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Social Psychiatry and Psychiatric Epidemiology

Erschienen in:

13.08.2015 | Original Paper

Posttraumatic stress disorder and alcohol misuse among women: effects of ethnic minority stressors

verfasst von: Sherry Lipsky, Mary A. Kernic, Qian Qiu, Deborah S. Hasin

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 3/2016

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Abstract

Purpose

The aims of this study were to examine the relationship between adult-onset posttraumatic stress disorder (PTSD) and subsequent alcohol use outcomes (frequent heavy drinking, alcohol abuse, and alcohol dependence) in non-Hispanic white, non-Hispanic black, and Hispanic US women, and whether this relationship was moderated by ethnic minority stressors (discrimination and acculturation).

Methods

The study sample was drawn from two waves of the National Epidemiologic Surveys of Alcohol and Related Conditions, employing time-dependent data to conduct multiple extended Cox regression.

Results

Women with PTSD were over 50 % more likely than those without PTSD to develop alcohol dependence [adjusted hazards ratio (aHR) 1.55; 95 % confidence interval (CI) 1.15, 2.08]. Hispanic and black women were at lower risk of most alcohol outcomes than white women. In race-/ethnic-specific analyses, however, PTSD only predicted alcohol abuse among Hispanic women (aHR 3.02; CI 1.33, 6.84). Higher acculturation was positively associated with all alcohol outcomes among Hispanic women and discrimination was associated with AUD among Hispanic and black women. Acculturation and discrimination modified the effect of PTSD on AUD among Hispanic women: PTSD predicted alcohol dependence among those with low acculturation (aHR 10.2; CI 1.27, 81.80) and alcohol abuse among those without reported discrimination (aHR 6.39; CI 2.76, 16.49).

Conclusions

PTSD may influence the development of hazardous drinking, especially among Hispanic women. The influence of PTSD on alcohol outcomes is most apparent, however, when ethnic minority stressors are not present.

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Titel: Posttraumatic stress disorder and alcohol misuse among women: effects of ethnic minority stressors
verfasst von: Sherry Lipsky
Mary A. Kernic
Qian Qiu
Deborah S. Hasin
Publikationsdatum: 13.08.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 3/2016
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-015-1109-z

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Springer Medizin

Posttraumatic stress disorder and alcohol misuse among women: effects of ethnic minority stressors

Abstract

Purpose

Methods

Results

Conclusions

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Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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