This is the first study to examine the effect of generation and its interaction with sex on service use for alcohol problems among individuals with AUD who are also confer family risk for AUD. Findings indicate that younger generations are using services earlier and using more inpatient and AA / self-help services. They are also typically more likely to use services across life transitions, although this is not true for millennials when they are several years post-AUD onset. Younger females were less likely than males to use services, regardless of generation, while older females were more likely. Interactions of generation and sex were only noted in the silent generation and generation X. These differences likely stem from social and policy changes over the last several decades. They also provide additional insight into sex differences that have been noted in previous studies. Future studies should examine these findings more closely, as well as replicate them in a nationally representative sample, so that actionable results can be disseminated to those who treat individuals with AUD. Finally, we believe that the findings of
