“Key
Points:
These
data from a nationally representative sample of US adults with
alcohol use disorders revealed a robust significant association of
high symptom severity with access, continuation and discontinuation
from Alcoholics Anonymous.
The
association of high symptom severity and negative life events
supports the behavioral economic model of AA access and continuation
as proposed in this paper.
Variables
associated with access to AA were also associated with continuation
in AA, except for the variables for gender and education level. Women
were less likely to attend AA, but more likely to continue attending.
College educated respondents were less likely to attend AA, but more
likely to continue attending.
A
sub-group of US adults with severe externalizing disorders,
identified in this study, are associated with access to and
continuation in AA
In the
US there is a a significant geographic regional variation in access
to and continuation in AA”
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