Predictors of quit attempts and successful quit attempts among individuals with alcohol use disorders in a nationally representative sample

Abstract Background This study sought to identify predictors of attempting to quit and of successfully quitting alcohol abuse or dependence in the general population. Methods Data were drawn from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Results Approximately 10%...

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Bibliographic Details
Published in:Drug and alcohol dependence 2014-08, Vol.141, p.138-144
Main Authors: Chiappetta, Viviana, García-Rodríguez, Olaya, Jin, Chelsea J, Secades-Villa, Roberto, Blanco, Carlos
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Alcohol Abstinence - psychology
Alcohol abuse
Alcohol dependence
Alcohol related disorders
Alcoholism - epidemiology
Alcoholism - psychology
Alcoholism - rehabilitation
Cessation
Female
Gender
Health Surveys
Humans
Male
Middle Aged
Motivation
National sample
NESARC
Psychiatric disorders
Psychiatry
Quit attempts
Sex Factors
Young Adult
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Summary:Abstract Background This study sought to identify predictors of attempting to quit and of successfully quitting alcohol abuse or dependence in the general population. Methods Data were drawn from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Results Approximately 10% of individuals with alcohol abuse and 18% of those with dependence attempted to quit over the three year follow-up period. Of those who tried, 38% of individuals with abuse and 30% of those with dependence successfully quit. Among individuals with alcohol abuse or dependence, being single, younger than 40 years old, having low income, a co-occurring psychiatric disorder and greater number of dependence symptoms increased the likelihood of attempting to quit. Among individuals with alcohol abuse, male gender and low educational attainment further increased the odds of quit attempts. However, greater severity of alcohol use disorder, having a co-occurring drug use disorder and greater number of psychiatric disorders decreased the odds of success among individuals with alcohol abuse, while female gender, being married and older than 40 years old increased the odds of success. Among individuals with alcohol dependence, having nicotine dependence, greater number of psychiatric disorders and personality disorders decreased the odds of success. Conclusions Predictors of attempts to quit are different and sometimes opposite from those leading to successful quitting probably indicating that some factors that increase motivation may decrease ability to quit. These findings may help in the development of more targeted and effective interventions for alcohol use disorders.
ISSN:0376-8716
1879-0046
DOI:10.1016/j.drugalcdep.2014.05.019