Many studies have found age or cohort effects in service use patterns among individuals with AUD (Alvanzo et al., 2014; Evans-Polce & Schuler, 2016; Holdcraft & Iacono, 2002) but no study to date has examined generational differences as defined by the Pew Research Center (Pew Research Center, 2015). Among individuals with moderate/severe AUD, treatment utilization has been found to vary over the lifetime, peaking at ages 18, 33, and 44 and increasing as more time passes since AUD onset (Evance-Polce & Schuler, 2016). It is often underutilized by those of racial / ethnic minorities, especially Latinos and those of Hispanic descent (Pinedo, Zemore, & Rogers, 2018). One study found that individuals age 45+ had a higher rate of treatment utilization and were older when they received their first alcohol-related service than those under age 45 (Alvanzo et al., 2014). Additionally, an interaction between sex and cohort has been noted, with females more likely than males to develop problems with alcohol later in life overall and with later-born females (i.e., those in the younger cohort) more likely to develop problems than
