Prevalence, correlates and treatment status of alcohol use disorders in psychiatric patients in China

Huang, Hui; Chen, Hongxian; Dong, Huixi; Ning, Kui; Zhang, Ruiling; Sun, Wei; Li, Bing; Jiang, Haifeng; Wang, Wenzheng; Du, Jing; Zhao, Min; Yi, Zhihua; Li, Jing; Zhu, Rong; Lu, Shuiping; Xie, Shusen; Wang, Xiaoping; Fu, Wei; Yan, Runzhi; Gao, Chengge; Hao, Wei

doi:10.1016/j.genhosppsych.2017.01.002

Cited by 6 publications

(2 citation statements)

References 47 publications

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“…The total AUDIT-C score ranges from 0 to 12, with a higher score indicating more severe alcohol use. The Chinese version of the AUDIT has been validated ( 32 ) and used in different settings ( 9 , 33 , 34 ), the details in AUDIT-C scoring can be found elsewhere ( 9 , 33 , 34 ). Using the AUDIT-C scores, participants were categorized as no alcohol users (the total score = 0) and alcohol users (the total score ≥1).…”

Section: Methodsmentioning

confidence: 99%

Alcohol Use and Misuse Among Chinese Psychiatrists During the Early COVID-19 Pandemic

Min

Gluck

et al. 2022

Front. Psychiatry

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AimSurvey alcohol use and misuse among Chinese psychiatrists during the Coronavirus diseases 2019 (COVID-19) pandemic.MethodsWe conducted a large-scale, nationwide online survey of psychiatrists regarding their alcohol use during the pandemic. The Alcohol Use Disorder Identification Test-Concise (AUDIT-C) was used to assess alcohol use and misuse.ResultsOf 3,815 psychiatrists who completed the survey, alcohol use and misus were 47.5% and 8.2%, respectively, and both were significantly higher in males. The majority (59%) reported no change in alcohol use during the pandemic, one-third (34.5%) reported a decrease, and 6.5% reported an increase. Alcohol misuse was associated with middle-age (OR = 1.418), male sex (OR = 5.089), Northeast China (OR = 1.507), cigarette-smoking (OR = 2.335), insomnia (OR = 1.660), and regular exercise (OR = 1.488). A master's degree (OR = 0.714) and confidence in clinical work (OR = 0.610) were associated with less alcohol misuse. Those who reported a decrease in alcohol use during the pandemic were more likely to be male (OR = 2.011), located in Northeast China (OR = 1.994), and feel confident in their clinical work (OR = 1.624). Increased alcohol use was significantly associated with insomnia (OR = 3.139).ConclusionsDuring the COVID-19 pandemic, alcohol use and misuse among Chinese psychiatrists declined. While males were more likely to misuse alcohol, they were also more likely to have reduced their intake. Age, location, and lifestyle factors also predicted alcohol use and misuse. Further examination of specific factors that reduced alcohol use and misuse may help guide public health efforts to sustain the lower rates beyond the pandemic.

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Section: Methodsmentioning

confidence: 99%

Alcohol Use and Misuse Among Chinese Psychiatrists During the Early COVID-19 Pandemic

Min

Gluck

et al. 2022

Front. Psychiatry

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“…According to the 2019 Global Burden of Disease (GBD 2019), the globe AUD disability-adjusted life years (DALY) in 2019 was about 1.7019 million people per year [ 7 ], and the report of the World Health Organization (WHO) points out, an estimated 4.9% of the world's adult population (240 million people) suffer from alcohol use disorder (7.8% of men and 1.5% of women), with alcohol causing an estimated 257 disability-adjusted life years lost per 100 000 population [ 8 ]. According to the Chinese epidemiological survey, the prevalence rate of AUD is 2.4% [ 9 ], which leads to a significant economic and social burden [ 10 ], and has become a pressing national public health issue [ 11 ]. AUD is treatable, and timely implementation of targeted interventions improves outcomes [ 12 ].…”

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confidence: 99%

Burden of alcohol use disorders in China and the regions with different income levels over the world

Liu

et al. 2021

J Glob Health

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Background Alcohol use disorders (AUD) has long been one of the most disability mental disorders and a major cause of health loss. Methods Based on open access data from the 2019 Global Burden of Disease (GBD 2019) study, we extracted data of years lived with disability (YLD), years of life lost (YLL) and disability-adjusted life years (DALY) to describe the changes of AUD burden over the period of 1990-2019 stratified by sex in globe, high-income countries (HICs), upper-middle income countries (UMCs), lower-middle income countries (LMCs), low-income countries (LICs) and China. We used Joinpoint regression model to fit the changing trend of years. And pairwise comparison was applied to test the coincidence parallelism and judge whether the difference of the trend among different regions is statistically significant. Results LMCs experienced the largest changes in the YLD rate of AUD from 1990 to 2019 (average annual percent change (AAPC) = -0.7, 95% confidence interval (CI) = -0.8, -0.7, P < 0.05), with China experienced a higher increase in 1990 to 1993 (annual percent change (APC) = 3.8, 95% CI = 3.2, 4.4, P < 0.05) than other regions, and the rate of decline in China from 1996 to 2002 (APC = -3.4, 95% CI = -3.6, -3.1, P < 0.05) was higher than that in other regions. UMCs experienced the largest changes in the YLL rate of AUD from 1990 to 2019 (AAPC = -1.1, 95% CI = -1.6, -0.6, P < 0.05), with a larger decline in 2004 to 2012 (APC = -6.2, 95% CI = -6.7, -5.7, P < 0.05) than other regions, and China experienced a larger increase in the rate of YLL from 1999 to 2004 (APC = 9.2, 95% CI = 8.5, 9.9, P < 0.05) than other regions. LMCs experienced the largest changes in the DALY rate of AUD from 1990 to 2019 (AAPC = -0.9, 95% CI = -1.0, -0.8, P < 0.05), with a larger decline in 2006 to 2010 (APC = -3.3, 95% CI = -3.6, -2.9, P < 0.05) than other regions, and UMCs showed a larger increase in the rate of DALY from 1990 to 1994 (APC = 4.5, 95% CI = 3.8, 5.1, P < 0.05) than other regions. Conclusions Given the large variations in AUD burden of disease by income level, future strategies to prevent and reduce the burden should be developed and implemented based on country-specific development status.

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Screening and Treatment of Alcohol Use Disorder in China: Current Situation and Recommendations for Improvement

Tang,

Liu,

Hao

2024

Curr Addict Rep

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Prevalence, correlates and treatment status of alcohol use disorders in psychiatric patients in China

Cited by 6 publications

References 47 publications

Alcohol Use and Misuse Among Chinese Psychiatrists During the Early COVID-19 Pandemic

Alcohol Use and Misuse Among Chinese Psychiatrists During the Early COVID-19 Pandemic

Burden of alcohol use disorders in China and the regions with different income levels over the world

Screening and Treatment of Alcohol Use Disorder in China: Current Situation and Recommendations for Improvement

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