The Epidemiological Analyses of the NAS research component involves the current 2009/10 National Alcohol Survey (NAS), the future 2014/15 NAS and previous NAS surveys from 1979, 1984, 1990, 1995, 2000 and 2005. Our analyses capitalize on unique strengths of the NAS survey series including commensurate measurement of detailed alcohol consumption patterns, alcohol dependence and consequences, life-course heavy drinking patterns, prior problems and other risk factors. The NAS series includes an unusually broad range of personal characteristics and psychosocial risk factors, having many unique features including the availability of comparable US adult population surveys at approximately 5-year intervals over the past 30 years. From the 2000 on, the NAS Resouces Core will provide neighborhood and county-level geo-referencing that captures environmental measures of alcohol availability, local drinking culture and socioeconomic conditions which our aims exploit. Long-term trend analyses are specified to reveal recent changes in intake patterns and problems;additionally, we propose age-period-cohort (APC) models to better understand the underlying components of these trends. Attaching environmental variables to this representative US sample brings a fresh perspective to our analyses of individual-level data by locating respondents within a particular geographic setting characterized by socioeconomic, drinking culture and alcohol availability measures. Together with the life-course drinking and other risk factors, the inclusion of these environmental variables will add considerable depth to our plans to model problem outcomes, since these depend in many cases on an individual's past behavior and experiences, as well as the current social, cultural, economic and regulatory environment. Also, our analyses benefit greatly from more precise measures of current intake that, since 2000, adjust for drink size and strength. Using these key features of the NAS, a series of aims test hypotheses to advance the epidemiology and etiology of a broad range of alcohol-related problems including alcohol dependence, driving under the influence (DUI), accidents and injuries, and family, work, health and legal consequences of heavy drinking. Additional analyses will evaluate the determinants of externalities related to others'drinking including violence victimization, family problems and vandalism, and will investigate health care utilization by individuals with alcohol use disorders. Finally, detailed analyses of self-reported drunkenness and heavy drinking occasions will improve understanding of these important and inter-related measures and their relationship to outcomes such as impaired driving.

Public Health Relevance

Analyses of the National Alcohol Surveys will provide new findings of great public health significance on the eitiology of numerous alcohol-related problems including alcohol dependence, injuries, drunk driving and externality effects on others. Exploiting attached geo-referenced contextual data will reveal the roles of culture, socio-economic conditions and outlet density on alcohol problems. Age-period-cohort analyses will illuminate in depth how consumption patterns change over time plus their inter-relationships with drug use.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Specialized Center (P50)
Project #
5P50AA005595-33
Application #
8403602
Study Section
Special Emphasis Panel (ZAA1-GG)
Project Start
2013-01-01
Project End
2015-12-31
Budget Start
2013-01-01
Budget End
2013-12-31
Support Year
33
Fiscal Year
2013
Total Cost
$154,724
Indirect Cost
$54,122
Name
Public Health Institute
Department
Type
DUNS #
128663390
City
Oakland
State
CA
Country
United States
Zip Code
94607
Karriker-Jaffe, Katherine J; Witbrodt, Jane; Subbaraman, Meenakshi S et al. (2018) What Happens After Treatment? Long-Term Effects of Continued Substance Use, Psychiatric Problems and Help-Seeking on Social Status of Alcohol-Dependent Individuals. Alcohol Alcohol 53:394-402
Kerr, William C; Ye, Yu; Williams, Edwina et al. (2018) Lifetime Alcohol Use Patterns and Risk of Diabetes Onset in the National Alcohol Survey. Alcohol Clin Exp Res :
Kerr, William C; Ye, Yu; Subbaraman, Meenakshi Sabina et al. (2018) Changes in Marijuana Use Across the 2012 Washington State Recreational Legalization: Is Retrospective Assessment of Use Before Legalization More Accurate? J Stud Alcohol Drugs 79:495-502
Borges, Guilherme; Zemore, Sarah E; Orozco, Ricardo et al. (2018) Drug use on both sides of the US-Mexico border. Salud Publica Mex 60:451-461
Karriker-Jaffe, Katherine J; Greenfield, Thomas K; Mulia, Nina et al. (2018) Ten-Year Trend in Women's Reasons for Abstaining or Limiting Drinking: The 2000 and 2010 United States National Alcohol Surveys. J Womens Health (Larchmt) 27:665-675
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Kerr, William C; Lui, Camillia; Ye, Yu (2018) Trends and age, period and cohort effects for marijuana use prevalence in the 1984-2015 US National Alcohol Surveys. Addiction 113:473-481
Karriker-Jaffe, Katherine J; Li, Libo; Greenfield, Thomas K (2018) Estimating mental health impacts of alcohol's harms from other drinkers: using propensity scoring methods with national cross-sectional data from the United States. Addiction 113:1826-1839
Trangenstein, Pamela J; Morojele, Neo K; Lombard, Carl et al. (2018) Heavy drinking and contextual risk factors among adults in South Africa: findings from the International Alcohol Control study. Subst Abuse Treat Prev Policy 13:43
Klinger, Jamie L; Karriker-Jaffe, Katherine J; Witbrodt, Jane et al. (2018) Effects of Distance to Treatment on Subsequent Alcohol Consumption. Drugs (Abingdon Engl) 25:173-180

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