scholarly journals Intergenerational continuity in alcohol misuse: Maternal alcohol use disorder and the sequelae of maternal and family functioning.

2019 ◽  
Vol 33 (5) ◽  
pp. 442-456 ◽  
Author(s):  
Abby K. Johnson ◽  
Celia J. Fulco ◽  
Megan Bears Augustyn
Keyword(s):  
Alcohol Use ◽  
Family Functioning ◽  
Alcohol Use Disorder ◽  
Alcohol Misuse ◽  
Maternal Alcohol ◽  
Intergenerational Continuity

scholarly journals A Cascade of Care for Alcohol Use Disorder: Using 2015-2018 National Survey on Drug Use and Health Data to Identify Gaps in Care

2020 ◽  
Author(s):  
Carrie M. Mintz ◽  
Sarah M. Hartz ◽  
Sherri L. Fisher ◽  
Alex T. Ramsey ◽  
Elvin H. Geng ◽  
...  
Keyword(s):  
Health Care ◽  
Alcohol Use ◽  
Drug Use ◽  
Brief Intervention ◽  
Alcohol Use Disorder ◽  
Alcohol Misuse ◽  
Health Data ◽  
Health Care Settings ◽  
The Past ◽  
Cascade Of Care

ABSTRACTBackgroundAlthough effective treatments exist, alcohol use disorder (AUD) is undertreated. We used a cascade of care framework to understand gaps in care between diagnosis and treatment for persons with AUD.MethodsUsing 2015-2018 National Survey on Drug Use and Health data, we evaluated the following steps in the cascade of care: 1) prevalence of adults with AUD; 2) proportion of adults who utilized health care in the past 12 months; 3) were screened about alcohol use; 4) received a brief intervention about alcohol misuse; 5) received information about treatment for alcohol misuse; and 6) proportion of persons with AUD who received treatment. Analyses were stratified by AUD severity.ResultsOf the 171,766 persons included in the sample, weighted prevalence of AUD was 7.9% (95% CI 7.7-8.0%). Persons with AUD utilized health care settings at similar rates as those without AUD. Cascades of care showed the majority of individuals with AUD utilized health care and were screened about alcohol use, but the percent who received the subsequent steps of care decreased substantially. For those with severe AUD, 83.5% (CI: 78.3%-88.7%) utilized health care in the past 12 months, 73.5% (CI: 68.1%-78.9%) were screened for alcohol use, 22.7% (CI: 19.4%-26.0%) received a brief intervention, 12.4% (CI: 10%-14.7%) received information about treatment, and 20.5% (CI: 18%-23.1%) were treated for AUD. The greatest decrease in the care continuum occurred from screening to brief intervention and referral to treatment. More persons with severe AUD received treatment than were referred, indicating other pathways to treatment outside of the healthcare system.ConclusionsPersons with AUD utilize health care at high rates and are frequently screened about alcohol use, but few receive treatment. Health care settings-particularly primary care settings-represent a prime opportunity to implement pharmacologic treatment for AUD to improve outcomes in this high-risk population.

Precollege and New-Onset College Interpersonal Trauma as Predictors of Baseline and Changes in Alcohol Use Disorder Symptoms During College

2019 ◽  
pp. 088626051988386
Author(s):  
Kaitlin E. Bountress ◽  
Daniel Bustamante ◽  
Christina Sheerin ◽  
Danielle M. Dick ◽  
Ananda B. Amstadter ◽  
...  
Keyword(s):  
High Risk ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Alcohol Misuse ◽  
Change Score ◽  
Interpersonal Trauma ◽  
First Year ◽  
Time Period ◽  
The Impact ◽  
New Onset

College is a high-risk time for interpersonal trauma (IPT) exposure (e.g., physical or sexual abuse/assault), a potent form of trauma exposure. College is also a high-risk time for alcohol misuse, as use begins and increases in adolescence and peaks in the early/mid-20s. In addition, although IPT is associated with alcohol misuse, less clear is whether distal (prior to college) or proximal (during college) IPT impacts alcohol use disorder (AUD) symptoms at the beginning of college and/or changes in symptoms during college. Data were collected from a large, longitudinal study of college students, attending a large public university in the southeast, who had reported lifetime IPT as well as lifetime alcohol use. Participants in the current study were 18.5 years old ( SD = 0.46), primarily female (67.2%), and of diverse racial backgrounds (e.g., 53.4% White, 18.5% Black, 12.7% Asian, 15.4% Other). Latent change score analyses were employed to test the impact of IPT prior to college and IPT during college on initial levels of, and changes in, AUD symptoms during college. Those who experienced an IPT prior to college reported more AUD symptoms at the beginning of college and less changes in AUD symptoms during the first year of college. Those who experienced an IPT in the first 2 and last 2 years of college reported greater increases in symptoms in the first 2 and last 2 years of college, respectively. Findings suggest that prevention and intervention efforts for those who experience an IPT prior to or during college may be useful in reducing AUD symptoms during that time period.

scholarly journals Maternal Alcohol-Use Disorder and Child Outcomes

PEDIATRICS ◽  
2020 ◽  
Vol 145 (3) ◽  
pp. e20191574
Author(s):  
Colleen O’Leary ◽  
David Lawrence ◽  
Katherine Hafekost ◽  
Stephen R. Zubrick ◽  
Carol Bower
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Child Outcomes ◽  
Maternal Alcohol

scholarly journals Maternal Alcohol Use Disorder and Risk of Child Contact with the Justice System in Western Australia: A Population Cohort Record Linkage Study

2017 ◽  
Vol 41 (8) ◽  
pp. 1452-1460 ◽  
Author(s):  
Katherine Hafekost ◽  
David Lawrence ◽  
Colleen O'Leary ◽  
Carol Bower ◽  
James Semmens ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Western Australia ◽  
Record Linkage ◽  
Justice System ◽  
Alcohol Use Disorder ◽  
Linkage Study ◽  
Maternal Alcohol ◽  
Population Cohort

scholarly journals The Validity of the Alcohol-Use-Disorder-Identification-Test and a Novel Proxy Test in the Assessment of Alcohol Consumption in the Cognitively Impaired Elderly

2018 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Cognitive Impairment ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Alcohol Intake ◽  
Elderly Population ◽  
Screening Tool ◽  
Alcohol Misuse ◽  
The Elderly ◽  
Identification Test ◽  
Disorder Identification

Aims: Alcohol is consumed excessively by almost a quarter of the population. A report by highlighted underdiagnosis of alcohol misuse in the elderly [1]. There is a lack of research focusing on assessment of alcohol use and its impact in older people. This study aimed to assess the validity of the Alcohol-Use-Disorder-Identification-Test (AUDIT) in an elderly population with cognitive impairment and to establish the validity of a novel adaption of the AUDIT used as a proxy measure. Methods: Opportunistic observational study examining the assessment of alcohol consumption in an elderly population with mild cognitive impairment or mild dementia. The study aimed to evaluate the self-report AUDIT versus a “proxy” AUDIT compared to a plasma Carbohydrate-deficientTransferrin (CDT) level. Findings: Scores were comparable between the “proxy” AUDIT and the AUDIT. Neither measure of alcohol intake correlated significantly with CDT levels. There was no association between alcohol intake and cognition or quality of life ratings. Conclusions: We suggest the AUDIT could be a useful screening tool in detecting alcohol misuse in the elderly with cognitive impairment. The “proxy” AUDIT was also found to be a valid screening tool, however further work is needed to confirm these findings.

scholarly journals Estimating the population effect of maternal alcohol use disorders on the educational achievement of children

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Katherine Hafekost ◽  
Sarah Johnson ◽  
Carol Bower ◽  
James Semmens ◽  
Colleen O'Leary
Keyword(s):  
Alcohol Use ◽  
Administrative Data ◽  
Educational Outcomes ◽  
Alcohol Use Disorder ◽  
School Attendance ◽  
Alcohol Use Disorders ◽  
Heavy Alcohol ◽  
Maternal Alcohol ◽  
Heavy Alcohol Use ◽  
Timing Of Exposure

ABSTRACTObjectivesPrevious research has identified that heavy maternal alcohol use impacts on a child’s health and development including poor cognitive and educational outcomes. However, very few studies have used objective measures of heavy alcohol-use and standardised school-based measures. Further, the magnitude of the effect of heavy maternal alcohol use on the educational outcomes of children in Australia is unknown. The primary aim of the project was to examine the association between in-utero and childhood exposure to maternal alcohol use disorder, which provides a proxy for heavy alcohol use, and children’s educational outcomes. ApproachThis Western Australian population cohort study made use of linked administrative data to compare the educational outcomes of a cohort of exposed children born between 1989 and 2007 whose mother had an alcohol related diagnosis recorded on health datasets, with children whose mother did not have a diagnosis. The exposed cohort of mothers was frequency matched on maternal age within Indigenous status, and year of child’s birth with a comparison cohort of mothers without an alcohol-related diagnosis. Records were linked with education records up to 2011, which included the results of standardised state and national testing for children (ages 8-14), and school attendance data (ages 6-18). Mixed multivariate models were used to examine the relationship between exposure, and timing of exposure in relation to pregnancy, and the risk of failure to meet educational benchmarks for reading, writing, spelling, numeracy and school attendance. Separate analyses were run for Indigenous and non-Indigenous children. ResultsA higher proportion of both Indigenous and non-Indigenous exposed children failed to reach minimum standards for all domains of testing compared to those in the unexposed cohort. The risk of failure in the exposed cohort remained significant with adjustment for a set of known confounders and there was no consistent relationship between timing of exposure and academic performance. ConclusionThis project provides a unique view of how maternal alcohol use disorders affect a child’s educational outcomes. The use of linked administrative data overcomes the use of retrospective recall of past behaviour, and self-reports of drinking patterns which may be considered socially unacceptable. Results of this project indicate that children whose mothers have an alcohol use disorder are academically at risk. These results suggest that routine monitoring of maternal alcohol use, early identification of at-risk children and intervention at both the school and family level may assist vulnerable children to reach academic benchmarks.

scholarly journals Intellectual disability: population-based estimates of the proportion attributable to maternal alcohol use disorder during pregnancy

2012 ◽  
Vol 55 (3) ◽  
pp. 271-277 ◽  
Author(s):  
COLLEEN O’LEARY ◽  
HELEN LEONARD ◽  
JENNY BOURKE ◽  
HEATHER D’ANTOINE ◽  
ANNE BARTU ◽  
...  
Keyword(s):  
Intellectual Disability ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Population Based ◽  
Maternal Alcohol
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