In this component we test hypotheses about the social ecological correlates of heavy drinking and alcohol use disorders (AUDs). We know little about the many problems that may be related to AUDs per se, and we know nothing about the community contexts that may accelerate or mitigate AUD-related problems, the critical social ecological question considered here. We propose to:
Specific Aim 1 : Develop and test a dynamic model of relationships between drinking, problems and AUD symptoms, Specific Aim 2: Use this model to assess ways in which drinking contexts and situations differentially affect problems among AUD vs. non-AUD drinkers, and Specific Aim 3: Begin to measure broader impacts that AUDs have on alcohol problems across communities in the US. We develop a mathematical model that summarizes dynamic relationships between drinking, problems and AUD symptoms. That model is used to predict and test statistical relationships between measures of these constructs using general population survey data from 3000 adult respondents 18 years of age and older in California. AUD symptoms are measured using items from the World Mental Health Organization Composite International Diagnostic Interview. A subsample of about 267 AUD and 534 non-AUD drinkers will be drawn from the population survey, matched by drinking pattern, gender and age, then administered three web-based surveys at 6-month intervals, including additional measures of use in drinking contexts, routine daily drinking activities and social network supports for drinking. Critically, the model developed in Specific Aim 1 enables us to make unbiased comparisons between groups. In order to characterize public health problems related to AUDs at the community level we assess spatial statistical relationships between AUD-related hospital discharge diagnoses (HDDs) and a spectrum of alcohol-related problems across ZIP codes in California and other states in the US. These analyses also provide support for two other research components of the Center: the assessment of impacts of Mexican border access to alcohol on AUD-related HDDs among young adult Hispanic drinkers (Component #4) and, in combination with other survey data generated in this component, the parameterization of simulation models of alcohol problems in cities in the state and, as possible, across the nation (Component #5). With our short-term goals of understanding and estimating the impacts of AUD on alcohol problems achieved, we can take on the long-term goal of providing communities with essential information on how prevention policies can be used effectively to reduce problems related to AUDs in their communities.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Comprehensive Center (P60)
Project #
5P60AA006282-38
Application #
9828751
Study Section
Special Emphasis Panel (ZAA1)
Project Start
Project End
Budget Start
2019-12-01
Budget End
2020-11-30
Support Year
38
Fiscal Year
2020
Total Cost
Indirect Cost
Name
Pacific Institute for Research and Evaluation
Department
Type
DUNS #
021883350
City
Beltsville
State
MD
Country
United States
Zip Code
20705
Caetano, Raul; Gruenewald, Paul; Vaeth, Patrice A C et al. (2018) DSM-5 Alcohol Use Disorder Severity in Puerto Rico: Prevalence, Criteria Profile, and Correlates. Alcohol Clin Exp Res 42:378-386
Lipperman-Kreda, Sharon; Finan, Laura J; Grube, Joel W (2018) Social and situational characteristics associated with adolescents' drinking at party and non-party events. Addict Behav 83:148-153
Zamanian, Roham T; Hedlin, Haley; Greuenwald, Paul et al. (2018) Features and Outcomes of Methamphetamine-associated Pulmonary Arterial Hypertension. Am J Respir Crit Care Med 197:788-800
Gruenewald, Paul J; LaScala, Elizabeth A; Ponicki, William R (2018) Identifying the Population Sources of Alcohol Impaired Driving: An Assessment of Context Specific Drinking Risks. J Stud Alcohol Drugs 79:702-709
Ponicki, William R; Henderson, Jeffrey A; Gaidus, Andrew et al. (2018) Spatial Epidemiology of Alcohol- and Drug-Related Health Problems Among Northern Plains American Indians: Nebraska and South Dakota, 2007 to 2012. Alcohol Clin Exp Res 42:578-588
Gruenewald, Paul J; Mair, Christina (2018) Heterogeneous Dose-Response Analyses of Alcohol Abuse and Dependence. Alcohol Clin Exp Res :
Lee, Juliet P; Pagano, Anna; Morrison, Christopher et al. (2018) Late night environments: Bar ""morphing"" increases risky alcohol sales in on-premise outlets. Drugs (Abingdon Engl) 25:431-437
Grube, Joel W; DeJong, William; DeJong, Maureen et al. (2018) Effects of a responsible retailing mystery shop intervention on age verification by servers and clerks in alcohol outlets: A cluster randomised cross-over trial. Drug Alcohol Rev 37:774-781
Gorman, Dennis M; Ponicki, William R; Zheng, Qi et al. (2018) Violent crime redistribution in a city following a substantial increase in the number of off-sale alcohol outlets: A Bayesian analysis. Drug Alcohol Rev 37:348-355
Lee, Juliet P; Pagano, Anna; Moore, Roland S et al. (2018) Impacts of alcohol availability on Tribal lands where alcohol is prohibited: A community-partnered qualitative investigation. Int J Drug Policy 54:77-86

Showing the most recent 10 out of 129 publications