Las transiciones en el uso de alcohol en una cohorte de nacimiento-sexo en la población general: el proyecto transversal PEGASUS-Murcia

  1. Mathilde M. Husky
  2. Chrianna Bhara
  3. Gemma Vilagut
  4. Diego Salmerón
  5. Salvador Martínez
  6. Carmen Navarro
  7. Jordi Alonso
  8. Ronald C. Kessler
  9. Fernando Navarro-Mateu
Revista:
Adicciones: Revista de socidrogalcohol

ISSN: 0214-4840

Ano de publicación: 2020

Volume: 32

Número: 2

Páxinas: 94-104

Tipo: Artigo

DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Adicciones: Revista de socidrogalcohol

Resumo

To examine the potential impact of prevalence of alcohol use in a birth-sex cohort on subsequent initiation and progression of alcohol use in the PEGASUS-Murcia project, a cross-sectional survey of a representative sample of non-institutionalized adults in Murcia (Spain). Data on lifetime history of alcohol use, DSM-IV use disorders, and remission were collected from 1,459 adults using faceto-face interviewers based on the Composite International Diagnostic Interview (CIDI 3.0). Life-table estimates based on survival functions for alcohol use age-of-onset and remission were used as time-varying predictors of subsequent individual-level alcohol use in discrete-time survival models. Nearly nine out of ten adults had a lifetime alcohol use history at time of interview. Of these lifetime users, 84.3% became regular users (>12 drinks a year) and 5.5-1.6% went on to meet criteria for DSM-IV alcohol abuse or dependence, respectively. By the age of 18, 70.9% of respondents had used alcohol, and one half (50.2%) had used regularly. Regular use sharply increased during early adulthood to reach 90.8% by age 22. Birth-sex cohort alcohol use was significantly and positively associated with increased odds of all subsequent transitions examined except for the transition from use to abuse. The findings highlight sensitive periods with rapid transitions to higher levels of alcohol use and emphasize the importance of cohort experiences in the full spectrum of stages of alcohol use. These results may contribute to predicting population-levels trends in alcohol-related problems in Spain

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Información de financiamento

The authors wish to thank all participants for their collaboration, the ?Observatorio sobre Drogas de la Regi?n de Murcia? and acknowledge to Carlos Giribert Mu?oz for his support in developing the PEGASUS-Murcia project when he was the Deputy Director of Programs, Chronicity and Innovation of the Health Authority of Murcia. The PEGASUS-Murcia Project was supported by the Regional Health Authorities of Murcia (?Servicio Murciano de Salud and Consejer?a de Sanidad y Pol?tica Social?) (Decreto n? 455/2009) and the ?Fundaci?n para la Formaci?n e Investigaci?n Sanitarias (FFIS) de la Regi?n de Murcia? (N? Expedientes: CM0829 I and FFIDS/ EMER09/14). The PEGASUS-Murcia project is carried out in conjunction with the WHOWMH Survey Initiative. C. Bharat?s work was supported by an Australian National Health and Medical Research Council (NHMRC) grant (no. 1081984). The authors thank the WMH Coordinating Center staff at Harvard and Michigan Universities for their assistance with the instrumentation, fieldwork and data analysis. These activities were supported by the United States National Institute of Mental Health (R01MH070884), the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the U.S. Public Health Service (R13-MH066849, R01-MH069864, and R01 DA016558), the Fogarty International Center (FIRCA R03-TW006481), the Pan American Health Organization, the Eli Lilly & Company Foundation, Ortho-McNeil Phar-maceutical, Inc., GlaxoSmithKline, Bristol-Myers Squibb and Shire. A complete list of WMH publications can be found at http://www.hcp.med.harvard.edu/wmh/. The direct and indirect founders had no role in study design, data collection and analysis, decision to publish, or prepa-ration of the manuscript.

Financiadores

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