The 12-month prevalence and trends in DSM-IV alcohol abuse and dependence: United States, 1991-1992 and 2001-2002
The 12-month prevalence and trends in DSM-IV alcohol abuse and dependence: United States, 1991-1992 and 2001-2002
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DOI：
10.1016/j.drugalcdep.2004.02.004
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发表时间：
2004-06-11
影响因子：
4.2
通讯作者：
Pickering, RP
中科院分区：
文献类型：
--
作者：
Grant, BF;Dawson, DA;Pickering, RP
背景资料：酒精滥用和依赖可能是致残性疾病，但缺乏关于目前DSM-IV酒精滥用和依赖的患病率以及过去十年中这种情况如何变化的准确信息。本研究的目的是提供2001-2002年12个月DSM-IV酒精滥用和依赖流行率的全国代表性数据，并首次检查1991-1992年和2001-2002年之间酒精滥用和依赖的趋势。研究方法：美国酒精滥用和依赖的流行率和趋势来自国家酒精滥用和酒精中毒研究所（NIAAA）2001-2002年全国酒精和相关疾病流行病学调查的面对面访谈（NESARC：n = 43，093）和NIAAA的1991-1992年全国纵向酒精流行病学调查（NLAES：n = 42，862）。结果：2001-2002年DSM-IV酒精滥用和依赖的患病率分别为4.65%和3.81%。滥用和依赖在男性和年轻受访者中更为常见。白人的虐待率高于黑人、亚洲人和西班牙裔。白人、美洲原住民和西班牙裔的依赖性患病率高于亚洲人。在1991-1992年和2001-2002年期间，滥用增加，而依赖性下降。在男性、女性以及年轻的黑人和西班牙裔少数群体中观察到酒精滥用增加，而在男性、年轻的黑人女性和亚洲男性中依赖率上升。结论：这项研究强调，需要继续监测患病率和趋势，并设计文化敏感的预防和干预方案。(C)2004爱思唯尔爱尔兰有限公司保留所有权利。
Background: Alcohol abuse and dependence can be disabling disorders, but accurate information is lacking on the prevalence of current DSM-IV alcohol abuse and dependence and how this has changed over the past decade. The purpose of this study was to present nationally representative data on the prevalence of 12-month DSM-IV alcohol abuse and dependence in 2001-2002 and, for the first time, to examine trends in alcohol abuse and dependence between 1991-1992 and 2001-2002. Methods: Prevalences and trends of alcohol abuse and dependence in the United States were derived from face-to-face interviews in the National Institute on Alcohol Abuse and Alcoholism's (NIAAA) 2001-2002 National Epidemologic Survey on Alcohol and Related Conditions (NESARC: n = 43, 093) and NIAAA's 1991-1992 National Longitudinal Alcohol Epidemiologic Survey (NLAES: n = 42, 862). Results: Prevalences of DSM-IV alcohol abuse and dependence in 2001-2002 were 4.65 and 3.81%. Abuse and dependence were more common among males and among younger respondents. The prevalence of abuse was greater among Whites than among Blacks, Asians, and Hispanics. The prevalence of dependence was higher in Whites, Native Americans, and Hispanics than Asians. Between 1991-1992 and 2001-2002, abuse increased while dependence declined. Increases in alcohol abuse were observed among males, females, and young Black and Hispanic minorities, while the rates of dependence rose among males, young Black females and Asian males. Conclusions: This study underscores the need to continue monitoring prevalence and trends and to design culturally sensitive prevention and intervention programs. (C) 2004 Elsevier Ireland Ltd. All rights reserved.