ALCOHOL-CONSUMPTION, ALCOHOL-ABUSE AND ALCOHOL DEPENDENCE - THE UNITED-STATES AS AN EXAMPLE
ALCOHOL-CONSUMPTION, ALCOHOL-ABUSE AND ALCOHOL DEPENDENCE - THE UNITED-STATES AS AN EXAMPLE
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DOI：
10.1111/j.1360-0443.1994.tb03730.x
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发表时间：
1994-11-01
期刊：
影响因子：
6
通讯作者：
GRANT, BF
中科院分区：
文献类型：
--
作者：
GRANT, BF
本文介绍了美国酒精消费和DSM-IV酒精滥用和依赖的国家估计。 接受调查的成年人中有52%被归类为当前饮酒者，近9.0%符合DSM-IV酒精滥用或依赖的标准。 与女性和非白人相比，男性和白人被归类为目前饮酒者和酗酒者或依赖者的百分比分别更高。 今后的流行病学研究需要更好地收集关于饮酒模式的数据，以帮助解释社会人口差异，并在多变量统计环境中更准确地估计酒精消费与滥用和依赖之间的联系。 强调迫切需要审查由于应用DSM-4分类而导致的滥用与依赖比率的前所未有的逆转。 强调了未来纵向酒精流行病学研究在阐明消费模式和酒精使用障碍的启动和维持方面的作用。
This paper presents national estimates of alcohol consumption and DSM-IV alcohol abuse and dependence in the United States. Fifty-two percent of the adults surveyed were classified as current drinkers and nearly 9.0% met criteria for DSM-IV alcohol abuse or dependence. Greater percentages of males and whites were classified as current drinkers and as alcohol abusers or dependent, compared with females and non-whites, respectively. There is a need for future epidemiological research to collect better data on drinking patterns as an aid to interpreting socio-demographic differentials and to estimate more precisely the association between alcohol consumption and abuse and dependence in multivariate statistical environments. The critical need to examine the unprecedented reversal of the abuse-to-dependence ratio resulting from the application of the DSM-IV classification is emphasized. The role of future longitudinal alcohol epidemiological research in elucidating the initiation and maintenance of consumption patterns and alcohol use disorders is stressed.