Luczak · The American journal on addictions 2017 · literature review · n=?

Review: Prevalence and co-occurrence of addictions in US ethnic/racial groups: Implications for genetic research.

Cited 69 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative literature review without systematic quantitative synthesis

PubMed 27759944 · doi:10.1111/ajad.12464 · record verified 2026-08-26

What was done

The authors reviewed literature indexed in MEDLINE and PsycINFO regarding the prevalence and co-occurrence of 12 addictive behaviors (alcohol, tobacco, marijuana, illicit drugs, gambling, eating/food, internet, sex, love, exercise, work, and shopping) across US ethnic and racial groups, evaluating implications for addiction genetics research.

What was found

The abstract reports no numerical estimates. It found that minimal research evaluates the co-occurrence of addictions across US ethnic groups. Existing comparative studies focused almost exclusively on substances and gambling, observing prevalence differences among racial and ethnic groups. Almost no comparative data existed across ethnic groups for behavioral addictions such as eating/food, internet, love, sex, exercise, work, or shopping.

Why it matters

It exposes a major research blind spot in how diverse populations experience comorbid and behavioral addictions. Recognizing these disparities and data gaps is crucial for designing valid genetic studies, particularly regarding population stratification, subgroup disaggregation, and gene-environment interactions.

Limits

The abstract provides no quantitative data, sample sizes, or total study counts. As a narrative review, it lacks a formal systematic quality assessment or meta-analytic pooling, and findings are heavily constrained by the scarcity of existing primary literature on non-substance addictions in minority populations.

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