The epidemiology of alcohol use disorders cross-nationally: Findings from the World Mental Health Surveys.

Journal: Addictive behaviors

Volume: 102

Issue: 

Year of Publication: 2021

Affiliated Institutions:  Division of Epidemiology, Services, and Prevention Research (DESPR), National Institute on Drug Abuse (NIDA), National Institutes of Health (NIH), Bethesda, MD, USA. Electronic address: mglantz@nida.nih.gov. National Drug and Alcohol Research Centre (NDARC), UNSW, Sydney, Australia. Department of Health Care Policy, Harvard Medical School, Boston, MA, USA. Department of Psychological Medicine, University of Otago, Dunedin, Otago, New Zealand. Queensland Centre for Mental Health Research and Queensland Brain Institute, The University of Queensland, St. Lucia, Queensland, Australia. College of Medicine, Al-Qadisiya University, Diwaniya governorate, Iraq. Health Services Research Unit, IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain; CIBER en Epidemiología y Salud Pública (CIBERESP), Spain; Pompeu Fabra University (UPF), Barcelona, Spain. Núcleo de Epidemiologia Psiquiátrica - LIM , Instituto de Psiquiatria Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, Brazil. Lisbon Institute of Global Mental Health and Chronic Diseases Research Center (CEDOC), NOVA Medical School, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal. Unit of Epidemiological and Evaluation Psychiatry, Istituti di Ricovero e Cura a Carattere Scientifico (IRCCS)-St. John of God Clinical Research Centre, Brescia, Italy. FRCPsych, Department of Psychiatry, University College Hospital, Ibadan, Nigeria. Shanghai Mental Health Center, Shanghai Jiao Tong University, School of Medicine, Shanghai, China. National Center of Public Health and Analyses, Sofia, Bulgaria. Department of Psychiatry and Clinical Psychology, Faculty of Medicine, Balamand University, Beirut, Lebanon; Department of Psychiatry and Clinical Psychology, St George Hospital University Medical Center, Beirut, Lebanon; Institute for Development Research Advocacy and Applied Care (IDRAAC), Beirut, Lebanon. Department of Psychiatry and Clinical Psychology, St George Hospital University Medical Center, Balamand University, Faculty of Medicine, Beirut, Lebanon; Institute for Development Research Advocacy and Applied Care (IDRAAC), Beirut, Lebanon. Ecole des Hautes Etudes en Santé Publique (EHESP), EA , Paris Descartes University, Paris, France. Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria. Department of Psychiatry, Chinese University of Hong Kong, Tai Po, Hong Kong. Mental Health Services, Ministry of Health, Jerusalem, Israel. Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, Queensland, Australia; Queensland Brain Institute, University of Queensland, St. Lucia, Queensland, Australia; National Centre for Register-Based Research, Aarhus University, Aarhus, Denmark. National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico. National School of Public Health, Management and Professional Development, Bucharest, Romania. Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA. Institute of Psychiatry and Neurology, Warsaw, Poland. UDIF-SM, Subdirección General de Planificación, Innovación y Cronicidad, Servicio Murciano de Salud, IMIB-Arrixaca, CIBERESP-Murcia, Murcia, Spain. Colegio Mayor de Cundinamarca University, Faculty of Social Sciences, Bogota, Colombia. PGDipClinPsych, University of Otago, Dunedin School of Medicine, Department of Psychological Medicine, New Zealand. Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad de Buenos Aires, Argentina. National Institute of Mental Health, National Center for Neurology and Psychiatry, Kodaira, Tokyo, Japan. Trimbos-Instituut, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands. Department of Mathematics, Statistics and Computer Science, Dordt College, Sioux Center, Iowa, USA. Center for Excellence on Research in Mental Health, CES University, Medellin, Colombia. Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA. Mental Health Services, Israeli Ministry of Health, Yermiyahu St, Jerusalem , Israel.

Abstract summary 

Prevalences of Alcohol Use Disorders (AUDs) and Mental Health Disorders (MHDs) in many individual countries have been reported but there are few cross-national studies. The WHO World Mental Health (WMH) Survey Initiative standardizes methodological factors facilitating comparison of the prevalences and associated factors of AUDs in a large number of countries to identify differences and commonalities.Lifetime and 12-month prevalence estimates of DSM-IV AUDs, MHDs, and associations were assessed in the 29 WMH surveys using the WHO CIDI 3.0.Prevalence estimates of alcohol use and AUD across countries and WHO regions varied widely. Mean lifetime prevalence of alcohol use in all countries combined was 80%, ranging from 3.8% to 97.1%. Combined average population lifetime and 12-month prevalence of AUDs were 8.6% and 2.2% respectively and 10.7% and 4.4% among non-abstainers. Of individuals with a lifetime AUD, 43.9% had at least one lifetime MHD and 17.9% of respondents with a lifetime MHD had a lifetime AUD. For most comorbidity combinations, the MHD preceded the onset of the AUD. AUD prevalence was much higher for men than women. 15% of all lifetime AUD cases developed before age 18. Higher household income and being older at time of interview, married, and more educated, were associated with a lower risk for lifetime AUD and AUD persistence.Prevalence of alcohol use and AUD is high overall, with large variation worldwide. The WMH surveys corroborate the wide geographic consistency of a number of well-documented clinical and epidemiological findings and patterns.

Authors & Co-authors:  Glantz Meyer D MD Bharat Chrianna C Degenhardt Louisa L Sampson Nancy A NA Scott Kate M KM Lim Carmen C W CCW Al-Hamzawi Ali A Alonso Jordi J Andrade Laura Helena LH Cardoso Graca G De Girolamo Giovanni G Gureje Oye O He Yanling Y Hinkov Hristo H Karam Elie G EG Karam Georges G Kovess-Masfety Viviane V Lasebikan Victor V Lee Sing S Levinson Daphna D McGrath John J Medina-Mora Maria-Elena ME Mihaescu-Pintia Constanta C Mneimneh Zeina Z Moskalewicz Jacek J Navarro-Mateu Fernando F Posada-Villa José J Rapsey Charlene C Stagnaro Juan Carlos JC Tachimori Hisateru H Ten Have Margreet M Tintle Nathan N Torres Yolanda Y Williams David R DR Ziv Yuval Y Kessler Ronald C RC

Study Outcome 

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Statistics
Citations :  World Health Organization. Global Status Report on Alcohol and Health 2018. Geneva, Switzerland: World Health Organization; 2018.
Authors :  37
Identifiers
Doi : 10.1016/j.addbeh.2019.106128
SSN : 1873-6327
Study Population
Men
Mesh Terms
Alcohol Drinking
Other Terms
Abuse;Alcohol;Comorbidity;Dependence;Prevalence;Remission
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England