The epidemiology of alcohol use disorders cross-nationally

Findings from the World Mental Health Surveys

Meyer D. Glantz, Chrianna Bharat, Louisa Degenhardt, Nancy A. Sampson, Kate M. Scott, Carmen C.W. Lim, Ali Al-Hamzawi, Jordi Alonso, Laura Helena Andrade, Graca Cardoso, Giovanni De Girolamo, Oye Gureje, Yanling He, Hristo Hinkov, Elie G. Karam, Georges Karam, Viviane Kovess-Masfety, Victor Lasebikan, Sing Lee, Daphna Levinson & 16 others John McGrath, Maria Elena Medina-Mora, Constanta Mihaescu-Pintia, Zeina Mneimneh, Jacek Moskalewicz, Fernando Navarro-Mateu, José Posada-Villa, Charlene Rapsey, Juan Carlos Stagnaro, Hisateru Tachimori, Margreet Ten Have, Nathan Tintle, Yolanda Torres, David R. Williams, Yuval Ziv, Ronald C. Kessler

Research output: Contribution to journalArticle

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.

Original languageEnglish
Article number106128
JournalAddictive Behaviors
Volume102
DOIs
Publication statusPublished - 1 Mar 2020

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Epidemiology
Health Surveys
Mental Health
Alcohols
Mental Disorders
Health
Global Health
Mental Health Associations

Keywords

  • Abuse
  • Alcohol
  • Comorbidity
  • Dependence
  • Prevalence
  • Remission

Cite this

Glantz, M. D., Bharat, C., Degenhardt, L., Sampson, N. A., Scott, K. M., Lim, C. C. W., ... Kessler, R. C. (2020). The epidemiology of alcohol use disorders cross-nationally: Findings from the World Mental Health Surveys. Addictive Behaviors, 102, [106128]. https://doi.org/10.1016/j.addbeh.2019.106128
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. / The epidemiology of alcohol use disorders cross-nationally : Findings from the World Mental Health Surveys. In: Addictive Behaviors. 2020 ; Vol. 102.
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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.",
keywords = "Abuse, Alcohol, Comorbidity, Dependence, Prevalence, Remission",
author = "Glantz, {Meyer D.} and Chrianna Bharat and Louisa Degenhardt and Sampson, {Nancy A.} and Scott, {Kate M.} and Lim, {Carmen C.W.} and Ali Al-Hamzawi and Jordi Alonso and Andrade, {Laura Helena} and Graca Cardoso and {De Girolamo}, Giovanni and Oye Gureje and Yanling He and Hristo Hinkov and Karam, {Elie G.} and Georges Karam and Viviane Kovess-Masfety and Victor Lasebikan and Sing Lee and Daphna Levinson and John McGrath and Medina-Mora, {Maria Elena} and Constanta Mihaescu-Pintia and Zeina Mneimneh and Jacek Moskalewicz and Fernando Navarro-Mateu and Jos{\'e} Posada-Villa and Charlene Rapsey and Stagnaro, {Juan Carlos} and Hisateru Tachimori and {Ten Have}, Margreet and Nathan Tintle and Yolanda Torres and Williams, {David R.} and Yuval Ziv and Kessler, {Ronald C.}",
year = "2020",
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doi = "10.1016/j.addbeh.2019.106128",
language = "English",
volume = "102",
journal = "Addictive Behaviors",
issn = "0306-4603",

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Glantz, MD, Bharat, C, Degenhardt, L, Sampson, NA, Scott, KM, Lim, CCW, Al-Hamzawi, A, Alonso, J, Andrade, LH, Cardoso, G, De Girolamo, G, Gureje, O, He, Y, Hinkov, H, Karam, EG, Karam, G, Kovess-Masfety, V, Lasebikan, V, Lee, S, Levinson, D, McGrath, J, Medina-Mora, ME, Mihaescu-Pintia, C, Mneimneh, Z, Moskalewicz, J, Navarro-Mateu, F, Posada-Villa, J, Rapsey, C, Stagnaro, JC, Tachimori, H, Ten Have, M, Tintle, N, Torres, Y, Williams, DR, Ziv, Y & Kessler, RC 2020, 'The epidemiology of alcohol use disorders cross-nationally: Findings from the World Mental Health Surveys', Addictive Behaviors, vol. 102, 106128. https://doi.org/10.1016/j.addbeh.2019.106128

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

In: Addictive Behaviors, Vol. 102, 106128, 01.03.2020.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The epidemiology of alcohol use disorders cross-nationally

T2 - Findings from the World Mental Health Surveys

AU - Glantz, Meyer D.

AU - Bharat, Chrianna

AU - Degenhardt, Louisa

AU - Sampson, Nancy A.

AU - Scott, Kate M.

AU - Lim, Carmen C.W.

AU - Al-Hamzawi, Ali

AU - Alonso, Jordi

AU - Andrade, Laura Helena

AU - Cardoso, Graca

AU - De Girolamo, Giovanni

AU - Gureje, Oye

AU - He, Yanling

AU - Hinkov, Hristo

AU - Karam, Elie G.

AU - Karam, Georges

AU - Kovess-Masfety, Viviane

AU - Lasebikan, Victor

AU - Lee, Sing

AU - Levinson, Daphna

AU - McGrath, John

AU - Medina-Mora, Maria Elena

AU - Mihaescu-Pintia, Constanta

AU - Mneimneh, Zeina

AU - Moskalewicz, Jacek

AU - Navarro-Mateu, Fernando

AU - Posada-Villa, José

AU - Rapsey, Charlene

AU - Stagnaro, Juan Carlos

AU - Tachimori, Hisateru

AU - Ten Have, Margreet

AU - Tintle, Nathan

AU - Torres, Yolanda

AU - Williams, David R.

AU - Ziv, Yuval

AU - Kessler, Ronald C.

PY - 2020/3/1

Y1 - 2020/3/1

N2 - 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.

AB - 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.

KW - Abuse

KW - Alcohol

KW - Comorbidity

KW - Dependence

KW - Prevalence

KW - Remission

UR - http://www.scopus.com/inward/record.url?scp=85076678626&partnerID=8YFLogxK

U2 - 10.1016/j.addbeh.2019.106128

DO - 10.1016/j.addbeh.2019.106128

M3 - Article

VL - 102

JO - Addictive Behaviors

JF - Addictive Behaviors

SN - 0306-4603

M1 - 106128

ER -