic other (vs. non-Hispanic White), and not having a 4-year college degree. CONCLUSIONS: Findings suggest substance use at age 18 has meaningful associations with midlife AUD symptoms. Dissemination of prevention and intervention efforts in adolescence and early adulthood may be important for reducing hazardous midlife drinking

Alcohol · Alcohol use disorder · Binge drinking · Environmental health · Injury prevention · Logistic regression · Longitudinal study · Monitoring the Future · Poison control · Psychiatry · Substance abuse · Young adult · Alcohol Consumption and Health Effects · Demography · Medicine · Smoking Behavior and Cessation · Substance Abuse Treatment and Outcomes · Gerontology · Internal Medicine

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