Lifetime alcohol use and anxiety disorder co-occurrence and sociodemographic risk factors within NESARC-III, a cross-sectional analysis Proceedings (Faculty180)

cited authors

  • Saltzman, Barbara; Kubiak, Kalin

description

  • Abstract <span>Background</span><br><span>Alcoholism and anxiety disorders can occur together, but frequently one or both are not properly diagnosed. Identification of predictors is critical to diagnosis and management. The purpose of this analysis is to identify prevalence and predictors of the co-occurrence of alcohol use disorder (AUD) and anxiety disorders in a nationally representative sample.</span><br><span>Methods</span><br><span>We analyzed data from NESARC-III (National Epidemiologic Survey on Alcohol and Related Conditions-III), representing a cross-section of non-institutionalized U.S. civilians ages 18 and older. Face-to-face interviews were conducted between April 2012 and June 2013 using AUDADIS-5. Complex sampling procedures were utilized. Analysis was restricted to individuals with information on anxiety disorders and AUD (N=36,309). SAS 9.4 Complex survey procedures were used to calculate weighted frequencies for DSM-5 lifetime AUD and anxiety disorders. The surveylogistic procedure was used to examine the likelihood of the co-occurrence of the anxiety disorders and lifetime alcohol use disorder (AUD).</span><br><span>Results</span><br><span>The sample was majority female (52%), White (66%), ages 30 and 64 (61%) and completed some college (61%). Prevalence of AUD, anxiety disorders, and co-occurrence were 20.5%, 11.0% and 8.6% respectively. Those with co-occurrence were more likely to be female, White, and the age group of 45-64. They were more likely to be married, have divorced parents, be religious, and have an income >$200,000, and at least some college. People with other mood disorders and tobacco users were also more likely to be at risk for co-occurrence. After controlling for sociodemographics, those with AUD were more likely to have PTSD (OR=3.0, 95% CI 2.6-3.5), social phobia (OR=2.3, 95% CI 2.0-2.6), panic disorder (OR=2.66, 95% CI 2.3-3.0), agoraphobia (OR=2.9, 95% CI 2.3-3.5) and generalized anxiety disorder (OR=2.6, 95% CI=2.3-2.9) compared to those without AUD. After adjusting for other psychiatric variables associations waned slightly with loss of association with social phobia and gain of association with agoraphobia.</span><br><span>Discussion</span><br><span>This information could be helpful in developing a screener of co-occurrence of these two types of disorders. If providers can identify patients with co-occurrence risk factors, they will be able to work with patients to help control the disorders before they become detrimental.</span>

authors

publication date

  • 2022

publisher

  • APHA  Organization

presented at event