General population data are presented on patterns and predictors of temporal progression of alcohol dependence symptoms in the general population.
The data come from the National Comorbidity Survey, a nationally representative general population survey of respondents ages 15-54.
Lifetime symptom classes were estimated with latent class analysis (LCA).
A 4-class LCA solution, including a 1st asymptomatic class and 3 progressively more serious symptomatic classes, was found to fit the data.
Probability of initial symptom onset among drinkers was found to be highest in the 10-24 age range, to be higher among men than women, and to have increased dramatically in the past 4 decades.
Age, gender, and cohort effects were less powerful in predicting symptom progression.
A narrowing of the gender difference over time was due largely to a convergence in initial symptom onset among men and women ages 10-24.
These results suggest that a rise in initial problems was more important than an increase in the transition from problems to dependence in accounting for the growing prevalence of alcohol dependence during the post-World War II years in the United States.
Mots-clés Pascal : Alcoolisme, Prédiction, Evolution, Epidémiologie, Prévalence, Age, Sexe, Etats Unis, Amérique du Nord, Amérique, Santé mentale, Homme
Mots-clés Pascal anglais : Alcoholism, Prediction, Evolution, Epidemiology, Prevalence, Age, Sex, United States, North America, America, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0322135
Code Inist : 002B18C05B. Création : 27/11/1998.