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澳大利亚 DSM-IV 酒精滥用和依赖的患病率及其相关因素:2007 年全国精神健康和福利调查结果。

Prevalence and correlates of DSM-IV alcohol abuse and dependence in Australia: findings of the 2007 National Survey of Mental Health and Wellbeing.

机构信息

National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia.

出版信息

Addiction. 2010 Dec;105(12):2085-94. doi: 10.1111/j.1360-0443.2010.03096.x. Epub 2010 Aug 12.

DOI:10.1111/j.1360-0443.2010.03096.x
PMID:20707771
Abstract

AIMS

To report nationally representative data on the prevalence and correlates (including psychiatric comorbidity and treatment) of DSM-IV alcohol abuse and dependence in Australian adults.

DESIGN

The 2007 National Survey of Mental Health and Wellbeing (NSMHWB).

SETTING

Australian nationally representative household survey.

PARTICIPANTS

8841 Australian adults (16-85 years).

MEASUREMENTS

Interview schedule that assessed symptoms of the most prevalent DSM-IV mental disorders in the life-time and the past 12 months.

FINDINGS

Prevalence of life-time and 12-month disorders was 18.3% and 2.9% for alcohol abuse and 3.9% and 1.4% for alcohol dependence. Current alcohol abuse and dependence was significantly more common in males and younger adults. There were significant associations between current alcohol use and other drug use disorders (OR 18.2) and between anxiety disorders and alcohol use disorders (OR 2.6). Only 22.4% of those with alcohol use disorders were treated for their alcohol disorder.

CONCLUSIONS

Alcohol use disorders are highly prevalent, especially among young adult males. Comorbidity between anxiety and other drug use disorders is common and remains a significant challenge for the delivery of effective health-care services and treatment. The low rate of effective interventions for alcohol problems is a significant public health concern.

摘要

目的

报告澳大利亚成年人中 DSM-IV 酒精滥用和依赖的患病率及相关因素(包括精神共病和治疗)的全国代表性数据。

设计

2007 年全国精神健康和幸福感调查(NSMHWB)。

地点

澳大利亚全国代表性家庭调查。

参与者

8841 名澳大利亚成年人(16-85 岁)。

测量方法

采用访谈表评估一生中最常见的 DSM-IV 精神障碍和过去 12 个月的症状。

结果

终身和 12 个月的障碍发生率分别为酒精滥用 18.3%和 2.9%,酒精依赖为 3.9%和 1.4%。目前的酒精滥用和依赖在男性和年轻成年人中更为常见。当前的酒精使用与其他药物使用障碍之间存在显著关联(OR 18.2),焦虑障碍与酒精使用障碍之间存在显著关联(OR 2.6)。只有 22.4%的酒精使用障碍患者接受了酒精障碍治疗。

结论

酒精使用障碍的患病率很高,尤其是在年轻成年男性中。焦虑和其他药物使用障碍之间的共病很常见,这仍然是提供有效医疗保健服务和治疗的重大挑战。有效干预酒精问题的低比率是一个重大的公共卫生问题。

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