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Table 1 a. Demographic and Clinical Characteristics of Women in Primary Care Across Race or Ethnicity. b. Demographic and Clinical Characteristics of Men in Primary Care Across Race or Ethnicity

From: Prevalence of alcohol use disorders documented in electronic health records in primary care across intersections of race or ethnicity, sex, and socioeconomic status

a

       

Women

N = 259,008

Latine

N = 18,120

Asian

N = 30,331

Black

N = 13,929

NH/PI

N = 3,496

AI/AN

N = 4046

White

N = 189,086

P

Age (y) – Mean (SD)

42.9 (17.1)

45.2 (16.3)

43.3 (16.6)

40.2 (15.0)

47.5 (17.4)

50.7 (18.5)

 

Terciles of Socioeconomic Status (SES), %

 < 0.001

Lowest SES

40.1

31.5

52.9

45.2

44.2

32.3

 

Middle SES

31.7

31.9

30.6

36.9

33.7

33.7

 

Highest SES

28.2

36.6

16.5

17.9

22.1

34.0

 

Insurance Type, %

 < 0.001

Medicaid

4.2

3.0

7.7

5.2

5.9

3.1

 

Medicare

12.5

11.5

12.0

7.1

19.0

24.2

 

Commercial or Private

73.5

75.2

72.8

78.2

64.8

61.0

 

State subsidized

4.1

7.0

2.3

3.5

5.1

4.7

 

Other or Unknown

5.7

3.3

5.2

6.0

5.2

7.0

 

Mean Percentage of Days of Enrolled in KPWA within 2 Years Pre-Index Visit and 1 Year Post-Index Visit, %

 

Pre-Index Visit

69.4

71.0

72.6

69.4

75.3

74.1

 < 0.001

Post-Index Visit

79.3

83.0

80.7

79.1

80.2

81.8

 < 0.001

Alcohol and Substance Use Disorder Diagnoses in Prior 2-years, %

Any Prior Diagnoses

1.3

0.4

1.6

0.9

3.0

2.0

 < 0.001

Alcohol

0.8

0.2

0.8

0.5

1.6

1.2

 < 0.001

Opioid

0.3

0.1

0.4

0.2

0.9

0.5

 < 0.001

Stimulant

0.1

0.0

0.1

0.0

0.2

0.1

 = 0.006

Cannabis

0.2

0.1

0.3

0.1

0.4

0.2

 < 0.001

Other Drugs

0.2

0.0

0.2

0.1

0.4

0.2

 < 0.001

Any Alcohol-Attributable Conditions in Prior 2-year, %

Any Alcohol Condition

1.9

1.3

1.2

1.3

1.9

1.5

 < 0.001

Liver Diseasea

1.6

1.2

1.0

1.0

1.4

1.2

 < 0.001

Pancreatitisb

0.3

0.1

0.3

0.3

0.5

0.3

 < 0.001

Other Conditionsc

0.0

0.0

0.0

0.0

0.1

0.1

 = 0.005

Mental Health Diagnoses in Prior 2-year, %

 

Any Mental Diagnoses

22.1

10.6

19.6

15.3

31.6

27.9

 < 0.001

Depression

14.5

6.6

12.8

9.7

21.0

18.1

 < 0.001

Anxiety

13.4

6.1

11.4

8.8

19.1

16.1

 < 0.001

Bipolar

1.3

0.5

1.3

1.1

2.2

1.8

 < 0.001

ADHD

1.5

0.7

1.3

1.1

2.2

1.8

 < 0.001

PTSD

1.5

0.4

1.5

0.9

3.2

1.4

 < 0.001

Schizophrenia

0.2

0.1

0.3

0.2

0.2

0.1

 < 0.001

Eating Disorder

0.3

0.1

0.2

0.2

0.4

0.3

 < 0.001

Other Psychosis

0.1

0.1

0.2

0.1

0.1

0.1

 = 0.701

AUDIT-C Risk Levels – Score Range (0–12), %

 < 0.001

No drinking (0)

31.9

50.7

39.7

34.7

35.3

27.2

 

Low-level drink (1–2)

44.3

35.0

40.3

41.0

40.9

41.6

 

Mild UAU (3–6)

22.9

13.9

18.9

23.2

22.4

30.3

 

Moderate UAU (7–8)

0.6

0.3

0.8

0.9

1.0

0.6

 

Severe UAU (9–12)

0.3

0.1

0.3

0.2

0.4

0.3

 

b

       

Men

N = 180,367

Latine

N = 10,812

Asian

N = 18,022

Black

N = 9,856

NH/PI

N = 2,432

AI/AN

N = 2393

White

N = 136,852

P

Age (y) – Mean (SD)

41.8 (15.7)

46.0 (16.7)

45.0 (16.2)

42.3 (14.9)

48.9 (17.9)

51.7 (18.1)

 

Terciles of Socioeconomic Status (SES), %

 < 0.001

 Lowest SES

39.3

30.1

49.1

43.3

40.7

30.1

 

 Middle SES

31.9

31.7

32.3

36.6

33.8

33.9

 

 Highest SES

28.8

38.2

18.6

20.1

25.5

36.0

 

Insurance Type, %

 < 0.001

 Medicaid

2.8

2.4

4.4

2.7

4.0

2.0

 

 Medicare

9.7

13.3

12.4

9.0

23.2

26.1

 

 Commercial or Private

77.8

73.9

75.5

79.4

63.7

60.9

 

 State subsidized

3.7

7.2

2.4

3.6

4.3

4.4

 

 Other or Unknown

6.0

3.2

5.3

5.3

4.8

6.5

 

Mean Percentage of Days of Enrolled in KPWA within 2 Years Pre-Index Visit and 1 Year Post-Index Visit, %

 

 Pre-Index Visit

65.7

70.9

71.7

71.6

75.8

74.5

 < 0.001

 Post-Index Visit

79.1

83.0

80.8

81.3

82.0

82.4

 < 0.001

Alcohol and Substance Use Disorder Diagnoses in Prior 2-years, %

 Any Prior Diagnoses

2.3

0.8

2.4

1.6

3.8

3.0

 < 0.001

 Alcohol

1.5

0.5

1.5

0.6

2.3

2.1

 < 0.001

 Opioid

0.4

0.2

0.4

0.6

0.9

0.5

 < 0.001

 Stimulant

0.2

0.1

0.2

0.3

0.3

0.1

 < 0.001

 Cannabis

0.4

0.1

0.4

0.4

0.4

0.3

 < 0.001

 Other Drugs

0.2

0.1

0.2

0.2

0.5

0.2

 < 0.001

Any Alcohol-Attributable Conditions in Prior 2-year, %

 

 Any Alcohol Condition

2.1

2.0

1.6

2.1

3.0

1.8

 < 0.001

 Liver Diseasea

1.8

1.8

1.1

1.7

2.7

1.4

 < 0.001

 Pancreatitisb

0.3

0.2

0.4

0.3

0.4

0.3

 = 0.005

 Other Conditionsc

0.1

0.0

0.1

0.1

0.1

0.1

 = 0.005

Mental Health Diagnoses in Prior 2-year, %

 

 Any Mental Diagnoses

13.6

7.3

11.1

10.4

19.3

17.2

 < 0.001

 Depression

7.7

4.2

6.4

5.7

11.8

10.1

 < 0.001

 Anxiety

7.7

3.9

5.5

5.6

10.3

9.1

 < 0.001

 Bipolar

0.7

0.3

0.7

0.7

1.5

1.1

 < 0.001

 ADHD

1.9

0.9

1.4

1.5

2.2

2.1

 < 0.001

 PTSD

0.7

0.2

0.6

0.7

1.6

0.6

 < 0.001

 Schizophrenia

0.2

0.1

0.4

0.3

0.3

0.2

 < 0.001

 Eating Disorder

0.1

0.0

0.0

0.0

0.0

0.0

 = 0.333

 Other Psychosis

0.1

0.1

0.3

0.1

0.1

0.1

 = 0.002

AUDIT-C Risk Levels – Score Range (0–12), %

 < 0.001

 No drinking (0)

24.0

33.5

34.6

28.7

33.4

24.4

 

 Low-level drink (1–3)

48.4

48.7

46.3

46.2

43.1

46.4

 

 Mild UAU (4–6)

23.8

16.5

16.5

21.6

20.3

26.0

 

 Moderate UAU (7–8)

2.6

1.3

1.7

2.4

2.0

2.2

 

 Severe UAU (9–12)

1.2

0.5

0.9

1.1

1.2

1.0

 
  1. aLiver Disease includes liver disease, liver cirrhosis, portal hypertension, and esophageal varices. bPancreatitis includes acute, alcohol-induced acute, chronic, and alcohol-induced chronic pancreatitis. cOther Conditions include alcohol polyneuropathy, cardiomyopathy, alcoholic gastritis, alcoholic psychosis, generation of the nervous system due to alcohol, gastroesophageal hemorrhage, and alcoholic myopathy. UAU = unhealthy alcohol use
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Addiction Science & Clinical Practice

ISSN: 1940-0640