{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:44:55Z","timestamp":1792053895827,"version":"4.4.0"},"reference-count":39,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["R01AA029081"],"award-info":[{"award-number":["R01AA029081"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000001","name":"National Science Foundation","doi-asserted-by":"publisher","award":["1760484"],"award-info":[{"award-number":["1760484"]}],"id":[{"id":"10.13039\/100000001","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000001","name":"National Science Foundation","doi-asserted-by":"publisher","award":["2048637"],"award-info":[{"award-number":["2048637"]}],"id":[{"id":"10.13039\/100000001","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alcohol, Clinical and Experimental Research"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Alcohol use often fluctuates following disasters, but individual trajectories and their links to mental health remain poorly understood. This study examined long\u2010term patterns of alcohol use among disaster\u2010exposed adults and their associations with depression and illness anxiety (a preoccupation with having or acquiring a serious illness).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009941) came from five waves (2016\u20132024) of the\n                      <jats:italic>Survey of Trauma, Resilience, and Opportunity among Neighborhoods in the Gulf (STRONG)<\/jats:italic>\n                      , a longitudinal cohort of adults in the U.S. Gulf Coast region. Growth mixture modeling identified latent trajectories of alcohol use across nine years encompassing multiple disasters (Deepwater Horizon oil spill, hurricanes, COVID\u201019 pandemic). Multinomial regression examined demographic and disaster exposure correlates of trajectory membership. Linear mixed\u2010effects models assessed associations between drinking trajectories and longitudinal changes in depression and illness anxiety.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A four\u2010class model best fit the data:\n                      <jats:italic>Low Stable<\/jats:italic>\n                      (36%),\n                      <jats:italic>Elevated Stable<\/jats:italic>\n                      (47%),\n                      <jats:italic>Decreasing<\/jats:italic>\n                      (11%), and\n                      <jats:italic>Increasing<\/jats:italic>\n                      (7%) drinking trajectories. Elevated Stable drinkers were younger, more educated, and less likely to be female or Black. Disaster exposure differed modestly by class, with only oil spill exposure and COVID\u201019 disruptions associated with drinking patterns. Over time, depression increased among Elevated Stable and Increasing drinkers, while illness anxiety rose among Elevated Stable and Decreasing drinkers.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Alcohol use and mental health trajectories following disasters are heterogeneous and interrelated. Persistent or increasing drinking was linked to worsening depression, while illness anxiety followed distinct patterns. Tailored prevention and intervention strategies should consider individual drinking trajectories and disaster context.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.70389","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T14:01:41Z","timestamp":1791813701000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Alcohol Use Trajectories Across Disasters: Associations With Depression and Illness Anxiety"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1111-8197","authenticated-orcid":false,"given":"Lynsay","family":"Ayer","sequence":"first","affiliation":[{"name":"RAND  Arlington Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samer","family":"Atshan","sequence":"additional","affiliation":[{"name":"RAND  Santa Monica California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachana","family":"Seelam","sequence":"additional","affiliation":[{"name":"RAND  Santa Monica California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonnie","family":"Ghosh\u2010Dastidar","sequence":"additional","affiliation":[{"name":"RAND  Santa Monica California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1171-9777","authenticated-orcid":false,"given":"Alyson B.","family":"Harding","sequence":"additional","affiliation":[{"name":"RAND  Santa Monica California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7511-0894","authenticated-orcid":false,"given":"Andrew","family":"Parker","sequence":"additional","affiliation":[{"name":"RAND  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4253-3812","authenticated-orcid":false,"given":"Vanessa","family":"Parks","sequence":"additional","affiliation":[{"name":"RAND  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2018.84"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/bmsp.12227"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/pan\/mpu003"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530\u20100277.2007.00403.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.16.1789"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2215\u20100366(19)30222\u20106"},{"key":"e_1_2_9_9_1","unstructured":"Centers for Disease Control and Prevention 2025."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360\u20100443.2008.02247.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41811\u2010021\u201000109\u20107"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/10522158.2017.1402529"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/001139297045003002"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2025-112552"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291725103048"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v34.4.03"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/10673229709030550"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2023.307267"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.Mlr.0000093487.78664.3c"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2015.05.031"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22850"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102017\u2010020683"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.14824"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2023.115681"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/hup.70004"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2009.06.005"},{"key":"e_1_2_9_27_1","unstructured":"National Institute on Alcohol Abuse and Alcoholism (NIAAA).2025.Alcohol Use in the United States: Age Groups and Demographic Characteristics. 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