The current investigation extends previous research by identifying unique trauma-related and substance use risk factors of alcohol involvement for EA women. Our results highlight trauma exposure as a risk factor for alcohol initiation, transition to an AUD symptom, and AUD diagnosis but only in EA women. Future research should include a larger cohort of AAs and more specific trauma-related measures in a longitudinal design that can examine bi-directional influences of trauma exposure and other heavy consumption measures as an intermediate step to provide further insight into this relationship.