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Among socioeconomically disadvantaged patients with alcohol\u2010associated cirrhosis, we examined rates of lifetime and past 12\u2010month AUD treatment utilization and associated demographic and clinical characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Racial\/ethnically diverse patients with alcohol\u2010associated cirrhosis who had at least one hepatology clinic visit in the prior 6\u2009months were recruited from three Northern California medical centers serving veterans and safety\u2010net populations. Participants self\u2010reported their AUD treatment utilization, liver disease quality of life (LDQoL), history and current symptoms of anxiety and depression, and problematic drinking as measured by the Alcohol Use Disorders Identification Test (AUDIT). Clinical measures including liver disease severity were captured from medical records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 196 participants, the majority were male (88%) with a mean age of 62\u2009years. Two\u2010thirds of participants (67%) reported ever utilizing AUD treatment and 32% reported utilizing AUD treatment in the past 12\u2009months. Compared with those who did not utilize AUD treatment, participants who utilized lifetime or past 12\u2010month AUD treatment were younger, had lower LDQoL scores, and had higher scores on current symptoms of anxiety, depression, and problematic drinking. In multivariable analyses, the odds of ever utilizing pharmacological treatment alone or both behavioral and pharmacological treatment (vs. none) were lower with older age or higher LDQoL, and higher among those with a history of anxiety\/depressive disorder. For past 12\u2010month treatment utilization, odds were lower with older age, and higher among those with current clinically significant anxiety\/depression or problematic drinking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with alcohol\u2010associated cirrhosis who were younger or had anxiety\/depression and problematic drinking were more likely to utilize AUD treatment. To improve AUD treatment utilization, targeted outreach to patients less likely to receive care and the provision of integrated ALD and AUD treatment is warranted.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acer.15500","type":"journal-article","created":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T02:13:24Z","timestamp":1733364804000},"page":"244-255","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Demographic and clinical characteristics associated with utilization of alcohol use disorder treatment in a multicenter study of patients with alcohol\u2010associated cirrhosis"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9061-1555","authenticated-orcid":false,"given":"Jeremy W.","family":"Luk","sequence":"first","affiliation":[{"name":"Office of the Clinical Director National Institute on Alcohol Abuse and Alcoholism  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nghiem B.","family":"Ha","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy M.","family":"Shui","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics University of California  San Francisco California USA"},{"name":"Liver Center University of California, San Francisco  California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah R.","family":"Snyder","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven L.","family":"Batki","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences University of California  San Francisco California USA"},{"name":"Mental Health Service Veterans Affairs San Francisco Health Care System  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Ostacher","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University School of Medicine  Stanford California USA"},{"name":"Department of Psychology Veterans Affairs Palo Alto Health Care System  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Monto","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology Veterans Affairs San Francisco Health Care System  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Wong","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology Stanford University School of Medicine  Stanford California USA"},{"name":"Gastroenterology Section Veterans Affairs Palo Alto Health Care System  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramsey","family":"Cheung","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology Stanford University School of Medicine  Stanford California USA"},{"name":"Gastroenterology Section Veterans Affairs Palo Alto Health Care System  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priti","family":"Parekh","sequence":"additional","affiliation":[{"name":"Department of Psychology Veterans Affairs Palo Alto Health Care System  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Hua","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences University of California  San Francisco California USA"},{"name":"Mental Health Service Veterans Affairs San Francisco Health Care System  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. 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