options more than their counterparts. These descriptive differences translated into significant hazards across several transitions for generation X and millennials when compared to baby boomers, whereby these younger generations were often more likely to use services overall (see Table 3 for help-seeking and Table 4 for treatment utilization). Overall, the transitions for treatment utilization were more informative than for help-seeking when looking at generational differences. There were interesting trends among millennials whereby millennials who were more than six years post-AUD onset were significantly less likely than their boomer counterparts to seek help, but they were overall more likely to utilize treatment than baby boomers. When viewed with the fact that millennials < 5 years post-AUD onset were just as likely as baby boomers to seek help and that millennials 7+ years post-AUD onset were as likely as baby boomers to utilize treatment, it can be inferred that there may be a window where millennials are more likely to use services but that window closes around year 6–7 post-onset. Taken together, these descriptive and proportional hazard ratios show that even though generation X and millennials are often more likely to use services, the specific help-seeking and treatment utilization behaviors are sometimes
