Alcohol abuse and dependence in the rural South.

Journal Article (Journal Article)

We studied rural-urban differences in the prevalence of Diagnostic Interview Schedule (DIS)-DSM-III alcohol abuse or dependence from a community survey (part of the Epidemiologic Catchment Area program) of 3921 adults living in the Piedmont of North Carolina. Bivariate analyses disclosed that current alcohol-related problems, as identified by the DIS, were more common in the rural area (4.2% vs 2.6%). In a logistic regression analysis that controlled for potential confounders, including age, sex, race, socioeconomic status, and the DIS-DSM-III diagnoses of major depression and antisocial personality disorder, the elevated odds of alcohol abuse or dependence in the rural area remained significant for the interactive variable "rural blacks" (relative risk, 2.88). Factors leading to urban-rural differences in psychiatric disorders, such as current alcohol abuse or dependence, are therefore more complex than can be explained by geographic boundaries alone.

Full Text

Duke Authors

Cited Authors

  • Blazer, D; Crowell, BA; George, LK

Published Date

  • August 1987

Published In

Volume / Issue

  • 44 / 8

Start / End Page

  • 736 - 740

PubMed ID

  • 3498457

International Standard Serial Number (ISSN)

  • 0003-990X

Digital Object Identifier (DOI)

  • 10.1001/archpsyc.1987.01800200062009


  • eng

Conference Location

  • United States