{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T14:38:39Z","timestamp":1782139119390,"version":"3.54.5"},"reference-count":52,"publisher":"Harborside Press, LLC","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> Alcohol use disorder (AUD) is associated with cancer recurrence, new malignancies, and mortality among survivors of certain cancers. This study evaluated trends (2012\u20132021) in prevalence and correlates of AUD diagnoses among adult cancer survivors in the United States. <jats:bold>Methods:<\/jats:bold> This retrospective, serial cross-sectional study used claims data (2011\u20132021) from a national sample of US individuals with employer-sponsored health insurance. Adults diagnosed with malignant neoplasms who had at least 6 months of continuous health insurance enrollment prior to their cancer diagnosis were included. The primary outcome was a recent AUD diagnosis in each year of the study period identified from inpatient and outpatient records. We assessed AUD prevalence for each year among all cancer survivors and in specific subgroups. Using data from 2021, we compared sociodemographic and clinical characteristics between cancer survivors with and without AUD diagnoses and identified correlates of AUD diagnosis by using multivariable logistic regression. <jats:bold>Results:<\/jats:bold> Of 5,956,137 eligible cancer survivors, 105,778 (1.78%) had received an AUD diagnosis. The annual prevalence of AUD diagnoses increased from 0.78% in 2012 to 1.43% in 2021 (<jats:italic>P<\/jats:italic>&lt;.0001). AUD prevalence also increased in specific subgroups, including individuals with alcohol-related cancers (from 0.88% to 1.61%; <jats:italic>P<\/jats:italic>&lt;.0001) and those receiving antineoplastic agents (from 0.97% to 1.60%; <jats:italic>P<\/jats:italic>&lt;.0001). Multivariable logistic regression analysis demonstrated that male sex, alcohol-related cancers, mental health diagnoses, and other substance use disorders were associated with at least 2 to 5 times greater odds of an AUD diagnosis. <jats:bold>Conclusions:<\/jats:bold> AUD diagnosis among US cancer survivors with private health insurance has increased over time, mirroring trends in the general population. Integrating AUD screening and treatment into cancer care may help mitigate the unique risks associated with alcohol use and misuse in cancer survivors.<\/jats:p>","DOI":"10.6004\/jnccn.2025.7007","type":"journal-article","created":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T12:49:39Z","timestamp":1746708579000},"page":"156-163","source":"Crossref","is-referenced-by-count":3,"title":["Trends in Prevalence and Correlates of Alcohol Use Disorder Diagnoses Among US Adult Cancer Survivors: Serial Cross-Sectional Analysis"],"prefix":"10.6004","volume":"23","author":[{"given":"Anton L.V.","family":"Avance\u00f1a","sequence":"first","affiliation":[{"name":"Health Outcomes Division, College of Pharmacy, The University of Texas at Austin, Austin, TX"},{"name":"Department of Internal Medicine, Dell Medical School, The University of Texas at Austin, Austin, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyun-Heng","family":"Lai","sequence":"additional","affiliation":[{"name":"Health Outcomes Division, College of Pharmacy, The University of Texas at Austin, Austin, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary M.","family":"Velasquez","sequence":"additional","affiliation":[{"name":"Health Behavior Research and Training Institute, Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX"},{"name":"Department of Population Health, Dell Medical School, The University of Texas at Austin, Austin, TX"},{"name":"Department of Psychiatry & Behavioral Sciences, Dell Medical School, The University of Texas at Austin, Austin, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corwin M.","family":"Zigler","sequence":"additional","affiliation":[{"name":"Department of Statistics and Data Sciences, College of Natural Sciences, The University of Texas at Austin, Austin, TX"},{"name":"Now with Department of Biostatistics, School of Public Health, Brown University, Providence, RI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher R.","family":"Frei","sequence":"additional","affiliation":[{"name":"Pharmacotherapy and Translational Sciences Division, College of Pharmacy, The University of Texas at Austin, Austin, TX"},{"name":"Pharmacotherapy Education and Research Center, Long School of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Pignone","sequence":"additional","affiliation":[{"name":"Department of Medicine, Duke University School of Medicine, Durham, NC"},{"name":"Duke Margolis Center for Health Policy, Duke University, Durham, NC"},{"name":"Duke Cancer Institute, Duke University, Durham, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4047","reference":[{"key":"B1","series-title":"Cancer Epidemiol Biomarkers Prev","first-page":"5","article-title":"Alcohol and cancer: existing knowledge and evidence gaps across the cancer continuum","volume":"31","author":"Gapstur SM","year":"2022","unstructured":"Gapstur SM, Bandera EV, Jernigan DH,  Alcohol and cancer: existing knowledge and evidence gaps across the cancer continuum. 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