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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
刊名ADDICTION
2009-08-01
DOI10.1111/j.1360-0443.2009.02595.x
104期:8页:1313-1323
收录类别SCI ; SSCI
文章类型Article
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
英文摘要

Aims

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.

Participants

A total of 5201 adults aged 18-70 years and with household registration.

Measurements

World Mental Health version of Composite International Diagnostic Interview.

Findings

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.

Conclusion

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.

语种英语
WOS记录号WOS:000268028000014
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
引用统计
被引频次:12[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/54539
专题北京大学精神卫生研究所
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
推荐引用方式
GB/T 7714
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.
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