Adjusting for familial level risk factors, AAs were less likely to use alcohol (77.9% vs. 87.9%, p < .001) and started drinking at a later age [AA: M = 16.8 years; EA: M = 15.9 years; p < .001] than their EA counterparts (Table 1). Of those who ever used alcohol, AA women were less likely to experience an AUD symptom (49.0% vs. 68.2%, p < .001) and meet DSM-5 criteria for lifetime AUD (24.7% vs. 39.5%, p < .001). In the total sample, lifetime prevalence of AUD was 33.2%, with lower rates of AUD in AA (20.7%) compared to EA [35.3%, (AOR=0.44 95%CI: 0.34–0.57)] young adult women. AAs were more likely to be diagnosed with PTSD [total sample: 7.2% vs. 3.6%, (AOR=1.55, 95%CI: 1.02–2.37)]; however, no significant racial differences were found when PTSD was conditioned on trauma exposure and odd ratios were adjusted for familial risk factors [10.1% vs 6.9%, (AOR=1.27, 95%CI: 0.84–1.93)]. AAs also reported higher prevalence of PA (42.5% vs. 18.0%, p < .001), witnessing injury or death (26.6% vs. 15.0%, p < .001), and experiencing a
