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  • 11
    Online Resource
    Online Resource
    Alcohol Research Documentation, Inc. ; 2012
    In:  Journal of Studies on Alcohol and Drugs Vol. 73, No. 2 ( 2012-03), p. 185-194
    In: Journal of Studies on Alcohol and Drugs, Alcohol Research Documentation, Inc., Vol. 73, No. 2 ( 2012-03), p. 185-194
    Type of Medium: Online Resource
    ISSN: 1937-1888 , 1938-4114
    Language: English
    Publisher: Alcohol Research Documentation, Inc.
    Publication Date: 2012
    SSG: 15,3
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  • 12
    In: Alcoholism: Clinical and Experimental Research, Wiley, Vol. 47, No. 5 ( 2023-05), p. 930-939
    Abstract: Greater alcohol accessibility, for example in the form of a high density of alcohol outlets or low alcohol taxation rates, may be associated with increased risk of suicidal behavior. However, most studies have been conducted at the aggregate level, and some have not accounted for potential confounders such as socioeconomic position or neighborhood quality. Methods In a Swedish cohort of young adults aged 18 to 25, we used logistic regressions to evaluate whether living in a neighborhood that included bars, nightclubs, and/or government alcohol outlets was associated with risk of suicide attempt (SA) or suicide death (SD) during four separate 2‐year observation periods. Neighborhoods were defined using pre‐established nationwide designations. We conducted combined‐sex and sex‐stratified analyses, and included as covariates indicators of socioeconomic position, neighborhood deprivation, and aggregate genetic liability to suicidal behavior. Results Risk of SA was increased in some subsamples of individuals living in a neighborhood with a bar or government alcohol outlet (odds ratios [ORs] = 1.05 to 1.15). Risk of SD was also higher among certain subsamples living in a neighborhood with a government outlet (ORs = 1.47 to 1.56), but lower for those living near a bar (ORs = 0.89 to 0.91). Significant results were driven by, but not exclusive to, the male subsample. Individuals with higher aggregate genetic risk for SA were more sensitive to the effects of a neighborhood government alcohol outlet, pooled across observation periods, in analyses of the sexes combined (relative excess risk due to interaction [RERI]  = 0.05; 95% confidence intervals [CI] 0.01; 0.09) and in the male subsample (RERI = 0.06; 95% CI 0.001; 0.12). Conclusions Although effect sizes are small, living in a neighborhood with bars and/or government alcohol outlets may increase suicidal behavior among young adults. Individuals with higher genetic liability for SA are slightly more susceptible to these exposures.
    Type of Medium: Online Resource
    ISSN: 0145-6008 , 1530-0277
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2046886-6
    detail.hit.zdb_id: 3167872-5
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  • 13
    In: Alcoholism: Clinical and Experimental Research, Wiley, Vol. 42, No. 3 ( 2018-03), p. 520-530
    Abstract: Despite consistent evidence of the heritability of alcohol use disorders ( AUD s), few specific genes with an etiological role have been identified. It is likely that AUD s are highly polygenic; however, the etiological pathways and genetic variants involved may differ between populations. The aim of this study was thus to evaluate whether aggregate genetic risk for AUD s differed between clinically ascertained and population‐based epidemiological samples. Methods Four independent samples were obtained: 2 from unselected birth cohorts (Avon Longitudinal Study of Parents and Children [ ALSPAC ], N  =   4,304; FinnTwin12 [FT12], N  =   1,135) and 2 from families densely affected with AUD s, identified from treatment‐seeking patients (Collaborative Study on the Genetics of Alcoholism, N  =   2,097; Irish Affected Sib Pair Study of Alcohol Dependence, N  =   706). AUD symptoms were assessed with clinical interviews, and participants of European ancestry were genotyped. Genomewide association was conducted separately in each sample, and the resulting association weights were used to create polygenic risk scores in each of the other samples (12 total discovery–validation pairs), and from meta‐analyses within sample type. We then tested how well these aggregate genetic scores predicted AUD outcomes within and across sample types. Results Polygenic scores derived from 1 population‐based sample ( ALSPAC ) significantly predicted AUD symptoms in another population‐based sample (FT12), but not in either clinically ascertained sample. Trend‐level associations (uncorrected p  〈   0.05) were found for polygenic score predictions within sample types but no or negative predictions across sample types. Polygenic scores accounted for 0 to 1% of the variance in AUD symptoms. Conclusions Though preliminary, these results provide suggestive evidence of differences in the genetic etiology of AUD s based on sample characteristics such as treatment‐seeking status, which may index other important clinical or demographic factors that moderate genetic influences. Although the variance accounted for by genomewide polygenic scores remains low, future studies could improve gene identification efforts by amassing very large samples, or reducing genetic heterogeneity by informing analyses with other phenotypic information such as sample characteristics. Multiple complementary approaches may be needed to make progress in gene identification for this complex disorder.
    Type of Medium: Online Resource
    ISSN: 0145-6008 , 1530-0277
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2018
    detail.hit.zdb_id: 2046886-6
    detail.hit.zdb_id: 3167872-5
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  • 14
    Online Resource
    Online Resource
    Wiley ; 2014
    In:  Alcoholism: Clinical and Experimental Research Vol. 38, No. 6 ( 2014-06), p. 1680-1688
    In: Alcoholism: Clinical and Experimental Research, Wiley, Vol. 38, No. 6 ( 2014-06), p. 1680-1688
    Type of Medium: Online Resource
    ISSN: 0145-6008
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2014
    detail.hit.zdb_id: 2046886-6
    detail.hit.zdb_id: 3167872-5
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  • 15
    Online Resource
    Online Resource
    Wiley ; 2017
    In:  Alcoholism: Clinical and Experimental Research Vol. 41, No. 1 ( 2017-01), p. 57-64
    In: Alcoholism: Clinical and Experimental Research, Wiley, Vol. 41, No. 1 ( 2017-01), p. 57-64
    Abstract: Alcohol use typically begins during adolescence and escalates into young adulthood. This represents an important period for the establishment of alcohol use and misuse patterns, which can have psychosocial and medical consequences. Although changes in alcohol use during this time have been phenotypically characterized, their genetic nature is poorly understood. Methods Participants of the Avon Longitudinal Study of Parents and Children completed the Alcohol Use Disorders Identification Test ( AUDIT ) 4 times from age 16 to 20. We used Mplus to construct a growth model characterizing changes in AUDIT scores across time ( N  = 4,545, where data were available for at least 2 time points). The slope of the model was used as the phenotype in a genomewide association study ( N  = 3,380), followed by secondary genetic analyses. Results No individual marker met genomewide significance criteria. Top markers mapped to biologically plausible candidate genes. The slope term was moderately heritable ( h 2 SNP = 0.26, p  =   0.009), and replication attempts using a meta‐analysis of independent samples provided support for implicated variants at the aggregate level. Nominally significant ( p   〈  0.00001) markers mapped to putatively active genomic regions in brain tissue more frequently than expected by chance. Conclusions These results build on prior studies by demonstrating that common genetic variation impacts alcohol misuse trajectories. Influential loci map to genes that merit additional research, as well as to intergenic regions with regulatory functions in the central nervous system. These findings underscore the complex biological nature of alcohol misuse across development.
    Type of Medium: Online Resource
    ISSN: 0145-6008 , 1530-0277
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2046886-6
    detail.hit.zdb_id: 3167872-5
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  • 16
    Online Resource
    Online Resource
    Wiley ; 2021
    In:  Alcoholism: Clinical and Experimental Research Vol. 45, No. 12 ( 2021-12), p. 2528-2535
    In: Alcoholism: Clinical and Experimental Research, Wiley, Vol. 45, No. 12 ( 2021-12), p. 2528-2535
    Abstract: Medical conditions related to alcohol use disorders (AUD) represent a substantial public health concern. However, only a subset of individuals with AUD develop these conditions and the extent to which genetic and environmental factors that are shared with AUD, versus those distinct from it, contribute to this progression has not yet been determined. Methods Using data from Swedish national registries for a cohort born from 1932 to 1970 ( N  = 1,319,214, 48.9% women), we conducted twin‐sibling biometric model fitting to examine the genetic and environmental sources of variance that contribute to the liability to alcohol‐related medical conditions (AMC). Progression to AMC, determined using medical registry data, was contingent on an AUD registration, which was determined using medical and criminal registry data. Results We identified AUD registrations in 3.2% of women and 9.2% of men. Among individuals with an AUD registration, 14.4% of women and 15.4% of men had an AMC registration. In the final models, we constrained the beta pathway from AUD to AMC and the genetic and unique environmental paths to be equal across sexes. The beta path was estimated at 0.59. AMC was modestly heritable in women ( A  = 0.32) and men ( A  = 0.30). The proportion of total heritability unique to AMC was 39.6% among women and 41.3% among men. A higher proportion of total environmental variance was unique to AMC: 76.7% for women and 77.2% for men. In a sensitivity analysis limited to liver‐related AMC, we observed similar results, with a slightly lower beta path from AUD to AMC (0.46) and higher proportions of AMC‐specific genetic (70.0% in women; 71.7% in men) and environmental (84.5% in both sexes) variance. Conclusions A moderate‐to‐substantial proportion of genetic and environmental variance that contributes to AMC risk is not shared with AUD, underscoring the need for additional gene identification efforts for AMC. Furthermore, the prominent influence of environmental factors specific to AMC provides a promising area for the identification of prevention targets. We did not observe significant sex differences in the etiology of AMC, although follow‐up is warranted in other well‐powered studies.
    Type of Medium: Online Resource
    ISSN: 0145-6008 , 1530-0277
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2046886-6
    detail.hit.zdb_id: 3167872-5
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  • 17
    In: Alcoholism: Clinical and Experimental Research, Wiley, Vol. 40, No. 6 ( 2016-06), p. 1328-1338
    Abstract: The relationship between gestational age at birth (GA) and alcohol use measures in early adulthood was examined in a large U.K. community‐based birth cohort (Avon Longitudinal Study of Parents and Children). Methods A series of linear and logistic regression models were used to test for main effects of a continuous measure of GA on a range of alcohol use measures, and moderation of these associations by sex. In addition, mediation analyses assessed the extent to which significant associations between GA and alcohol use operated indirectly, through influences of the parental environment and/or childhood measures of emotional and behavioral health (EBH). Results Earlier GA significantly predicted never drinking by age 18, but was not associated with other measures of alcohol use behavior among young adult drinkers (i.e., Self‐Rating of the Effects of Alcohol, Alcohol Use Disorders Identification Test, or DSM ‐ IV ‐ TR Criteria for Alcohol Dependence). The association between earlier GA and never drinking by age 18 was moderated by sex, such that females born early were less likely to have ever had a drink by age 18. In the full sample, childhood measures of EBH were found to mediate the association between earlier GA and never drinking by age 18. This association was not mediated by parenting factors. Conclusions Earlier GA is associated with never drinking alcohol in early adulthood, in females. Emotional and behavioral difficulties experienced in early childhood may mediate the relationship between earlier GA and never drinking by age 18.
    Type of Medium: Online Resource
    ISSN: 0145-6008 , 1530-0277
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2016
    detail.hit.zdb_id: 2046886-6
    detail.hit.zdb_id: 3167872-5
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  • 18
    In: Alcoholism: Clinical and Experimental Research, Wiley, Vol. 42, No. 12 ( 2018-12), p. 2349-2359
    Abstract: Previous studies indicate that low initial sensitivity to alcohol may be a risk factor for later alcohol misuse. Evidence suggests that initial sensitivity is influenced by genetic factors, but few molecular genetic studies have been reported. Methods We conducted a meta‐analysis of 2 population‐based genome‐wide association studies of the Self‐Rating of the Effects of Alcohol scale. Our final sample consisted of 7,339 individuals (82.3% of European descent; 59.2% female) who reported having used alcohol at least 5 times. In addition, we estimated single nucleotide polymorphism ( SNP )‐based heritability and conducted a series of secondary aggregate genetic analyses. Results No individual locus reached genome‐wide significance. Gene and set based analyses, both overall and using tissue‐specific expression data, yielded largely null results, and genes previously implicated in alcohol problems and consumption were overall not associated with initial sensitivity. Only 1 gene set, related to hormone signaling and including core clock genes, survived correction for multiple testing. A meta‐analysis of SNP ‐based heritability resulted in a modest estimate of  = 0.19 ( SE  = 0.10), though this was driven by 1 sample ( N  = 3,683,  = 0.36, SE = 0.14, p  = 0.04). No significant genetic correlations with other relevant outcomes were observed. Conclusions Findings yielded only modest support for a genetic component underlying initial alcohol sensitivity. Results suggest that its biological underpinnings may diverge somewhat from that of other alcohol outcomes and may be related to core clock genes or other aspects of hormone signaling. Larger samples, ideally of prospectively assessed samples, are likely necessary to improve gene identification efforts and confirm the current findings.
    Type of Medium: Online Resource
    ISSN: 0145-6008 , 1530-0277
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2018
    detail.hit.zdb_id: 2046886-6
    detail.hit.zdb_id: 3167872-5
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  • 19
    Online Resource
    Online Resource
    Wiley ; 2015
    In:  Alcoholism: Clinical and Experimental Research Vol. 39, No. 6 ( 2015-06), p. 998-1007
    In: Alcoholism: Clinical and Experimental Research, Wiley, Vol. 39, No. 6 ( 2015-06), p. 998-1007
    Abstract: We sought to develop an empirical, broad‐based developmental model for sex differences in risk for symptoms of alcohol use disorders, here called alcohol problems ( AP s). Methods We assessed 18 risk factors in 5 developmental tiers in both members of 1,377 opposite‐sex dizygotic twin pairs from the Virginia population‐based twin registry. Analyses were conducted by structural modeling, examining within‐pair differences. Results The best‐fitting model explained 73% of the variance in men and 71% in women for last year AP . Forty‐nine percent of paths differed significantly across sexes. Ten variables had appreciably different predictive effects on AP in males versus females. Three were stronger in females: familial risk, early‐onset anxiety disorders, and nicotine dependence. Seven predictors had a stronger total effect in males: novelty seeking, conduct disorder, childhood sexual abuse, parental loss, neuroticism, low self‐esteem, and low marital satisfaction. Conclusions In a co‐twin control design, which matches sisters and brothers on genetic and familial–environmental background, we found numerous sex differences in predictors of last year AP . Factors that were more prominent in men and in women were diverse, reflecting both internalizing and externalizing psychopathology. The model was slightly more successful at predicting AP in men than in women.
    Type of Medium: Online Resource
    ISSN: 0145-6008 , 1530-0277
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2015
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    detail.hit.zdb_id: 3167872-5
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  • 20
    Online Resource
    Online Resource
    Wiley ; 2013
    In:  Alcoholism: Clinical and Experimental Research Vol. 37, No. 3 ( 2013-03), p. 443-451
    In: Alcoholism: Clinical and Experimental Research, Wiley, Vol. 37, No. 3 ( 2013-03), p. 443-451
    Type of Medium: Online Resource
    ISSN: 0145-6008
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2013
    detail.hit.zdb_id: 2046886-6
    detail.hit.zdb_id: 3167872-5
    SSG: 15,3
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