The Relationship between Patterns of Alcohol Use and Mental and Physical Health Disorders in Two American Indian Populations
Abstract
Aims First, define alcohol use categories among two reservation-based American Indian (AI) populations based on the relationship between alcohol consumption and dependence. Secondly, examine associations between the alcohol use categories and other indicators of health status. Design, participants and measurements Epidemiological data on 1287 AIs aged 18-57 years who consumed alcohol during the past year. CHAID tree analysis, a hierarchical partitioning method, was used to analyze alcohol quantity (highest number of drinks consumed during 1 day) and frequency (number of days drank during the past month) data to define quantity-frequency categories distinguished by differing rates of alcohol dependence. Multivariate analyses assessed relationships between the alcohol use categories thus identified and a number of health outcomes. Findings People who reported drinking 12 or more drinks during 1 day and more than 4 days a month had the highest prevalence of alcohol dependence. Among the males who drank > 18 drinks the prevalence was 42.12% and among females who drank 12 or more drinks, 44.58%. The prevalence among males who drank > 18 drinks yet drank less frequently was also high (24.06%). Although findings differed by gender, drinkers in the highest risk category for alcohol dependence were most likely to report drug use disorders, mood/anxiety disorders, alcohol-related physical disorders and lower quality of life. Conclusions The quantity thresholds defined to identify AIs a…
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Experiencing acute physical ailments is positively associated with frequently consuming large quantities of alcohol, an association that might be bidirectional.
“Experiencing acute physical ailments is also positively associated with frequently consuming large quantities of alcohol, an association that might be bidirectional [57].”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [57]
Limited experimental and longitudinal research makes it difficult to assert whether polysubstance use is an outcome of substance use addictions or a risk factor for such addictions, although there is some support for the latter.
“Limited experimental and longitudinal research makes it difficult to assert whether polysubstance use is an outcome of substance use addictions or if polysubstance use is a risk factor for such addictions (or both), although there is some support for the latter [50,56,57].”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [57]
Comorbid drug use, alcohol dependence, and psychiatric disorders exacerbate each other.
“For instance, comorbid drug use, alcohol dependence, and psychiatric disorders exacerbate each other [57].”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [57]
Physical health conditions that adversely impact quality of life are risk factors for alcohol dependence.
“Physical health conditions that adversely impact quality of life are risk factors for alcohol dependence [57].”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [57]
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Self-citationBeals, J., Manson, S. M., Whitesell, N. R., Mitchell, C. M., Novins, D. K., Simpson, S., Spicer, P., & American Indian Service Utilization, P. E. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.9.1713 · Cited by 93 · see citing works
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American Indians with Substance Use Disorders: Treatment Needs and Comorbid Conditions
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Substance and Behavioral Addictions among American Indian and Alaska Native Populations
Soto, C., West, A. E., Ramos, G. G., & Unger, J. B. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19052974 · Cited by 49 · see citing works
“For instance, comorbid drug use, alcohol dependence, and psychiatric disorders exacerbate each other [57].”
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Self-citationMontag, A. C., Calac, D. J., & Chambers, C. D. (2019) · International Journal of Indigenous Health · doi:10.32799/ijih.v14i1.31944 · Cited by 6 · see citing works
- Authors
- O'Connell, J., Novins, D. K., Beals, J., Croy, C., Barón, A. E., Spicer, P., Buchwald, D., & the American Indian Service Utilization, P. E.
- Affiliations
- University of Colorado Health (US)
- University of Washington (US)
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2005-12-16
- Volume
- 101
- Issue
- 1
- Pages
- 69-83
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W2063813587
- Cited by
- 34
- References
- 4
- Citations by year
- 2025: 2 · 2023: 1 · 2022: 3 · 2020: 2 · 2019: 4 · 2018: 2 · 2017: 1 · 2016: 1 · 2012: 4
- FWCI
- 1.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01AA013800)
- National Institute of Mental Health (P01MH042473, R01MH048174)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- alcoholism, binge drinking, gender differences, drug use disorders, mood and anxiety disorders, quality of life, health status
- MeSH terms
- Adolescent, Adult, Alcohol Drinking, Alcoholism, Anxiety Disorders, Female, Health Status, Humans, Indians, North American, Male, Middle Aged, Quality of Life, United States, Wounds and Injuries, Comorbidity, Prevalence, Sex Distribution, Mood Disorders, Substance-Related Disorders
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