Many of the generational differences in service use found in the current study interacted with sex, and there were also significant sex differences by themselves. It has been repeatedly found that females are less likely than males to utilize services for AUD (Alvanzo et al., 2014; Chartier & Caetano, 2011; Gilbert et al., 2019; Raimi et al., 1999). The current findings align with this and add additional insights. They indicate that there is an age component to seeking help that needs to be further explored. When compared to males, females in their 20s were less likely to seek help, those in their teens, 30s, and 40s were just as likely, and those over age 50 were significantly more likely. Similarly, females under the age of 30 were less likely than males to utilize treatment. This age component to these interactions likely has to do with societal expectations for females who identify as women and/or have children (e.g., being too busy having and raising children in their 20s could mean that service use gets pushed until their children are grown; being
