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

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Glantz, Meyer D. ^[1] ; Bharat, Chrianna ^[2] ; Degenhardt, Louisa ^[2] ; Sampson, Nancy A. ^[3] ; Scotts, Kate M. ^[4] ; Lim, Carmen C. W. ^{[5, 6]} ; Al-Hamzawi, Ali ^[7] ; Alonso, Jordi ^{[8, 9, 10]} ; Andrade, Laura Helena ^[11] ; Cardoso, Graca ^{[12, 13]} ; De Girolamo, Giovanni ^[14] ; Gureje, Oye ^[15] ; He, Yanling ^[16] ; Hinkov, Hristo ^[17] ; Karam, Elie G. ^{[18, 19, 20]} ; Karam, Georges ^{[19, 21]} ; Kovess-Masfety, Viviane ^[22] ; Lasebikan, Victor ^[23] ; Lee, Sing ^[24] ; Levinson, Daphna ^[25] ; McGrath, John ^{[6, 26, 27]} ; Medina-Mora, Maria-Elena ^[28] ; Mihaescu-Pintia, Constanta ^[29] ; Mneimneh, Zeina ^[30] ; Moskalewicz, Jacek ^[31] ; Navarro-Mateu, Fernando ^[32] ; Posada-Villa, Jose ^[33] ; Rapsey, Charlene ^[34] ; Stagnaro, Juan Carlos ^[35] ; Tachimori, Hisateru ^[36] ; Ten Have, Margreet ^[37] ; Tintle, Nathan ^[38] ; Torres, Yolanda ^[39] ; Williams, David R. ^[40] ; Ziv, Yuval ^[41] ; Kessler, Ronald C. ^[3] ; Colla, WHO World Mental Hlth Survey

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^[1] NIDA, DESPR, NIH, Bethesda, MD 20892 - USA

^[2] UNSW, NDARC, Sydney, NSW - Australia

^[3] Harvard Med Sch, Dept Hlth Care Policy, Boston, MA 02115 - USA

^[4] Univ Otago, Dept Psychol Med, Dunedin, Otago - New Zealand

^[5] Univ Queensland, Queensland Ctr Mental Hlth Res, St Lucia, Qld - Australia

^[6] Univ Queensland, Queensland Brain Inst, St Lucia, Qld - Australia

^[7] Al Qadisiya Univ, Coll Med, Diwaniya Governorate - Iraq

^[8] UPF, Barcelona - Spain

^[9] CIBERESP, Barcelona - Spain

^[10] IMIM Hosp del Mar Med Res Inst, Hlth Serv Res Unit, Barcelona - Spain

^[11] Univ Sao Paulo, Inst Psiquiatria, Nucleo Epidemiol Psiquiatr LIM 23, Hosp Clin, Fac Med, Sao Paulo - Brazil

^[12] Univ Nova Lisboa, Lisbon Inst Global Mental Hlth, Lisbon - Portugal

^[13] Univ Nova Lisboa, NOVA Med Sch, Chron Dis Res Ctr CEDOC, Fac Ciencias Med, Lisbon - Portugal

^[14] St John God Clin Res Ctr, IRCCS, Unit Epidemiol & Evaluat Psychiat, Brescia - Italy

^[15] Univ Coll Hosp, Dept Psychiat, FRCPsych, Ibadan - Nigeria

^[16] Shanghai Jiao Tong Univ, Sch Med, Shanghai Mental Hlth Ctr, Shanghai - Peoples R China

^[17] Natl Ctr Publ Hlth & Analyses, Sofia - Bulgaria

^[18] St George Hosp Univ, Med Ctr, Dept Psychiat & Clin Psychol, Beirut - Lebanon

^[19] IDRAAC, Beirut - Lebanon

^[20] Balamand Univ, Dept Psychiat & Clin Psychol, Fac Med, Beirut - Lebanon

^[21] Balamand Univ, St George Hosp Univ Med Ctr, Dept Psychiat & Clin Psychol, Fac Med, Beirut - Lebanon

^[22] Paris Descartes Univ, EA 4057, EHESP, Paris - France

^[23] Univ Ibadan, Coll Med, Dept Psychiat, Ibadan - Nigeria

^[24] Chinese Univ Hong Kong, Dept Psychiat, Tai Po, Hong Kong - Peoples R China

^[25] Minist Hlth, Mental Hlth Serv, Jerusalem - Israel

^[26] Aarhus Univ, Natl Ctr Register based Res, Aarhus - Denmark

^[27] Pk Ctr Mental Hlth, Queensland Ctr Mental Hlth Res, Wacol, Qld - Australia

^[28] Natl Inst Psychiat Ramon Fuente Muniz, Mexico City, DF - Mexico

^[29] Natl Sch Publ Hlth Management & Profess Dev, Bucharest - Romania

^[30] Univ Michigan, Inst Social Res, Survey Res Ctr, Ann Arbor, MI - USA

^[31] Inst Psychiat & Neurol, Warsaw - Poland

^[32] CIBERESP Murcia, IMIB Arrixaca, Subdirecc Gen Planificac Innovac & Cronicidad, Serv Murciano Salud, UDIF SM, Murcia - Spain

^[33] Cundinamarca Univ, Colegio Mayor, Fac Social Sci, Bogota - Colombia

^[34] Univ Otago, Dunedin Sch Med, Dept Psychol Med, Dunedin - New Zealand

^[35] Univ Buenos Aires, Fac Med, Dept Psiquiatria & Salud Mental, Buenos Aires, DF - Argentina

^[36] Natl Ctr Neurol & Psychiat, Natl Inst Mental Hlth, Kodaira, Tokyo - Japan

^[37] Netherlands Inst Mental Hlth & Addict, Trimbos Inst, Utrecht - Netherlands

^[38] Dordt Coll, Dept Math Stat & Comp Sci, Sioux Ctr, IA - USA

^[39] CES Univ, Ctr Excellence Res Mental Hlth, Medellin - Colombia

^[40] Harvard TH Chan Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA - USA

^[41] Israeli Minist Hlth, Mental Hlth Serv, 39 Yermiyahu St, IL-9101002 Jerusalem - Israel

• Tipo de documento: Artigo Científico
• Fonte: ADDICTIVE BEHAVIORS; v. 102, MAR 2020.
• Citações Web of Science: 0

Resumo

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. (AU)

• Processo FAPESP: 03/00204-3 - Estudo epidemiológico dos transtornos psiquiátricos na região metropolitana de São Paulo: prevalências, fatores de risco e sobrecarga social e econômica
• Beneficiário: Laura Helena Silveira Guerra de Andrade
• Modalidade de apoio: Auxílio à Pesquisa - Temático