Evidence map›Paper›PMID 40639743›Full record

ArticlePreventive medicine2025

Barriers to healthcare utilization among adults engaging in heavy drinking: Results from the All of Us research program.

Melissa Pearman Fenton, Kaitlyn Swacil, Catherine Woodstock Striley, Linda Bauer Cottler, Milton Eder, Irvin PeDro Cohen, Catalina Lopez-Quintero

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Preventive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Melissa Pearman FentonDepartment of Human Development and Family Studies, Colorado State University, 1570 Campus Delivery, Fort Collins, CO 80523, United States of America.
Kaitlyn SwacilDepartment of Epidemiology, University of Florida, 2004 Mowry Road, Gainesville, FL 32610, United States of America.
Catherine Woodstock StrileyDepartment of Epidemiology, University of Florida, 2004 Mowry Road, Gainesville, FL 32610, United States of America.
Linda Bauer CottlerDepartment of Epidemiology, University of Florida, 2004 Mowry Road, Gainesville, FL 32610, United States of America.
Milton EderDepartment of Family Medicine and Community Health, University of Minnesota, 717 Delaware St SE, Room 421, Minneapolis, MN 55414, United States of America.
Irvin PeDro CohenLocal Initiatives Support Corporation (LISC) Jacksonville, 100 North Laura Street STE 600, Jacksonville, FL 32202, United States of America.
Catalina Lopez-QuinteroDepartment of Epidemiology, University of Florida, 2004 Mowry Road, Gainesville, FL 32610, United States of America. Electronic address: catalinalopezqui@ufl.edu.

Funding

All of Us Consortium of CTSA Community Engagement ProgramsOT2OD031919 · OD · UNIVERSITY OF FLORIDA · PI COTTLER, LINDA B., EDER, MILTON · 2022 to 2025
$5.0M
UF Substance Abuse Training Center in Public HealthT32DA035167 · NIDA · UNIVERSITY OF FLORIDA · PI Linda B. Cottler · 2014 to 2026
$4.8M
NIDA NIH HHS T32 DA035167NIH HHS OT2 OD031919
6 · The paper itself

Abstract

objectiveWe examined sociodemographic factors associated with barriers to healthcare utilization (HCU) among a national sample of adults engaging in heavy drinking behavior (HDB).

methodsA sample of 3257 participants from the All of Us program (2018-2022 Controlled Tier Dataset-v7) who reported HDB (i.e., six or more drinks on one occasion, at least weekly) was selected to examine the associations between socio-demographic factors and barriers to HCU (i.e., structural, competing social roles, attitudinal, and financial barriers). Multiple logistic regressions estimated adjusted Odds Ratios (aOR) for the associations of interest.

resultsFinancial barriers (23.64 %) were the most common of the four barriers, followed by attitudinal (18.27 %), competing social roles (15.66 %), and structural (13.36 %) barriers. Females were more likely than males to report competing social roles (or = 1.56, 95 %CI = 1.28,1.90), attitudinal (aOR = 1.41, 95 %CI = 1.17,1.70), and financial (or = 1.41, 95 %CI = 1.19,1.68) barriers. Lower income (aOR = 6.71, 95 %CI = 4.77,9.56), and Non-Hispanic Black/African Americans (aOR = 1.39, 95 %CI = 1.04,1.85) showed higher odds of reporting structural barriers.

conclusionsAs many as one in four individuals who engage in HDB experience at least one HCU barrier, particularly women, those with low-incomes, and Non-Hispanic Black/African Americans. The findings highlight the need for implementation of evidence-based strategies among the identified populations to reduce HCU barriers, and ultimately, alcohol-related disparities.

Indexed as

Alcohol DrinkingHealth Services AccessibilityPatient Acceptance of Health CareAdultFemaleHumansMaleMiddle AgedSociodemographic FactorsSocioeconomic FactorsUnited StatesAlcohol useBarriersDisparitiesHealthcare accessHealthcare utilizationHeavy drinking

Identifiers

PMID40639743
PMCPMC12323754

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.