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

Meyer Glantz 1 Chrianna Bharat 2 Louisa Degenhardt 2 Nancy Sampson 3 Kate Scott 4 Carmen C.W. Lim 5 Ali Al-Hamzawi 6 Jordi Alonso 7 Laura Helena Andrade 8 Graca Cardoso 9 Giovanni de Girolamo 10 Oye Gureje 11 Yanling He 12 Hristo Hinkov 13 Elie Karam 14 Georges Karam 14 Viviane Kovess-Masféty 15 Victor Lasebikan 16 Sing Lee 17 Daphna Levinson 18 John Mcgrath 19 Maria-Elena Medina-Mora 20 Constanta Mihaescu-Pintia 21 Zeina Mneimneh 22 Jacek Moskalewicz 23 Fernando Navarro-Mateu 24 José Posada-Villa 25 Charlene Rapsey 4 Juan Carlos Stagnaro 26 Hisateru Tachimori 27 Margreet ten Have 28 Nathan Tintle 29 Yolanda Torres 30 David Williams 31 Yuval Ziv 32 Ronald Kessler 3
Abstract : Background: 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. Methods: 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. Results: 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. Conclusions: 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.
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Submitted on : Thursday, January 28, 2021 - 12:51:09 PM
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Meyer Glantz, Chrianna Bharat, Louisa Degenhardt, Nancy Sampson, Kate Scott, et al.. The epidemiology of alcohol use disorders cross-nationally: Findings from the World Mental Health Surveys. Addictive Behaviors, Elsevier, 2020, 102, pp.106128. ⟨10.1016/j.addbeh.2019.106128⟩. ⟨hal-03124040⟩

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