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Females were not included because of low AUD prevalence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Chitwan, Nepal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Four thousand eight hundred seventy\u2010six males from 151 neighborhoods, systematically selected and representative of Western Chitwan. All residents aged 15\u201359 were eligible (response rate 93%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>Measures of beatings in the community during the conflict (2000\u20132006), including the date and distance away, were gathered through neighborhood reports, geo\u2010location and official resources, then linked to respondents' life histories of AUD (collected in 2016\u20132018) using the Nepal\u2010specific Composite International Diagnostic Interview with life history calendar. Beatings nearby predict the subsequent onset of AUD during and after the armed conflict. Data were analyzed in 2021\u20132022.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Cohort\u2010specific, discrete\u2010time models revealed that within the youngest cohort (born 1992\u20132001), those living in neighborhoods where armed conflict beatings occurred were more likely to develop AUD compared with those in other neighborhoods (odds ratio\u2009=\u20091.66; 95% confidence interval\u2009=\u20091.02\u20132.71). In this cohort, a multilevel matching analysis designed to simulate a randomized trial showed the post\u2010conflict incidence of AUD for those living in neighborhoods with any armed conflict beatings was 9.5% compared with 5.3% in the matched sample with no beatings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Among male children living in Chitwan, Nepal during the 2000\u20132006 armed conflict, living in a neighborhood where armed conflict beatings occurred is associated with increased odds of developing subsequent alcohol use disorder. This association was independent of personal exposure to beatings and other mental disorders.<\/jats:p><\/jats:sec>","DOI":"10.1111\/add.16343","type":"journal-article","created":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T14:00:36Z","timestamp":1695823236000},"page":"248-258","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Community exposure to armed conflict and subsequent onset of alcohol use disorder"],"prefix":"10.1111","volume":"119","author":[{"given":"Ronny","family":"Bruffaerts","sequence":"first","affiliation":[{"name":"Center for Public Health Psychiatry Universitair Psychiatrisch Centrum KU Leuven  Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0496-0485","authenticated-orcid":false,"given":"William G.","family":"Axinn","sequence":"additional","affiliation":[{"name":"Survey Research Center, Institute for Social Research University 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