PMID- 29185842
OWN - NLM
STAT- MEDLINE
DCOM- 20181218
LR  - 20181218
IS  - 1532-2491 (Electronic)
IS  - 1082-6084 (Linking)
VI  - 53
IP  - 8
DP  - 2018 Jul 3
TI  - Characterizing a Hidden Group of At-Risk Drinkers: Epidemiological Profiles of 
      Alcohol-Use Disorder Diagnostic Orphans.
PG  - 1239-1251
LID - 10.1080/10826084.2017.1402057 [doi]
AB  - BACKGROUND: Drinkers who report some symptoms of alcohol-use disorder (AUD) but 
      fail to meet full criteria are "diagnostic orphans." To improve risk-reduction 
      efforts, we sought to develop better epidemiologic profiles of this 
      underrecognized subgroup. METHODS: This study estimated the population prevalence 
      and described AUD symptoms of diagnostic orphans using the 2012-2013 National 
      Epidemiological Survey of Alcohol and Related Conditions-III. Multivariate 
      logistic regression was used to model odds of being a diagnostic orphan or 
      meeting mild, moderate, and severe AUD criteria versus no AUD symptoms. Models 
      were adjusted for the complex survey design using sampling weights and survey 
      procedures (e.g., proc surveylogistic). RESULTS: Among drinkers, 14% of men and 
      11% of women were classified as diagnostic orphans. The most common symptoms were 
      drinking more or for longer periods than intended, wanting or trying 
      unsuccessfully to quit or cut back, and drinking in ways that increased risk of 
      injury. We noted broad similarities between diagnostic orphans and mild/moderate 
      AUD groups. There were no differences in odds of diagnostic orphans status by 
      race/ethnicity; however, female gender was associated with lower odds of 
      diagnostic orphan status and all levels of AUD. Individual history of AUD, family 
      history of problem drinking, concurrent smoking, and concurrent marijuana use 
      were associated with greater odds of problem drinking, with stronger associations 
      as AUD severity increased. CONCLUSIONS: Diagnostic orphans remain a sizeable and 
      overlooked population of problem drinkers. Clarifying the array of symptoms and 
      cooccurring disorders can improve screening and facilitate alcohol risk-reduction 
      intervention efforts.
FAU - Gilbert, Paul A
AU  - Gilbert PA
AD  - a Department of Community and Behavioral Health , University of Iowa College of 
      Public Health , Iowa City , Iowa , USA.
FAU - Marzell, Miesha
AU  - Marzell M
AD  - b Department of Social Work , College of Community & Public Affairs, Binghamton 
      University , Binghamton , New York , USA.
LA  - eng
PT  - Journal Article
DEP - 20171129
PL  - England
TA  - Subst Use Misuse
JT  - Substance use & misuse
JID - 9602153
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Alcoholism/*diagnosis/*epidemiology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prevalence
MH  - Risk Factors
MH  - Socioeconomic Factors
MH  - Symptom Assessment
MH  - Young Adult
OTO - NOTNLM
OT  - Black
OT  - disparities
OT  - hazardous drinking
OT  - latino
OT  - screening
OT  - women
EDAT- 2017/12/01 06:00
MHDA- 2018/12/19 06:00
CRDT- 2017/11/30 06:00
PHST- 2017/12/01 06:00 [pubmed]
PHST- 2018/12/19 06:00 [medline]
PHST- 2017/11/30 06:00 [entrez]
AID - 10.1080/10826084.2017.1402057 [doi]
PST - ppublish
SO  - Subst Use Misuse. 2018 Jul 3;53(8):1239-1251. doi: 10.1080/10826084.2017.1402057. 
      Epub 2017 Nov 29.