{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:10:26Z","timestamp":1760148626040,"version":"build-2065373602"},"reference-count":46,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T00:00:00Z","timestamp":1684368000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["EJIHPE"],"abstract":"<jats:p>Background: This study, using the multiple disadvantage model (MDM), sought to identify factors (disadvantaging social disorganization, social structural, social integration, health\/mental health, co-occurring substance use, and substance treatment access factors) in young adults\u2019 binge drinking reduction and cessation in the United States. Methods: We extracted data on 942 young adult binge drinkers (25\u201334 years, 47.8% female) from the National Longitudinal Study of Adolescent to Adult Health (Add Health), carrying out a temporal-ordered causal analysis, meaning the evaluation of select variables\u2019 impacts on an outcome at a subsequent time. Results: MDM found a relatively high reduction likelihood for non-Hispanic African Americans and respondents with relatively more education. MDM found a relatively low reduction likelihood accompanying an alcohol-related arrest, higher income, and greater number of close friends. Change to nondrinking was found more likely for non-Hispanic African Americans, other non-Hispanic participants having minority ethnicity, older respondents, those with more occupational skills, and healthier respondents. Such change became less likely with an alcohol-related arrest, higher income, relatively more education, greater number of close friends, close friends\u2019 disapproval of drinking, and co-occurring drug use. Conclusions: Interventions incorporating a motivational-interviewing style can effectively promote health awareness, assessment of co-occurring disorders, friendships with nondrinkers, and attainment of occupational skills.<\/jats:p>","DOI":"10.3390\/ejihpe13050066","type":"journal-article","created":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T01:26:41Z","timestamp":1684459601000},"page":"870-882","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Causal Analysis of Young Adults\u2019 Binge Drinking Reduction and Cessation"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2335-1677","authenticated-orcid":false,"given":"Tyrone C.","family":"Cheng","sequence":"first","affiliation":[{"name":"School of Social Work, University of Alabama, Little Hall, Tuscaloosa, AL 35401, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celia C.","family":"Lo","sequence":"additional","affiliation":[{"name":"Peraton, Defense Personnel and Security Research Center, Seaside, CA 93955, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,5,18]]},"reference":[{"key":"ref_1","unstructured":"Substance Abuse and Mental Health Services Administration (2020). 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