Drug and alcohol use disorders among adults with select disabilities: The national survey on drug use and health |
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| Institution: | 1. Department of Epidemiology & Biostatistics, University of Maryland School of Public Health, 4200 Valley Drive, Suite 2242, University of Maryland College Park, MD 20742, USA;2. Harvard T.H. Chan School of Public Health, 677 Huntington Ave. Boston, MA 02115, USA;3. Department of Behavioral & Community Health, University of Maryland School of Public Health, 4200 Valley Drive, Suite 2242, University of Maryland College Park, MD 20742, USA;1. Johns Hopkins Disability Health Research Center, Johns Hopkins University, Baltimore, MD, USA;2. Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;3. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;4. Department of Otolaryngology, Johns Hopkins University School of Medicine, Baltimore, MD, USA;1. School of Public Health, Georgia State University, USA;2. Global Health Research Center, Duke Kunshan University, China;3. Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, China;4. School of Public Health, Wuhan University, China;5. Department of Biostatistics and Bioinformatics, Duke University, USA;6. Duke Global Health Institute, Duke University, USA;1. Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA;2. Center for Health Services Research, Uniformed Services University of the Health Sciences, Bethesda, MD, USA;3. The Henry M Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD, USA;1. Penn State College of Medicine, 700 HMC Cres Road, Hershey, 17033, PA, USA;2. Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, 02215, MA, USA;3. Children''s Hospital Los Angeles, 4650 Sunset Blvd, Los Angeles, 90027, CA, USA;4. University of South Florida Morsani College of Medicine, 560 Channelside Dr, Tampa, 33602, FL, USA;5. Duke University School of Medicine, 40 Duke Medicine Circle, 124 Davison Building, Durham, 27710, NC, USA;1. Department of Community and Behavioral Health, Washington State University College of Medicine, USA;2. The Disability Health Research Center, Johns Hopkins University, USA |
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| Abstract: | BackgroundDeaths caused by drugs and alcohol have reached high levels in the US, and prior research shows a consistent association between disability status and substance misuse.ObjectiveUsing national data, this study quantifies the association between disability status and drug and alcohol use disorders among US adults.MethodsThe most recent pre-pandemic years (2018–2019) of the cross-sectional National Survey on Drug Use and Health (n = 83,439) were used to examine how the presence of any disability, and specific disabilities, were associated with past year drug and alcohol use disorders. Logistic regression was used to estimate adjusted odds ratios (aORs) controlling for potential sociodemographic confounders.ResultsAdults with any disability had increased odds of drug (aOR = 2.7; 95% CI = 2.5–3.0), and alcohol use disorder (aOR = 1.8; 95% CI = 1.6–2.0), compared to adults without disability. Examining specific types of disabilities, adults with cognitive limitations only had increased odds of drug (aOR = 3.1; 95% CI = 2.6–3.6), and alcohol use disorders (aOR = 2.2; 95% CI = 1.9–2.5), compared to adults without disability. Smaller associations were observed between vision and complex activity limitations and drug use disorder. Adults with two or more types of limitations had increased odds of drug (aOR = 3.7; 95% CI = 3.3–4.3), and alcohol use disorders (aOR = 2.3; 95% CI = 2.0–2.6).ConclusionsThe presence of disability, especially cognitive limitation only, or two or more types of limitations, is associated with elevated odds of drug and alcohol use disorder among US adults. Additional research should examine the temporal relationship between and mechanisms linking disability and substance misuse. |
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| Keywords: | Alcohol use disorder Disability Drug use disorder Epidemiology National Survey on Drug Use and Health |
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