Prevalence of alcohol dependence among US adult drinkers, 2009-2011.
Prevalence of alcohol dependence among US adult drinkers, 2009-2011.
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DOI：
10.5888/pcd11.140329
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发表时间：
2014-11-20
影响因子：
5.5
通讯作者：
Naimi TS
中科院分区：
文献类型：
--
作者：
Esser MB;Hedden SL;Kanny D;Brewer RD;Gfroerer JC;Naimi TS
过量饮酒每年造成88,000人死亡，2006年使美国损失2235亿美元。人们通常认为大多数过度饮酒者都依赖酒精。然而，很少有研究调查过度饮酒者中酒精依赖的普遍程度。本研究的目的是更新先前对美国成年饮酒者中酒精依赖患病率的估计。研究人员分析了2009年、2010年和2011年全国药物使用和健康调查中138,100名成年人的数据。饮酒模式（即过去一年的饮酒、过度饮酒和酗酒）通过社会人口学特征和酒精依赖（通过自我报告的调查回答进行评估，并定义为符合《精神障碍诊断与统计手册》第四版中7项依赖标准中的≥3项）进行评估。过度饮酒、酗酒和酒精依赖在男性和18至24岁的人群中最为常见。酗酒在家庭年收入在7.5万美元以上的人群中最为常见，而酒精依赖在家庭年收入低于2.5万美元的人群中最为常见。酒精依赖的患病率在过度饮酒者中为10.2%，在酗酒者中为10.5%，在非酗酒者中为1.3%。酒精依赖与酗酒频率呈正相关。大多数过度饮酒者（90%）不符合酒精依赖的标准。除了注重实施成瘾治疗服务外，减少过度饮酒的综合方法强调循证政策战略和临床预防服务，可对减少过度饮酒产生影响。
Excessive alcohol consumption is responsible for 88,000 deaths annually and cost the United States $223.5 billion in 2006. It is often assumed that most excessive drinkers are alcohol dependent. However, few studies have examined the prevalence of alcohol dependence among excessive drinkers. The objective of this study was to update prior estimates of the prevalence of alcohol dependence among US adult drinkers. Data were analyzed from the 138,100 adults who responded to the National Survey on Drug Use and Health in 2009, 2010, or 2011. Drinking patterns (ie, past-year drinking, excessive drinking, and binge drinking) were assessed by sociodemographic characteristics and alcohol dependence (assessed through self-reported survey responses and defined as meeting ≥3 of 7 criteria for dependence in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition). Excessive drinking, binge drinking, and alcohol dependence were most common among men and those aged 18 to 24. Binge drinking was most common among those with annual family incomes of $75,000 or more, whereas alcohol dependence was most common among those with annual family incomes of less than $25,000. The prevalence of alcohol dependence was 10.2% among excessive drinkers, 10.5% among binge drinkers, and 1.3% among non-binge drinkers. A positive relationship was found between alcohol dependence and binge drinking frequency. Most excessive drinkers (90%) did not meet the criteria for alcohol dependence. A comprehensive approach to reducing excessive drinking that emphasizes evidence-based policy strategies and clinical preventive services could have an impact on reducing excessive drinking in addition to focusing on the implementation of addiction treatment services.
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影响因子：
5.5
作者：
Bouchery, Ellen E.;Harwood, Henrick J.;Brewer, Robert D.
通讯作者：
Brewer, Robert D.
影响因子：
4.4
作者：
Jordan, B. Kathleen;Karg, Rhonda S.;Wiesen, Chris
通讯作者：
Wiesen, Chris
影响因子：
4.4
作者：
Tsai, Jack;Kasprow, Wesley J.;Rosenheck, Robert A.
通讯作者：
Rosenheck, Robert A.
DOI：
10.1097/01.alc.0000164381.67723.76
发表时间：
2005-05-01
期刊：
ALCOHOL-CLINICAL AND EXPERIMENTAL RESEARCH
影响因子：
--
作者：
Harford, TC;Grant, BF;Chen, CM
通讯作者：
Chen, CM
影响因子：
5.5
作者：
Nelson, Toben F.;Xuan, Ziming;Naimi, Timothy S.
通讯作者：
Naimi, Timothy S.