Our findings highlight the ability of behavioral questions to capture the majority of individuals (91.0%) exposed to CPA and point to behaviorally assessed CPA as a significant predictor of AUD in EA women above and beyond other AUD risk factors. In addition, AA women were more likely to endorse behaviorally defined CPA than EA women. As such, future studies aiming to assess CPA with minimal burden but maximum coverage should consider including behavioral questions to query CPA. We found this method to be the most robust assessment of CPA cases as trauma checklist items only captured 32.6% of CPA, underestimating exposure to CPA particularly in AA women. Lastly, CPA was only found to increase the hazard for AUD in EA women suggesting racially distinct etiological models of AUD.
