|Associations of cohort and socio-demographic correlates with transitions from alcohol use to disorders and remission in metropolitan China|
|Lee, Sing1; Guo, Wan-Jun1; Tsang, Adley2; He, Yan-Ling3; Huang, Yue-Qin4; Zhang, Ming-Yuan3; Liu, Zhao-Rui4; Shen, Yu-Cun4; Kessler, Ronald C.5|
|关键词||Abuse Alcohol China Dependence Remission Transitions|
|收录类别||SCI ; SSCI|
|WOS标题词||Science & Technology|
|类目[WOS]||Substance Abuse ; Psychiatry|
|研究领域[WOS]||Substance Abuse ; Psychiatry|
|关键词[WOS]||AGE-OF-ONSET ; UNITED-STATES ; EPIDEMIOLOGIC SURVEY ; YOUNG ADULTHOOD ; DEPENDENCE ; PREVALENCE ; DRINKING ; POPULATION ; SEVERITY ; ABUSE|
To examine socio-demographic associations of transitions from alcohol use to disorders and of remission from disorders in metropolitan China.
Design and setting
Face-to-face interviewing by trained lay-interviewers on a multi-staged, clustered sample from the general population of Beijing and Shanghai, China.
A total of 5201 adults aged 18-70 years and with household registration.
World Mental Health version of Composite International Diagnostic Interview.
Lifetime prevalence estimates for alcohol use, regular use (at least 12 drinks in a year), DSM-IV abuse and dependence with abuse were 65.4%, 39.5% (60.4% of ever-drinkers), 4.6% (11.6% of regular users) and 0.9% (20.4% of lifetime alcohol abusers), respectively. These estimates were higher among respondents from the recent cohort; 64.3% and 36.9% respondents with a history of lifetime abuse and dependence respectively had remitted. The number of socio-demographic associations for the onset of each transitional stage decreased from alcohol use to alcohol dependence. Onset of ever-use was more common in respondents who were male, 18-50 years of age, with middle education level and never married, but less common among the previously married and students. First onset of regular use among those with ever-use was more common in respondents who were male, less than 50 years of age and never married, but less common in students. Being male and less than 50 years of age was associated with more alcohol abusers among regular users.
This study was the first to reveal in a Chinese population that qualitatively different risk factors might operate during the different stages of progression from alcohol use to disorders. Further research is needed to clarify the mechanisms underlying these differences in order to guide prevention programmes.
|项目编号||R01MH070884 ; R13-MH066849 ; R01-MH069864 ; R01 DA016558 ; FIRCA R01-TW006481|
|资助机构||Pfizer Foundation ; World Health Organization WMH Survey Initiative ; United States National Institute of Mental Health ; John D. and Catherine T. MacArthur Foundation ; US Public Health Service ; Fogarty International Center ; Pan American Health Organization ; Eli Lilly and Company ; Ortho-McNeil Pharmaceutical, Inc. ; Glaxo-SmithKline ; Bristol-Myers Squibb ; Sanofi Aventis|
|作者单位||1.Shanghai Mental Hlth Ctr, Shanghai, Peoples R China|
2.Peking Univ, Inst Mental Hlth, Beijing 100871, Peoples R China
3.Harvard Univ, Sch Med, Dept Hlth Care Policy, Harvard, MA USA
4.Chinese Univ Hong Kong, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China
5.Chinese Univ Hong Kong, Hong Kong Mood Disorders Ctr, Hong Kong, Hong Kong, Peoples R China
|Lee, Sing,Guo, Wan-Jun,Tsang, Adley,et al. Associations of cohort and socio-demographic correlates with transitions from alcohol use to disorders and remission in metropolitan China[J]. ADDICTION,2009,104(8):1313-1323.|
|APA||Lee, Sing.,Guo, Wan-Jun.,Tsang, Adley.,He, Yan-Ling.,Huang, Yue-Qin.,...&Kessler, Ronald C..(2009).Associations of cohort and socio-demographic correlates with transitions from alcohol use to disorders and remission in metropolitan China.ADDICTION,104(8),1313-1323.|
|MLA||Lee, Sing,et al."Associations of cohort and socio-demographic correlates with transitions from alcohol use to disorders and remission in metropolitan China".ADDICTION 104.8(2009):1313-1323.|