Yale School of Medicine, 333 Cedar Street, New Haven, CT 06510, USA.
Department of Internal Medicine - Section of Digestive Diseases, Yale Program in Addiction Medicine, Yale School of Medicine, 40 Temple Street, Suite 1A, New Haven, CT 06510, USA.
Clin Liver Dis. 2024 Nov;28(4):577-588. doi: 10.1016/j.cld.2024.06.006. Epub 2024 Jul 23.
Alcohol use disorder (AUD) is a chronic medical condition that affects over 29.5 million people and accounts for $249 billion in social and health care costs annually. Prevalence is higher among young adults, males, sexual and gender minorities, American Indians and Alaska Natives, and the uninsured. Despite its high prevalence and societal impact, AUD is often overlooked in health care settings. This has resulted in insufficient implementation of AUD screening as well as low levels of treatment uptake. Addressing these challenges requires recognition of the current epidemiology of AUD and role of social determinants of health.
酒精使用障碍（AUD）是一种慢性疾病，影响超过 2950 万人，每年造成 2490 亿美元的社会和医疗保健费用。年轻人、男性、性少数群体和性别少数群体、美国印第安人和阿拉斯加原住民以及没有保险的人患病率更高。尽管 AUD 患病率很高，对社会影响很大，但在医疗保健环境中常常被忽视。这导致 AUD 筛查的实施不足以及治疗的接受率低。应对这些挑战需要认识到 AUD 的当前流行病学和健康的社会决定因素的作用。
