Prevalence of alcohol use disorders in mainland China: a systematic review.
Prevalence of alcohol use disorders in mainland China: a systematic review.
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DOI：
10.1111/add.12876
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发表时间：
2015-05
期刊：
影响因子：
--
通讯作者：
Phillips MR
中科院分区：
文献类型：
--
作者：
Cheng HG;Deng F;Xiong W;Phillips MR
为了解中国大陆中国地区酒精使用障碍的患病率，评价这些研究的质量，并对中国成年人群以及按性别、年龄和城乡居民划分的人口亚组中酒精使用障碍的患病率进行荟萃分析。检索数据库中国、万方、Pubmed、EMbase和Web of Science，检索2014年1月前的相关研究。编制了包含16个条目的大陆中国流行病学研究质量评估表，以评估研究的方法学严谨性。共有38项研究被确定，其中包括1名 304 354人。结果包括目前和终身的AUD患病率、酒精依赖和酗酒。合并寿命和酒依赖现患率分别为1.4%[95%可信区间(CI) = 1.3，1.5]和1.5%(95%CI = 1.2，1.9)。对男性而言，酒精依赖、酗酒和AUD的综合估计值分别为4.4(95%CI = 3.1，5.7)、4.0(95%CI = 2.2，5.7)和10.1%(95%CI = 4.7，15.4)；女性的相应数值均低于0.2、0.1和0.1%。在与样本大小、关键信息者的使用和替代受访者的使用相关的流行率测量中，研究之间存在很大的异质性。纳入研究的质量普遍较低。高质量的研究报告了更高的患病率。在中国，酒精使用障碍是一个紧迫的公共卫生问题，特别是在男性中。如果使用高质量的研究，中国目前和终身酒精依赖患病率的估计分别为2.2%和3.7%，接近荷兰、美国和其他西方国家。
To identify studies about the prevalence of alcohol use disorder (AUD) in mainland China, evaluate the quality of these studies and conduct a meta‐analysis of the prevalence of AUD in China's adult population and in population subgroups defined by sex, age and urban versus rural residency. Relevant studies published prior to January 2014 were identified from the following databases: China Knowledge Resource Integrated (CNKI), Wanfang, Pubmed, EmBase and Web of Science. A 16‐item quality assessment inventory for epidemiological studies in mainland China was constructed to evaluate the methodological rigor of the studies. A total of 38 studies including 1 304 354 individuals were identified. Outcomes included current and life‐time prevalence of AUD, alcohol dependence and alcohol abuse. The pooled life‐time and current prevalence of alcohol dependence were 1.4% [95% confidence interval (CI) = 1.3, 1.5] and 1.5% (95% CI = 1.2, 1.9). For males, pooled estimates of the current prevalence of alcohol dependence, alcohol abuse and AUD were 4.4 (95% CI = 3.1, 5.7), 4.0 (95% CI = 2.2, 5.7) and 10.1% (95% CI = 4.7, 15.4), respectively; the corresponding values for females were all below 0.2, 0.1, and 0.1%. There was large between‐study heterogeneity in the prevalence measures that was associated with sample size, the use of key informants and the use of substitute respondents. The quality of included studies was generally low. Higher‐quality studies reported higher prevalence. Alcohol use disorder is an urgent public health problem in China, especially among males. When using high‐quality studies, current and life‐time prevalence estimates of alcohol dependence in China measure 2.2% and 3.7%, respectively, approaching those of the Netherlands, United States and other western countries.
影响因子：
4.4
作者：
Bijl, RV;Ravelli, A;van Zessen, G
通讯作者：
van Zessen, G