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Subst Use Misuse. 2016 Oct 14;51(12):1629-1636. Epub 2016 Aug 3.

Gender and Alcohol Use Disorders Diagnostic Criteria in Emergency Department Patients of Argentina.

Author information

1
a Department of Psychology National University of Mar del Plata , Mar del Plata , Argentina.
2
b Interdisciplinary Center for Research in Mathematical and Experimental Psychology , Buenos Aires , Argentina.
3
c Alcohol Research Group , Public Health Institute , Emeryville , California , USA.

Abstract

BACKGROUND:

Alcohol consumption and its related consequences are not equal for women and men, although related studies do not frequently include gender analysis.

OBJECTIVE:

Our aim was to characterize differences in endorsement of ICD-10 and DSM 5 alcohol use disorder (AUD) criteria by gender in an Argentinean emergency department population.

METHODS:

A probability sample of patients (N = 923) from the largest emergency department in the city of Mar del Plata, Argentina (44% were females, aged 16 to 86, M (SD) = 37.31(15.20) was collected. Using a structured questionnaire, diagnostic criteria for alcohol use disorders, alcohol consumption, and socio-demographic variables were obtained. Bivariate and multivariate analyses were used to assess differences in the endorsement of each diagnostic criterion by gender.

RESULTS:

Women were less likely to endorse each of the criteria for each of the diagnostic schemes. Even after controlling alcohol consumption, socio-demographic variables, severity of alcohol use disorders and adjusting for multiple comparisons females had a lower probability than males of endorsing withdrawal and impaired control.

CONCLUSIONS:

gender differences in the endorsement of diagnostic criteria for both the DSM 5 and ICD-10 were found. Some differences in endorsement but not all, might be partially explained by alcohol consumption patterns and socio-demographic factors, and same remained after controlling severity of the AUD. Results also suggest a differential functioning of DSM 5 and ICD-10 AUD criteria for women and men.

KEYWORDS:

Alcohol; Argentina; DSM; ICD; diagnostic criteria; gender

PMID:
27486678
PMCID:
PMC5055458
DOI:
10.1080/10826084.2016.1191512
[Indexed for MEDLINE]
Free PMC Article

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