Gender Differences in the Relation between Depressive Symptoms and Alcohol Problems: A Longitudinal Perspective

Longitudinal relations between depressive symptoms and alcohol problems have been examined infrequently in community-based studies, and gender-specific findings to date appear to be inconclusive. Study hypotheses were that depressive symptoms predicted subsequent alcohol problems for females, wherea...

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Veröffentlicht in:American journal of epidemiology 1997-12, Vol.146 (11), p.966-974
Hauptverfasser: Moscato, Beth Steger, Russell, Marcia, Zielezny, Maria, Bromet, Evelyn, Egri, Gladys, Mudar, Pamela, Marshall, James R.
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container_end_page 974
container_issue 11
container_start_page 966
container_title American journal of epidemiology
container_volume 146
creator Moscato, Beth Steger
Russell, Marcia
Zielezny, Maria
Bromet, Evelyn
Egri, Gladys
Mudar, Pamela
Marshall, James R.
description Longitudinal relations between depressive symptoms and alcohol problems have been examined infrequently in community-based studies, and gender-specific findings to date appear to be inconclusive. Study hypotheses were that depressive symptoms predicted subsequent alcohol problems for females, whereas alcohol problems predicted subsequent depressive symptoms for males. The authors examined these relations in a random sample of household adults (aged 19 years or more) from Erie County, New York, assessed in 1986, 1989, and 1993 (n = 1,306). Measures of alcohol problems (in the previous year) incorporated an alcohol abuse/dependence diagnosis and a heavy alcohol use index. The Center for Epidemiologic Studies Depression Scale was used to assess depressive symptoms over a 1-month time frame. Comprehensive logistic regression models incorporated prior depressive symptoms, prior alcohol problems, and sociodemo graphic variables (age, race, education, marital status, employment, total family income, and number of children living at home). For females, depressive symptoms predicted subsequent alcohol problems over 3 years (odds ratio = 3.04, 95% confidence interval 1.35–6.80, p
doi_str_mv 10.1093/oxfordjournals.aje.a009224
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Study hypotheses were that depressive symptoms predicted subsequent alcohol problems for females, whereas alcohol problems predicted subsequent depressive symptoms for males. The authors examined these relations in a random sample of household adults (aged 19 years or more) from Erie County, New York, assessed in 1986, 1989, and 1993 (n = 1,306). Measures of alcohol problems (in the previous year) incorporated an alcohol abuse/dependence diagnosis and a heavy alcohol use index. The Center for Epidemiologic Studies Depression Scale was used to assess depressive symptoms over a 1-month time frame. Comprehensive logistic regression models incorporated prior depressive symptoms, prior alcohol problems, and sociodemo graphic variables (age, race, education, marital status, employment, total family income, and number of children living at home). For females, depressive symptoms predicted subsequent alcohol problems over 3 years (odds ratio = 3.04, 95% confidence interval 1.35–6.80, p &lt;0.01) and 4 years (odds ratio = 2.42, 95% confidence interval 1.14–5.12, p &lt;0.05), but not for 7 years. There was no evidence to support the hypothesis for males. 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Study hypotheses were that depressive symptoms predicted subsequent alcohol problems for females, whereas alcohol problems predicted subsequent depressive symptoms for males. The authors examined these relations in a random sample of household adults (aged 19 years or more) from Erie County, New York, assessed in 1986, 1989, and 1993 (n = 1,306). Measures of alcohol problems (in the previous year) incorporated an alcohol abuse/dependence diagnosis and a heavy alcohol use index. The Center for Epidemiologic Studies Depression Scale was used to assess depressive symptoms over a 1-month time frame. Comprehensive logistic regression models incorporated prior depressive symptoms, prior alcohol problems, and sociodemo graphic variables (age, race, education, marital status, employment, total family income, and number of children living at home). For females, depressive symptoms predicted subsequent alcohol problems over 3 years (odds ratio = 3.04, 95% confidence interval 1.35–6.80, p &lt;0.01) and 4 years (odds ratio = 2.42, 95% confidence interval 1.14–5.12, p &lt;0.05), but not for 7 years. There was no evidence to support the hypothesis for males. 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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adolescent
Adult
Adult and adolescent clinical studies
Aged
Aged, 80 and over
alcoholism
Alcoholism - epidemiology
Biological and medical sciences
Depression
Depressive Disorder - epidemiology
Female
Humans
Logistic Models
Longitudinal Studies
Male
Medical sciences
Middle Aged
Mood disorders
New York - epidemiology
Prevalence
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Sex Characteristics
women
title Gender Differences in the Relation between Depressive Symptoms and Alcohol Problems: A Longitudinal Perspective
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