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Cited by 82Substance Abuse Treatment and OutcomesMental Health Treatment and AccessAlcohol Consumption and Health Effects

Predictors of short-term course of drinking in untreated rural and urban at-risk drinkers: effects of gender, illegal drug use and psychiatric comorbidity.

Booth, Brenda M, Curran, Geoffrey M, Han, Xiaotong·2004·Journal of Studies on Alcohol
DOI 10.15288/jsa.2004.65.63
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Abstract

OBJECTIVE: The purpose of this study was to examine predictors of changes in drinking and drinking consequences in untreated at-risk drinkers in a community sample. METHOD: Four waves of telephone interviews were conducted at 6-month intervals with a probability sample of at-risk drinkers in the rural and urban South (initial N = 733). Participants were interviewed at each wave regarding concurrent drug use, psychopathology and social support, as well as alcohol service use. Individuals reporting receiving services for drinking (n = 69) were dropped from the analyses. Longitudinal data were analyzed for predictors of quantity and frequency of drinking, "safe" drinking levels and diagnoses of recent alcohol disorder. Simultaneous and lagged models were fit for each dependent variable. RESULTS: Over the period of study, drinking quantity and alcohol diagnoses decreased, and safe drinking increased. Only a few variables, including drug use and rural residence, predicted change over time for some outcomes. Remaining significant effects associated with drinking outcomes were constant throughout the study. Women and participants scoring high on religiosity experienced better outcomes; illegal drug use and social consequences of drinking were associated with worse outcomes. Rural residents maintained higher drinking quantity and were less likely to be safe drinkers than urban residents were. Psychiatric comorbidity was significantly associated only with drinking quantity. CONCLUSIONS: These data distinguish which at-risk drinkers might benefit from short or delayed interventions in primary care or community settings, and which should receive more intensive, targeted interventions and be encouraged to enter formal treatment as soon as possible.

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  • Of the 145 alcohol studies with the best methodology, 131 (90%) reported inverse relationships and only one study found a positive relationship.

    “Of the 145 studies with the best methodology, 131 (90%) reported inverse relationships [206–221] and only one study found a positive relationship [222].”

    From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [213]

  • Among the 10 highest-quality diet studies, seven (70%) reported a better diet among those who were more R/S.

    “Among the 10 studies with the highest quality ratings, seven (70%) reported a better diet among those who were more R/S [213, 306–310].”

    From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [213]

  • Of the 83 methodologically most rigorous smoking studies, 75 (90%) reported inverse relationships with R/S involvement.

    “Of the 83 methodologically most rigorous studies, 75 (90%) reported inverse relationships with R/S involvement [213, 285–294].”

    From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [213]

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Authors
Booth, B. M., Curran, G. M., & Han, X.
Affiliations
University of Arkansas for Medical Sciences (US)
ORCID
Venue
Journal of Studies on Alcohol
Publisher
Alcohol Research Documentation, Inc.
Published
2004-01
Volume
65
Issue
1
Pages
63-73
ISSN
  • 0096-882X (ISSN-L)
  • 1934-2683
DOI
10.15288/jsa.2004.65.63
OpenAlex
W2048893558
Cited by
82
References
55
Citations by year
2024: 1 · 2023: 42 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 1 · 2015: 1 · 2013: 2 · 2012: 4
FWCI
2.87
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Studies on Alcohol (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01aa010372-04, 5k02da000346-05)
  • National Institute on Alcohol Abuse and Alcoholism (R01 AA10372)
  • National Institute on Drug Abuse (K02 DA00346)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Keywords
hazardous drinking, urban-rural differences, illicit drug use, psychiatric comorbidity, gender differences, religiosity, primary care intervention
MeSH terms
Adult, Alcohol Drinking, Mental Disorders, Female, Humans, Interviews as Topic, Longitudinal Studies, Male, Predictive Value of Tests, Risk-Taking, Rural Population, Sex Characteristics, Time Factors, Urban Population, Comorbidity, Odds Ratio, Diagnosis, Dual (Psychiatry), Substance-Related Disorders

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