Correlates of transitions from alcohol use to disorder diagnosed by DSM-5 in China

Abstract

Background This study aimed to describe the prevalence and lifetime criteria profiles of DSM-5 alcohol use disorder (AUD) and the transitions from alcohol use to disorder in Chifeng, China. Methods Face-to-face interviews were conducted using Composite International Diagnostic Interview-3.0 (CIDI-3.0) among 4528 respondents in Chifeng. Results The weighted lifetime and 12-month prevalence of DSM-5 AUD were 3.03 and 1.05%, respectively. Mild lifetime AUD was the most prevalent severity level (69.53%). The two most common criteria were “failure to quit/cutdown” and “drinking more or for longer than intended.” Lifetime prevalence was 65.59% for alcohol use, and 22.97% for regular drinking. Male and domestic violence were risk factors for the transition from alcohol use to regular drinking or AUD and from regular drinking to AUD. Younger age was risk factor for the transition to AUD from alcohol use or regular drinking. Poverty (OR = 2.49) was risk factor for the transition from alcohol use to regular drinking. The earlier drinkers were more likely to develop to regular drinking (OR = 2.11). Conclusion AUD prevalence in Chifeng was not as high as that in Western countries. The study revealed that multiple risk factors might contribute to the transition across different stages of alcohol use. Further research should explore the underlying mechanisms.

Magnitude and determinants of alcohol use disorder among adult population in East Asian countries: A systematic review and meta-analysis

“…As per our inclusion criteria, we excluded studies of adults with psychiatric or other mental health problems. Therefore, 14 peer-reviewed articles (31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44) were included in this systematic review and meta-analysis; 9 of them were suitable for analysis of the 1-year prevalence of AUD, 6 for analysis of the lifetime prevalence of AUD, 9 for analysis of the prevalence of alcohol abuse, and 8 for analysis of the prevalence of alcohol dependence.…”

“…The highest and lowest prevalence rates of AUD were reported in China, at 16.2% (32) and 1.05%, respectively (42). The highest and lowest lifetime prevalence rates of AUD were also reported in China, at 17.7 and 3.03%, respectively (42,44).…”

“…The sample size of the included studies ranged from 258 to 36,157 participants, and they were published from 2005 to 2021. Most of the studies (32)(33)(34)(35)(36)(38)(39)(40)(41)(42)(43)(44) were cross-sectional, although there was one case-control (31), one cohort (37), and one comparative cross-sectional study (38). Most of the included studies were from China (31,32,35,39,(42)(43)(44), followed by Korea (33,38,41), Japan (34,40), Taiwan (37), and Hong Kong (36).…”

“…Most of the studies (32)(33)(34)(35)(36)(38)(39)(40)(41)(42)(43)(44) were cross-sectional, although there was one case-control (31), one cohort (37), and one comparative cross-sectional study (38). Most of the included studies were from China (31,32,35,39,(42)(43)(44), followed by Korea (33,38,41), Japan (34,40), Taiwan (37), and Hong Kong (36). The highest and lowest prevalence rates of AUD were reported in China, at 16.2% (32) and 1.05%, respectively (42).…”

“…Most of the included studies were from China (31,32,35,39,(42)(43)(44), followed by Korea (33,38,41), Japan (34,40), Taiwan (37), and Hong Kong (36). The highest and lowest prevalence rates of AUD were reported in China, at 16.2% (32) and 1.05%, respectively (42). The highest and lowest lifetime prevalence rates of AUD were also reported in China, at 17.7 and 3.03%, respectively (42,44).…”