The study was supported by National Institutes of Health Grants 1F32 MH63527-01A1(JHS, PI) R01 MH48174 (SMM, JB, PIs), P01 MH42473 (SMM, PI), AA13800 (DN, PI), and R01 AA13420 (JB, PI).
Comorbidity of Alcohol Abuse and Dependence with Medical Conditions in 2 American Indian Reservation Communities
Article first published online: 29 MAR 2006
Alcoholism: Clinical and Experimental Research
Volume 30, Issue 4, pages 649–655, April 2006
How to Cite
Shore, J. H., Beals, J., Orton, H., Buchwald, D. and the AI-SUPERPFP Team (2006), Comorbidity of Alcohol Abuse and Dependence with Medical Conditions in 2 American Indian Reservation Communities. Alcoholism: Clinical and Experimental Research, 30: 649–655. doi: 10.1111/j.1530-0277.2006.00076.x
In addition to the above, the AI-SUPERPFP team includes Cecelia K. Big Crow, Buck Chambers, Michelle L. Christensen, Denise A. Dillard, Karen DuBray, Paula A. Espinoza, Candace M. Fleming, Ann Wilson Frederick, Joseph Gone, Diana Gurley, Lori L. Jervis, Shirlene M. Jim, Carol E. Kaufman, Ellen M. Keane, Suzell A. Klein, Denise Lee, Spero M. Manson, Monica C. McNulty, Denise L. Middlebrook, Christina M. Mitchell, Laurie A. Moore, Tilda D. Nez, Ilena M. Norton, Douglas K. Novins, Theresa O'Nell, Heather D. Orton, Carlette J. Randall, Angela Sam, James H. Shore, Sylvia G. Simpson, Paul Spicer, and Lorette L. Yazzie.
- Issue published online: 29 MAR 2006
- Article first published online: 29 MAR 2006
- Received for publication November 23, 2004; accepted December 9, 2005.
- Native Americans;
- Medical Comorbidity;
Background: The objective was to examine the association of self-reported Diagnostic and Statistical Manual–IV edition alcohol abuse and dependence with medical conditions among American Indians (AIs).
Methods: We analyzed data previously collected in a large epidemiological study of members of 2 culturally distinct AI tribes from the Southwest (SW; n=1,446) and the Northern Plains (NP; n=1,638) living on or near their reservations. Associations of combined self-reported alcohol abuse and alcohol dependence with 19 medical conditions were examined through multinomial logistic regression.
Results: Medical conditions that had significant relationships with alcohol abuse/dependence were sprains and strains [odds ratio (OR) 2.04, p<0.001], hearing and vision problems (OR 2.05, p<0.001), kidney and bladder problems (OR 1.55, p<0.01), head injuries (OR 2.20, p<0.001), pneumonia/tuberculosis (OR 1.49, p<0.01), dental problems (OR 1.89, p<0.001), and liver problems/pancreatitis (OR 2.18, p<0.001). The total count of medical conditions was also significantly related to alcohol abuse/dependence, with a higher count being associated with the outcome (OR 1.17, p<0.001).
Conclusions: In this community-based study of rural AIs, diverse medical conditions were associated with alcohol abuse and dependence. Further research should examine, and confirm, the nature, extent, and tribal variation of the medical consequences of alcohol abuse and dependence in these unique populations.