Prevalence of 12-Month Alcohol Use, High-Risk Drinking, and DSM-IV Alcohol Use Disorder in the United States, 2001-2002 to 2012-2013 Results From the National Epidemiologic Survey on Alcohol and Related Conditions
Prevalence of 12-Month Alcohol Use, High-Risk Drinking, and DSM-IV Alcohol Use Disorder in the United States, 2001-2002 to 2012-2013 Results From the National Epidemiologic Survey on Alcohol and Related Conditions
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DOI：
10.1001/jamapsychiatry.2017.2161
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发表时间：
2017-09-01
期刊：
影响因子：
25.8
通讯作者：
Hasin, Deborah S.
中科院分区：
文献类型：
--
作者：
Grant, Bridget F.;Chou, S. Patricia;Hasin, Deborah S.
重要性缺乏目前和全面的趋势数据来自一个统一的，可靠的，有效的来源，对酒精使用，高风险饮酒，和DSM-IV酒精使用障碍（AUD）代表了一个重大的差距，在公共卫生information.OBJECTIVE目前全国代表性的数据变化的患病率12个月的酒精使用，12个月的高风险饮酒，12个月的DSM-IV AUD，在2001-2002年和2012- 2013年期间，12个月酒精使用者中12个月的DSM-IV AUD，以及12个月高风险饮酒者中12个月的DSM-IV AUD。设计、设置和参与者研究数据来自2项全国代表性美国成年人调查中进行的面对面访谈：全国酒精和相关疾病流行病学调查，数据收集于2001年4月至2002年6月，以及全国酒精和相关疾病流行病学调查III，数据收集于2012年4月至2013年6月。数据分析于2016年11月和12月进行。主要结果和指标两个月的饮酒情况、高危饮酒情况和DSM-IV AUD。结果研究样本包括全国酒精及相关疾病流行病学调查的43 093名参与者和全国酒精及相关疾病流行病学调查III的36 309名参与者。在2001-2002年和2012-2013年之间，12个月的酒精使用，高风险饮酒和DSM-IV AUD分别增加了11.2%，29.9%和49.4%，其中酒精使用从65.4%增加到65.4%。（95% CI，64.3%-66.6%）至72.7%（95% CI，71.4%-73.9%），高危饮酒从9.7%（95% CI，9.3%-10.2%）增加至12.6%（95% CI，12.0%-13.2%），DSM-IV AUD从8.5%（95% CI，8.0%-8.9%）增加至12.7%（95% CI，12.1%-13.3%）。除了少数例外，2001-2002年和2012-2013年之间的酒精使用，高风险饮酒和DSM-IV AUD的增加在社会人口亚组中也具有统计学意义。所有这些结果的增加在妇女，老年人，种族/少数民族以及教育水平和家庭收入较低的个人中最大。在12个月酒精使用者中，总样本和大多数社会人口统计学亚组的12个月DSM-IV AUD患病率也从12.9%（95% CI，12.3%-17.5%）至17.5%（95% CI，16.7%-18.3%）和12个月的DSM-IV AUD，12个月的高危饮酒者从46.5%（95% CI，44.3%-48.7%）至54.5%（95%CI，52.7%-56.4%）。结论和相关性在美国人口和亚组中，特别是女性，老年人，种族/少数民族，和社会经济弱势群体构成公共卫生危机。总之，这些发现预示着许多慢性合并症的增加，其中酒精使用有很大的作用。
IMPORTANCE Lack of current and comprehensive trend data derived from a uniform, reliable, and valid source on alcohol use, high-risk drinking, and DSM-IV alcohol use disorder (AUD) represents a major gap in public health information.OBJECTIVE To present nationally representative data on changes in the prevalences of 12-month alcohol use, 12-month high-risk drinking, 12-month DSM-IV AUD, 12-month DSM-IV AUD among 12-month alcohol users, and 12-month DSM-IV AUD among 12-month high-risk drinkers between 2001-2002 and 2012-2013.DESIGN, SETTING, AND PARTICIPANTS The study data were derived from face-to-face interviews conducted in 2 nationally representative surveys of US adults: the National Epidemiologic Survey on Alcohol and Related Conditions, with data collected from April 2001 to June 2002, and the National Epidemiologic Survey on Alcohol and Related Conditions III, with data collected from April 2012 to June 2013. Data were analyzed in November and December 2016.MAIN OUTCOMES AND MEASURES Twelve-month alcohol use, high-risk drinking, and DSM-IV AUD.RESULTS The study sample included 43 093 participants in the National Epidemiologic Survey on Alcohol and Related Conditions and 36 309 participants in the National Epidemiologic Survey on Alcohol and Related Conditions III. Between 2001-2002 and 2012-2013, 12-month alcohol use, high-risk drinking, and DSM-IV AUD increased by 11.2%, 29.9%, and 49.4%, respectively, with alcohol use increasing from 65.4%(95% CI, 64.3%-66.6%) to 72.7%(95% CI, 71.4%-73.9%), high-risk drinking increasing from 9.7% (95% CI, 9.3%-10.2%) to 12.6%(95% CI, 12.0%-13.2%), and DSM-IV AUD increasing from 8.5%(95% CI, 8.0%-8.9%) to 12.7%(95% CI, 12.1%-13.3%). With few exceptions, increases in alcohol use, high-risk drinking, and DSM-IV AUD between 2001-2002 and 2012-2013 were also statistically significant across sociodemographic subgroups. Increases in all of these outcomes were greatest among women, older adults, racial/ethnic minorities, and individuals with lower educational level and family income. Increases were also seen for the total sample and most sociodemographic subgroups for the prevalences of 12-month DSM-IV AUD among 12-month alcohol users from 12.9% (95% CI, 12.3%-17.5%) to 17.5%(95% CI, 16.7%-18.3%) and 12-month DSM-IV AUD among 12-month high-risk drinkers from 46.5%(95% CI, 44.3%-48.7%) to 54.5%(95% CI, 52.7%-56.4%).CONCLUSIONS AND RELEVANCE Increases in alcohol use, high-risk drinking, and DSM-IV AUD in the US population and among subgroups, especially women, older adults, racial/ethnic minorities, and the socioeconomically disadvantaged, constitute a public health crisis. Taken together, these findings portend increases in many chronic comorbidities in which alcohol use has a substantial role.