Demographic factors and delay of treatment for alcohol use disorders among 6584 Danish men receiving alcohol treatment

Abstract

Purpose

This study aimed to investigate the time lag between onset and treatment (treatment delay) for alcohol use disorders (AUD) and associations between demographic factors and treatment delay for AUD.

Methods

The study included 6,584 men registered in the Copenhagen Alcohol Cohort, containing information on civil status, employment status, estimated age at onset of alcohol problems, and age at first outpatient AUD treatment. Data on year of birth, intelligence, and educational level were obtained from the Danish Conscription Database. Information on first hospital AUD treatment was retrieved from Danish national psychiatric registers. Associations between the demographic factors and treatment delay were analysed in separate linear regression models adjusted for year of birth and in a mutually adjusted model including all demographic factors.

Results

The mean treatment delay for AUD was 6.9 years (SD = 4.1). After mutual adjustment, an SD increase in intelligence score was associated with 0.17 years increase in treatment delay. Educational level was unrelated to treatment delay. Men with estimated age at onset of alcohol problems at age 20 years or younger had a 5.30 years longer treatment delay than men who had estimated age at onset of alcohol problems at age 51 years or older. Employed men had shorter treatment delays than unemployed men, especially among the oldest birth cohorts.

Conclusions

The treatment delay of 6.9 years highlights the necessity to promote access to AUD treatment, perhaps in particular among adolescents and young individuals. Cognitive factors may affect treatment delay more than non-cognitive personal factors.

Keywords:

• Treatment delay
• alcohol use disorder
• demographic factor
• intelligence

Acknowledgements

The authors thank M. Osler, K. Christensen, D. Molbo, E. L. Mortensen, and T. I. A. Sørensen who established The Danish Conscription Database.

Disclosure statement

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Data availability statement

Data not shared.

Additional information

Funding

This work was supported by the Innovation Fund Denmark, Health and Clinical Research under Grant [603-00520B].

Notes on contributors

Lea Arregui Nordahl Christoffersen

Lea Arregui Nordahl Christoffersen, M.Sc.

Erik Lykke Mortensen

Erik Lykke Mortensen, M.Sc, Professor emeritus.

Holger Jelling Sørensen

Holger Jelling Sørensen, M.Sc, Ph.D., Clinical associate professor.

Ulrik Becker

Ulrik Becker, MD, D. M. Sc., Professor.

Merete Osler

Merete Osler, MD, Ph.D., D.M.Sc., Clinical professor.

Trine Flensborg-Madsen

Trine Flensborg-Madsen, M.Sc, Ph.D., D.M.Sc., Associate professor.