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It's B. The association of heavy alcohol use and death from hepatocellular carcinoma is greater for women than for men.

Explanation: Alcohol use disorders are influenced by numerous factors. Males have higher rates of drinking and related disorders than females; however, due to physiological factors, women develop higher blood alcohol content levels per drink compared with men, which may predispose women to develop alcohol-induced diseases. Indeed, the association of heavy alcohol use and death from hepatocellular carcinoma is stronger for women than men. Similarly, underage women are at a greater risk of being in an alcohol-related automobile crash compared with men. Women, however, are more likely to seek professional help for alcohol use disorder. The earlier that adolescents regularly drink alcohol to intoxication, the greater the risk is that they will develop alcohol use disorder later in life. A family history of alcohol use disorder is well known to impose significant risk of developing the condition. Evidence also reveals the importance of ethnicity in alcohol use disorders. Alcohol withdrawal severity is greater and mortality secondary to alcohol-induced liver disease is higher among non-Hispanic whites. A large study including individuals ages 60 years and older found that the prevalence of binge drinking was highest among non-Hispanic whites and lowest among Asians.

Muskin PR, ed. Study Guide to Psychiatry: A Companion to the American Psychiatric Publishing Textbook of Psychiatry. Sixth Edition. Arlington, VA: American Psychiatric Association Publishing; 2015: 85, 353-354. Click here to purchase. Members can purchase at a discount.