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Trends in alcohol use disorder symptoms among U.S. adults disaggregated by sex, race, and age.

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Title: Trends in alcohol use disorder symptoms among U.S. adults disaggregated by sex, race, and age.
Authors: Perrotte, Jessica K. (AUTHOR), Martinez, Priscilla (AUTHOR), Castro, Yessenia (AUTHOR), Pinedo, Miguel (AUTHOR), Field, Craig A. (AUTHOR), Tran, Lin (AUTHOR), Schepis, Ty S. (AUTHOR)
Source: Social Psychiatry & Psychiatric Epidemiology. Nov2025, Vol. 60 Issue 11, p2589-2601. 13p.
Subjects: Alcoholism, Gender differences (Psychology), Adults, Age, African Americans, Trend analysis, Race, Hispanic Americans
Geographic Terms: United States
Abstract: Purpose: Population-based studies of alcohol-related trends typically collapse across sex while examining race and/or age, limiting understanding of shifts in alcohol involvement at the intersection of sex, race, and age. Therefore, this study evaluated population-level trends in alcohol use and alcohol use disorder (AUD) symptoms as disaggregated within Hispanic, Black, and White female and male U.S. early and middle adults. Methods: Data were from years 2002 to 2019 of the National Survey on Drug Use and Health, Participants were 18 to 64, Hispanic, Black, or White, and consumed any alcohol. Annualized linear change estimates were computed to assess trends in past-month drinking days and AUD symptoms. Between groups analyses were also conducted to examine (a) sex differences within ethnoracial identity and (b) ethnoracial differences within sex. All analyses were further stratified across early (age 18 to 29) and middle adults (age 30 to 64). Results: Number of drinking days increased only among Black early adult females and Black middle adult females and decreased for all males except for Black middle adults, with the strongest decrease for Black early adult males. AUD symptoms decreased for all early adult males, and most strongly among Black males. Among middle adults, AUD symptoms decreased only among Hispanic males and increased among White males and females. Conclusions and relevance: National trends in alcohol use and AUD symptoms are distinct across subpopulations at the intersection of sex, race, and age. Continued disaggregated analyses across heterogeneous U.S. subpopulations are needed to better inform clinical care. [ABSTRACT FROM AUTHOR]
Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Trends in alcohol use disorder symptoms among U.S. adults disaggregated by sex, race, and age.
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  Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Nov2025, Vol. 60 Issue 11, p2589-2601. 13p.
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  Data: <searchLink fieldCode="DE" term="%22Alcoholism%22">Alcoholism</searchLink><br /><searchLink fieldCode="DE" term="%22Gender+differences+%28Psychology%29%22">Gender differences (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Age%22">Age</searchLink><br /><searchLink fieldCode="DE" term="%22African+Americans%22">African Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Trend+analysis%22">Trend analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink><br /><searchLink fieldCode="DE" term="%22Hispanic+Americans%22">Hispanic Americans</searchLink>
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  Data: Purpose: Population-based studies of alcohol-related trends typically collapse across sex while examining race and/or age, limiting understanding of shifts in alcohol involvement at the intersection of sex, race, and age. Therefore, this study evaluated population-level trends in alcohol use and alcohol use disorder (AUD) symptoms as disaggregated within Hispanic, Black, and White female and male U.S. early and middle adults. Methods: Data were from years 2002 to 2019 of the National Survey on Drug Use and Health, Participants were 18 to 64, Hispanic, Black, or White, and consumed any alcohol. Annualized linear change estimates were computed to assess trends in past-month drinking days and AUD symptoms. Between groups analyses were also conducted to examine (a) sex differences within ethnoracial identity and (b) ethnoracial differences within sex. All analyses were further stratified across early (age 18 to 29) and middle adults (age 30 to 64). Results: Number of drinking days increased only among Black early adult females and Black middle adult females and decreased for all males except for Black middle adults, with the strongest decrease for Black early adult males. AUD symptoms decreased for all early adult males, and most strongly among Black males. Among middle adults, AUD symptoms decreased only among Hispanic males and increased among White males and females. Conclusions and relevance: National trends in alcohol use and AUD symptoms are distinct across subpopulations at the intersection of sex, race, and age. Continued disaggregated analyses across heterogeneous U.S. subpopulations are needed to better inform clinical care. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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