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Social and Behavioral Sciences Commons

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Full-Text Articles in Social and Behavioral Sciences

Resource Allocation, Access, & Patterns Of Healthcare Service Utilization Among Patients With Alcohol-Use Disorders, Andrew Miele Jan 2021

Resource Allocation, Access, & Patterns Of Healthcare Service Utilization Among Patients With Alcohol-Use Disorders, Andrew Miele

Theses and Dissertations

Healthcare service utilization (HSU) describes how individuals engage with healthcare systems. Studies examining differences in rates of HSU among acute care-seeking patients have identified disparities in access to appropriate treatments. Alcohol-use disorders (AUDS) are increasingly prevalent among patients presenting for treatment in acute care settings. AUDS are emblematic of a broader trend in acute care; disproportionate rates of acute care encounters by patients with heavy socioeconomic (e.g., socioeconomic status, homelessness) burden, primary psychiatric/behavioral disorders (e.g. schizophrenia, AUDs), and reliance on emergency rooms for seeking treatment. Numerous studies have linked these risk factors with both AUDs and with high HSU. Despite …


Alcohol Use Subgroups Among Rural Middle School Students: The Impact Of Community Violence Exposure, Courtney B. Dunn Jan 2021

Alcohol Use Subgroups Among Rural Middle School Students: The Impact Of Community Violence Exposure, Courtney B. Dunn

Theses and Dissertations

A substantial portion of early adolescents initiate alcohol use. This represents a significant public health concern due to its association with a variety of adverse consequences. Although person-centered analytic approaches such as latent class analysis have been used to describe heterogeneity in adolescents’ alcohol use, most prior studies have focused on high school or older samples. This may obscure patterns of alcohol use that emerge during early adolescence. The current study identified and described subgroups of adolescents based on their alcohol use in a racially diverse sample of rural middle school students. Because research and theory indicate that exposure to …


The Buffering Effects Of Resilience On Alcohol Use: A Phenotypic And Genotypic Investigation, Shannon Cusack Jan 2021

The Buffering Effects Of Resilience On Alcohol Use: A Phenotypic And Genotypic Investigation, Shannon Cusack

Theses and Dissertations

The college years encompass a time of vulnerability for problematic alcohol use/alcohol use disorder (AUD) and exposure to traumatic events (TE), which is a transdiagnostic risk factor for AUD, posttraumatic stress disorder (PTSD), and comorbid AUD-PTSD. However, not all who experience a TE develop these disorders, highlighting the need to identify factors that impact post-trauma outcomes. Resilience has been shown to be associated with lower alcohol consumption and related problems following TE, though the buffering effects of resilience on alcohol use have not yet been examined. Further, twin studies demonstrate that resilience is moderately heritable, but further research is needed …