There were also notable interactions of sex with generation. Silent generation females were more likely than their boomer counterparts to seek help, while silent generation males were less likely. Generation X males were more likely than baby boomer males to seek treatment when examining the transition from first AUD onset to first treatment. Without speculating too much, these interactions likely result from a confluence of social and policy changes that are impossible to disentangle within the COGA dataset. No other study has examined sex-generation interaction for service use among those with AUD.