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Title: The epidemiology of alcohol use disorders cross-nationally: Findings from the World Mental Health Surveys
Authors: Glantz, Meyer D
Bharat, Chrianna
Degenhardt, Louisa
Sampson, Nancy A
Scott, Kate M
Lim, Carmen C W
Al-Hamzawi, Ali
Alonso, Jordi
Andrade, Laura Helena
Cardoso, Graca
De Girolamo, Giovanni
Gureje, Oye
He, Yanling
Hinkov, Hristo
Karam, Elie G.
Karam, Georges
Kovess-Masfety, Viviane
Lasebikan, Victor
Lee, Sing
Levinson, Daphna
McGrath, John
Medina-Mora, Maria-Elena
Mihaescu-Pintia, Constanta
Mneimneh, Zeina
Moskalewicz, Jacek
Navarro-Mateu, Fernando
Posada-Villa, José
Rapsey, Charlene
Stagnaro, Juan Carlos
Tachimori, Hisateru
Ten Have, Margreet
Tintle, Nathan
Torres, Yolanda
Williams, David R
Ziv, Yuval
Kessler, Ronald C
Affiliations: Faculty of Medicine 
Faculty of Medicine 
Keywords: Abuse
Issue Date: 2020
Publisher: Elsevier
Part of: Addictive Behaviors
Volume: 102
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.
ISSN: 03064603
DOI: 10.1016/j.addbeh.2019.106128
Ezproxy URL: Link to full text
Type: Journal Article
Appears in Collections:Faculty of Medicine

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