Altwaijri Yasmin, Benjet Corina, Akkad Marya, Bilal Lisa, Naseem Mohammad Talal, Al-Habeeb Abdulhameed, Al-Subaie Abdullah S, Al-Saud Nouf K
Biostatistics, Epidemiology and Scientific Computing Department, King Faisal Specialist. Hospital and Research Centre, MBC 03, PO Box 3354, Riyadh, 11211, Saudi Arabia.
Research Department, King Salman Center for Disability Research, Riyadh, Saudi Arabia.
BMC Public Health. 2025 Jan 8;25(1):86. doi: 10.1186/s12889-024-21190-5.
Substance use disorders (SUDs), encompassing alcohol (AUDs) and drug use disorders (DUDs), are significant global public health concerns. While SUDs are well-documented worldwide, data on their prevalence and impact in Saudi Arabia remain scarce. This study investigates the epidemiology and burden of SUDs in Saudi Arabia using data from the Saudi National Mental Health Survey (SNMHS).
The SNMHS is a nationally representative cross-sectional epidemiological household survey, consisting of a sample of 4,004 participants aged 15-65. The survey employed a stratified multistage clustered sampling design and used the WHO CIDI 3.0 to determine diagnoses. Descriptive statistics and multivariate binary logistic regression were used to analyze the data.
The lifetime, 12-month, and 30-day prevalence of any SUD were 4.03%, 1.88%, and 0.78% (p < 0.05), respectively. DUDs were more prevalent than AUDs overall. SUDs were significantly associated with younger age, lower education, low income, exposure to traumatic events, family burden, and childhood adversities. High psychiatric comorbidity and role impairment were observed. Treatment seeking was moderate, with only 44.9% of those with lifetime SUDs seeking any form of treatment.
SUDs in Saudi Arabia are more prevalent than previously thought, associated with significant psychiatric comorbidities and role impairment. Despite this, treatment seeking remains inadequate. These findings underscore the need for targeted prevention and intervention programs tailored to the demographic and cultural context of Saudi Arabia.
物质使用障碍（SUDs），包括酒精使用障碍（AUDs）和药物使用障碍（DUDs），是全球重大的公共卫生问题。虽然SUDs在全球范围内都有充分记录，但关于其在沙特阿拉伯的患病率和影响的数据仍然很少。本研究使用沙特国家心理健康调查（SNMHS）的数据，调查沙特阿拉伯SUDs的流行病学和负担情况。
SNMHS是一项具有全国代表性的横断面流行病学家庭调查，由4004名年龄在15 - 65岁的参与者组成。该调查采用分层多阶段整群抽样设计，并使用世界卫生组织综合国际诊断访谈问卷第3.0版来确定诊断。采用描述性统计和多变量二元逻辑回归分析数据。
任何SUD的终生患病率、12个月患病率和30天患病率分别为4.03%、1.88%和0.78%（p < 0.05）。总体而言，DUDs比AUDs更普遍。SUDs与年轻、低教育程度、低收入、遭受创伤性事件、家庭负担和童年逆境显著相关。观察到高精神共病率和角色功能损害。寻求治疗的情况一般，终生患有SUDs的人中只有44.9%寻求任何形式的治疗。
沙特阿拉伯的SUDs比以前认为的更普遍，与显著的精神共病和角色功能损害相关。尽管如此，寻求治疗的情况仍然不足。这些发现强调需要根据沙特阿拉伯的人口和文化背景制定有针对性的预防和干预计划。
