DSM‐5 Alcohol Use Disorder Severity in Puerto Rico: Prevalence, Criteria Profile, and Correlates

Caetano, Raúl; Gruenewald, Paul J.; Vaeth, Patrice A C; Canino, Glorisa

doi:10.1111/acer.13572

Cited by 12 publications

(3 citation statements)

References 58 publications

(73 reference statements)

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“…The Puerto Rican population is known to have a high rate of alcohol abuse disorder (AUD) according to the DSM-V, especially among older men (36% of men over the age of 50 have AUD). [ 6 ] Abuse of alcohol could not be assessed in this study due to the lack of detailed reporting of patient alcohol consumption.…”

Section: Discussionmentioning

confidence: 99%

Puerto Rico Recurrence Scale: Predicting chronic subdural hematoma recurrence risk after initial surgical drainage

Mignucci-Jiménez

Matos-Cruz

Abramov

et al. 2022

Surgical Neurology International

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Background: Chronic subdural hematoma (CSDH) commonly affects older individuals and is associated with a relatively high rate of recurrence after surgery. Many studies have created grading systems to identify patients at high risk of CSDH recurrence after the initial surgery. However, no system has been adopted widely. The authors present the first CSDH grading system created from a population-based single-center data set. Methods: A single-center Puerto Rican population-based retrospective analysis was performed on consecutive patients treated for a CSDH at a designated institution from July 1, 2017 to December 31, 2019. Univariate and multivariate analyses were used to create a CSDH recurrence grading scale. Retrospective validation was conducted on this sample population. Results: The study included 428 patients. Preoperative midline shift, postoperative midline shift, and size of postoperative subdural space differed between the recurrence and nonrecurrence groups (P = 0.03, 0.002, and 0.002, respectively). A multivariate analysis was used to create a 10-point grading scale comprising four independent variables. Recurrence rates progressively increased from the low-risk (0–3 points) to high-risk (8–10 points) groups (2.9% vs. 20.3%; P < 0.001). Conclusion: A 10-point grading scale for CSDH recurrence was developed with four components: preoperative midline shift (≤1 and >1 cm), laterality (bilateral, unilateral-right, and unilateral-left), size of postoperative subdural space (≤1.6 and >1.6 cm), and pneumocephalus (present or absent). Patients who scored higher on the scale had a higher risk of recurrence. This CSDH grading scale has implications for Puerto Rico and the general population as the elderly population increases worldwide.

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Section: Discussionmentioning

confidence: 99%

Puerto Rico Recurrence Scale: Predicting chronic subdural hematoma recurrence risk after initial surgical drainage

Mignucci-Jiménez

Matos-Cruz

Abramov

et al. 2022

Surgical Neurology International

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“…Continuous variables (e.g., impulsivity, perceived risk, days drinking in Mexico) were categorized to address skewness and uneven distribution of respondents across answer categories. Independent variables were selected based on previous evidence of associations with drinking [ 40 – 42 ]. A correlational analysis as well as a variance inflation analysis using Stata’s “vif” command (vif range 1.2 to 8.4; mean vif=3.35) did not indicate multicollinearity in the variables in the paper.…”

Section: Methodsmentioning

confidence: 99%

Contexts of Drinking- and Alcohol-Related Problems Among Whites and Hispanics on and off the US/Mexico border in California

Caetano

Vaeth

Gruenewald

et al. 2023

J. Racial and Ethnic Health Disparities

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Background This paper examines the association between drinking context use by Whites and Hispanics on and off the US/Mexico border and alcohol problems. Methods Data come from a household sample of 1209 adults 18 to 39 years of age resident in Imperial County on the California/Mexico border; and Kern, Tulare, and Madera in California’s Central Valley. Data were collected on the phone or online and analyzed with an ordinal generalized linear model. Results The pattern of statistically significant associations between the frequency and the volume of drinking in different contexts varies across problem types. Furthermore, some contexts of drinking are associated with problems in more than one area. For instance, frequency of drinking at bars/pubs is associated with social problems, risky sex, and fights, but not with injuries. Injuries are associated with the frequency of drinking at home alone or with family and at restaurants. Volume of drinking at bars/pubs is also significantly associated with three different contexts: social problems, injury, and fights. But the volume of drinking at the home of friends or relatives is associated with fights only. Border location is an effect modifier, changing the effect of frequency of drinking at bars and pubs from protective to a factor of risk for social problems and fights. Conclusion These results provide support for the social ecology of drinking and micro environmental factors or risk. The effect of border location on frequency of drinking in bars/pubs underlines the importance of the macro environment in problem generation.

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“…This assessment is particularly important for children because they are a highly vulnerable population, who have no or little means to avoid such a harm. In San Juan the proportion of children affected could be considerably high given that 16% of the men and 9% of the women reported a drinking-related social or health problem in the past 12 months (Caetano, Vaeth, & Canino, 2016b), and 38% of men and 16% of women were affected by AUD on a lifetime base (Caetano, Gruenewald, Vaeth, & Canino, 2017). This paper therefore estimates the number of children 17 years of age and younger living in a household in San Juan, Puerto Rico,with at least one adult with an alcohol problem or a DSM-5 defined AUD (American Psychiatric Association, 2013).…”

Section: Introductionmentioning

confidence: 99%

Children exposed to alcohol-related problems and DSM-5 alcohol use disorder in San Juan, Puerto Rico

Caetano

Vaeth

Canino

2017

Journal of Ethnicity in Substance Abuse

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This article estimates the proportion of children (17 and younger) exposed to an adult with an alcohol problem or alcohol use disorder (AUD) in San Juan, Puerto Rico. Data are from a household random sample of 1,510 individuals 18-64 years of age. A total of 20.9% of children in sample households were exposed to an adult with an alcohol problem, and 5.7% were exposed to an adult with DSM-5 AUD. These considerable proportions suggest that alcohol treatment and family support programs should include help for adults in the family, and special support for exposed children in the household.

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DSM‐5 Alcohol Use Disorder Severity in Puerto Rico: Prevalence, Criteria Profile, and Correlates

Abstract: AUD prevalence is high in San Juan, Puerto Rico. Prevalence rates for some criteria are equally high across severity levels and poorly differentiate between mild, moderate, or severe DSM-5 AUD. The sociodemographic and alcohol-related risks vary across DSM-5 severity levels.

Cited by 12 publications

References 58 publications

Puerto Rico Recurrence Scale: Predicting chronic subdural hematoma recurrence risk after initial surgical drainage

Puerto Rico Recurrence Scale: Predicting chronic subdural hematoma recurrence risk after initial surgical drainage

Contexts of Drinking- and Alcohol-Related Problems Among Whites and Hispanics on and off the US/Mexico border in California

Children exposed to alcohol-related problems and DSM-5 alcohol use disorder in San Juan, Puerto Rico

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